摘要
目的探讨住院和门诊精神分裂症患者吸烟行为的差异。方法采用社会人口学特征及吸烟状况调查表、阳性和阴性症状量表(PANSS)对143例住院男性患者和82例门诊男性患者的社会人口学特征、吸烟情况及临床症状进行横断面调查。结果①住院和门诊吸烟者分别占69.20%和54.90%,差异有统计学意义(P<0.05);住院患者的吸烟量小于门诊患者[(11.90±6.70)vs.(19.10±13.90),P<0.01]。②门诊吸烟患者的PANSS总分、阴性症状评分分别低于非吸烟患者[(56.10±9.00)vs.(62.90±16.60),(15.60±3.60)vs.(18.60±5.40),P均<0.05];住院患者中吸烟者和非吸烟者临床症状差异无统计学意义(P>0.05)。③所有吸烟者的吸烟时间与病程呈正相关(P<0.05);门诊患者的吸烟量与住院次数呈正相关(P<0.05);患者吸烟时间、吸烟指数、吸烟量与临床症状相关性无统计学意义(P均>0.05)。结论住院可能使男性精神分裂症患者的吸烟率增高。
Objective To investigate the difference in smoking behavior between inpatients and outpatients with schizophrenia. Methods General demographic and smoking information were collected in 143 male inpatients and 82 outpatients with schizophrenia. Clinical symptoms were also assessed using Positive and Negative Syndrome Scale（PANSS） in these patients. Results ① There were 99 of 143 （69.20%） inpatients and 45 of 82 （54.90%） outpatients with smoking behavior. A significant difference of smoking was found revealed between inpatients and outpatients （ P 〈 0.05 ）. The amount of smoking in inpatients was significant lower than that of outpatients [ （ 11.90 ± 6.70） vs. （ 19.10 ± 13.90）, P 〈 0.01 ]. ②The PANSS total scores [ （ 56.10± 9.00） vs. （ 62.90 ± 16.60） ,P 〈 0.05 ] and Negative scores [ （ 15.60± 3.60） vs. （ 18.60 ± 5.40）, P 〈 0.05 ] of outpatients with smoking behavior were significant lower than that of outpatients without smoking behavior. But these differences in clinical symptoms between smoking and non - smoking patients were not existed in that of inpatients. ③ There was a significant correlation between smoking time and course of illness （r = 0.17 ,P = 0.03 ）in all patients with smoking. And another significant correlation revealed between amounts of smoking and times of hospitalization （ r = 0.32, P = 0.04） in outpatients. There were no significant correlations between smoking time, smoking index, amounts of smoking and clinical symptoms （ P 〉 0.05 ） neither in inpatients nor in outpatients. Conclusion The smoking rate of outpatients is higher than that of inpatients with schizophrenia. Hospitalization may be a risk factor for patients with schizophrenia smoking.
出处
《四川精神卫生》
2013年第2期86-90,共5页
Sichuan Mental Health
关键词
精神分裂症
吸烟
住院
门诊
临床症状
Schizophrenia smoking inpatients outpaients clinical symptoms
