Objective To analyze the current status of
mental symptoms and related influencing factors in
patients with
schizophrenia, and to provide reference for helping
patients achieve better home
rehabilitation.
Methods Cluster extraction was done of 371 home
schizophrenia patients registered in the
community, and follow-up surveys were carried out for general
demographic data,
family status, current status of the
disease, and
treatment status.Univariate and multivariate
logistic regression analysis was used for each factor in affecting the
patient′s
mental symptoms. Results All of the 371
patients completed follow-up surveys, and 121
patients with positive psychotic symptoms (positive rate 32.61%).Univariate
analysis showed that differences in the economic situation,
course of illness(years),
risk behavior level,
self-
knowledge,
hospitalization and working status were statistically significant (P < 0.05), while differences in
gender, age,
education level,
marital status,
disease course,
family history were not.And there was no significant difference in the disability identification,
monitoring status,
medication compliance, and free medication (P>0.05).Multivariate logistic
analysis showed that complete
self-
knowledge(OR=0.488, 95%CI0.284-0.838), and participation in
work(OR=0.469, 95%CI0.257-0.857) were
protection factors (P < 0.05). Conclusion The service management of
patients with
schizophrenia at home should be strengthened, regular follow-up and
nursing care mechanisms should be improved, and
patients with positive
mental symptoms should be actively mobilized for hospitalized
treatment.Improving the
patient′s
self-
knowledge and helping
patients improve their
ability to
work and
work is the key to preventing
mental symptoms in
patients with
schizophrenia.