目的 探究绍兴市严重精神障碍患者接受规律面访的影响因素,为提高规律面访率提供参考依据。方法 采用系统抽样的方法从浙江省严重精神障碍信息系统随机抽取1 117例绍兴市患者资料,并对其进行面访,采用logistic回归分析,探讨影响规律面访的因素。结果 符合本次研究的患者1 117例,其中男性517例,女性600例。规律面访率53.8%,logistic分析结果表明,年龄(OR=0.986,95%CI:0.975~0.996)、宗教(OR=1.572,95%CI:1.083~2.281)、经济状况(OR=0.615,95%CI:0.426~0.888)、药物治疗(OR=0.149,95%CI:0.052~0.429)和疾病种类(分裂情感障碍OR=3.417,95%CI:1.838~6.352、偏执型精神病OR=3.822,95%CI:1.540~9.484、双相障碍OR=3.593,95%CI:1.421~9.087、癫痫所致精神障碍OR=3.657,95%CI:1.766~7.572)是严重精神障碍患者接受规律面访的影响因素。结论 宗教信仰和非精神分裂症能够提高患者接受规律面访率,而年龄、经济状况和药物治疗会降低规律面访率,因此需采用针对性措施,提高规律面访率。

Objective To explore the influencing factors of regular interview for patients with severe mental disorders in Shaoxing City, and to provide reference for improving regular interview rate. Methods A total of 1 117 patients with severe mental disorders in Shaoxing City were randomly sampled from the Zhejiang Provincial Severe Serious Mental Disorder Information System by systematic sampling, and interviewed.Logistic regression analysis was used to explore the influencing factors of regular interviews. Results There were 1 117 patients in this study, including 517 males and 600 females.Regular interview rate was 53.8%.Logistic analysis showed that age (OR= 0.986, 95%CI: 0.975-0.996),religion (OR=1.572,95%CI:1.083-2.281),economic status (OR=0.615, 95%CI:0.426-0.888),medication (OR=0.149,95%CI:0.052-0.429) and disease types (schizoaffective disorder OR=3.417,95%CI: 1.838~6.352),paranoid psychosis OR=3.822,95%CI:1.540-9.484,bipolar disorder OR=3.593,95%CI:1.421-9.087,epilepsy-induced mental disorder OR=3.657,95%CI:1.766-7.572) were the influencing factors of regular interviews for patients with severe mental disorders. Conclusion Religious beliefs and non-schizophrenia can improve the rate of regular interviews, while age, economy and medication drug treatment can reduce the rate of regular interviews.Therefore, targeted measures should be taken to improve the rate of regular interviews.