摘要
目的了解舟山市某医院男性精神分裂症患者再住院情况及影响因素,并构建列线图模型。方法采用回顾性研究方法,选取2022年1月至12月在舟山市第二人民医院接受住院治疗的183例男性精神分裂症患者为研究对象,根据患者住院次数分为再住院组(住院次数≥2次)和未再住院组(住院次数为1次)。采用t检验或χ2检验对两组患者的资料进行单因素分析;采用多因素Logistic回归分析探讨精神分裂症患者1年内再住院的影响因素,并建立列线图预测模型。结果183例精神分裂症患者再住院率为49.18%;病程、首次住院时间、吸烟史及饮酒史是再住院的独立危险因素(P<0.05);列线图模型的受试者操作特征曲线下面积(area under the curve,AUC)为76.53。结论舟山市第二人民医院男性精神分裂症患者再住院率较高,病程、首次住院时间、吸烟及饮酒史是精神分裂症患者1年内再住院的独立风险因素,建立列线图预测模型有望评估精神分裂症患者再住院高危因素并实施针对性的干预措施以改善患者的生命质量。
Objective To investigate the readmission of male schizophrenia patients in a hospital of Zhoushan and its influencing factors,and to build a nomogram model.Methods A total of 183 male schizophrenics patients admitted to the Second People’s Hospital of Zhoushan from January to December 2022 were analyzed retrospectively.Patients were divided into readmission group(hospitalization frequency≥2 times)and non-readmission group(hospitalization was once)based on the number of hospitalization.Perform univariate analysis on the data of two groups of patients using t test orχ2 test.Multivariate Logistic regression model was used to investigate the influencing factors of readmission in schizophrenia patients within one year,and a nomogram prediction model was established.Results The rate of readmission was 49.18%in 183 schizophrenic patients.Course of disease,duration of first hospitalization,and history of tobacco and alcohol consumption were independent risk factors for readmission(P<0.05).The area under the curve(AUC)of the receiver operating characteristic curve in the column chart model is 76.53.Conclusion The readmission rate of male schizophrenia patients in the Second People’s Hospital of Zhoushan is high,and the course of disease,duration of first hospitalization,and history of tobacco and alcohol consumption are independent risk factors for the readmission of schizophrenia patients within one year.The establishment of the nomogram prediction model is expected to evaluate the high risk factors for the readmission of schizophrenia patients and implement targeted interventions to improve the quality of life of patients.
作者
牛凯
王岳锋
武勇法
乐军儿
NIU Kai;WANG Yuefeng;WU Yongfa;LE Jun’er(Department of Psychiatry,the Second People’s Hospital of Zhoushan,Zhoushan 316000,Zhejiang,China;Department of Medical Education,the Second People’s Hospital of Zhoushan,Zhoushan 316000,Zhejiang,China)
出处
《中国现代医生》
2024年第30期7-12,共6页
China Modern Doctor
基金
浙江省舟山市科技计划项目(2023C31023)。
作者简介
通信作者:牛凯,电子信箱:lw1330580@163.com。
