本文選題：精神分裂癥 + 婚姻�。� 參考：《瀘州醫(yī)學(xué)院》2014年碩士論文

【摘要】：目的：了解婚姻狀況對(duì)于精神分裂癥患者疾病和社會(huì)功能恢復(fù)的影響，同時(shí)，對(duì)已婚精神分裂癥患者的生育狀況進(jìn)行調(diào)查。方法：采用北京大學(xué)精神衛(wèi)生研究所提供的精神分裂癥患者婚姻、生育狀況調(diào)查問卷，由經(jīng)過統(tǒng)一培訓(xùn)的精神科醫(yī)生對(duì)四川精神衛(wèi)生中心門診的134例精神分裂癥患者進(jìn)行問卷調(diào)查。結(jié)果：（1）單身組的比婚姻組的疾病情況嚴(yán)重，女性單身組比婚姻組的治療依從性差；（2）社會(huì)功能缺陷篩選量表（SDSS）得分可以看出單身組比婚姻組在婚姻職能、父母職能、社會(huì)性退縮、家庭外的社會(huì)活動(dòng)、家庭內(nèi)活動(dòng)過少、家庭職能、個(gè)人生活自理、對(duì)外界的興趣和關(guān)心、責(zé)任心和計(jì)劃性方面差，而男性單身組比婚姻組在婚姻職能，父母職能，家庭內(nèi)活動(dòng)過少，家庭職能，責(zé)任心和計(jì)劃性方面差，女性單身組比婚姻組在婚姻職能，父母職能，對(duì)外界的興趣，責(zé)任心和計(jì)劃性方面差（3）患者和家屬對(duì)于繼續(xù)生育問題上50%以上都愿意繼續(xù)生，，對(duì)于精神科相關(guān)保健咨詢，只有42.9%希望得到這方面的知識(shí)，而在生育的人群中得到相關(guān)保健咨詢的只有15.5%。結(jié)論：已婚并且家庭關(guān)系比較穩(wěn)定的精神分裂癥患者,其社會(huì)功能恢復(fù)要好于處于單身狀態(tài)下的精神分裂癥患者。在男性患者的社會(huì)功能恢復(fù)與女性患者的社會(huì)功能恢復(fù)的側(cè)重點(diǎn)是有不同的，對(duì)社區(qū)里的患者社會(huì)功能恢復(fù)的監(jiān)測(cè)應(yīng)該男女分別對(duì)待。精神分裂癥患者的生育有遺傳風(fēng)險(xiǎn)和致畸風(fēng)險(xiǎn)，生育需要加強(qiáng)產(chǎn)檢，很多精神分裂癥患者缺乏精神科的相關(guān)生育保健知識(shí)，缺乏精神分裂癥患者的生育的相關(guān)知識(shí)，未來我們應(yīng)該加強(qiáng)對(duì)于精神分裂癥患者的關(guān)于生育保健的相關(guān)知識(shí)的宣教。
[Abstract]:Objective: to investigate the influence of marital status on the recovery of social function and disease in schizophrenic patients. Methods: a questionnaire was used to investigate the marital and fertility status of schizophrenic patients provided by the Institute of Mental Health of Peking University. A questionnaire survey was conducted among 134 schizophrenic patients in Sichuan Mental Health Center. Results: (1) the disease of single group was more serious than that of marriage group, the treatment compliance of single group was worse than that of marriage group, (2) the score of SDSS showed that single group had more marital function and parental function than marriage group. Social withdrawal, social activities outside the family, too little activity within the family, family functions, self-care in personal life, interest and concern for the outside world, responsibility and planning, while male single groups have more marital and parental functions than marriage groups. Poor family activities, family functions, responsibility and planning. Single women are more interested in marriage, parenthood, and the outside world than in marriage. Poor sense of responsibility and planning (3) more than 50% of patients and their families are willing to continue to have children, and only 42.9% of patients and family members wish to acquire knowledge of this aspect for psychiatric related health advice. Only 15. 5 percent of those who gave birth received health advice. Conclusion: the recovery of social function of schizophrenic patients who are married and have stable family relationship is better than that of schizophrenic patients who are single. The emphasis of social function recovery in male patients is different from that in female patients, and the monitoring of social function recovery in the community should be treated separately by men and women. There are genetic risks and teratogenic risks in the reproduction of schizophrenic patients. Birth testing needs to be strengthened. Many schizophrenic patients lack the knowledge of relevant reproductive health care in psychiatric departments and related knowledge of fertility in schizophrenic patients. In the future, we should strengthen the education on reproductive health of schizophrenic patients.
【學(xué)位授予單位】：瀘州醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R749.3

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