west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "精神病" 15 results
  • Multivariant Analysis of Sexual Self-defense Capacity in Patients with Mental Retardation

    Objective To explore factors that affect the assessment of sexual self-defense capacity and to evaluate the effect of social functions on sexual self-defense capacity in patients with mental retardation. Methods A 1∶1 matched case-control study was carried out, which included 174 sexual assault cases, 87 with mental retardation and 87 without mental retardation. A record of forensic psychiatry assessment designed by ourselves was used to collect the general characteristics. Wechsler Adult Intelligence-Rerisedin China (WAIS-RC) was used to determine the intelligence quotient. Rating Scale of Intellectual Disability (RSID) and Global Assessment Function (GAF) were used to assess social functions. Results Besides factors such as culture, occupation, knowledge about sex and payment claim, the scores of GAF and RSID were also related to the assessment of sexual self-defense capacity. Moreover, the correct ratio of discrimination was 73.1% (yes), 66.9% (impaired) and 87.2% (no), respectively, and the general correct ratio of discrimination was 78.1%. Conclusion Not only social and legal factors but also the level of social functions should be considered in the assessment of sexual self-defense capacity. Therefore, it might be concluded that multiple discriminant analysis can be useful when assessing the sexual self-defense capacity of patients with mental retardation.

    Release date:2016-09-07 02:15 Export PDF Favorites Scan
  • Social Function in Head Injury Patients with Craniocerebral Injury

    Objective To compare the incidence of social function disorders in head injury patients with and without craniocerebral injury and to explore the value for mental identification. Methods SDSS (Social Disability Screening Schedule), GAF (Global Assessment Function) and GAS (Global Assessment Scale) instruments were used to test the social function of 56 patients without craniocerebral injury and 55 patients with craniocerebral injury. Results One hundred and eleven patients with head injury were included and identified as head injury with or without craniocerebral injury by CT or MRI. The incidence of social function deficit, tested by using SDSS instrument, was 33.9% (19/56) in patients without craniocerebral injury and 45.5% (25/55) in patients with craniocerebral injury respectively. There was no statistically significant difference between the two groups (χ2=1.544, P=0.214). This was also no statitical difference in both GAS group (t=0.021, P=0.983) and GAF group (t=0.391, P=0.697). Conclusions The limited evidence showed that the incidence of social function deficit of the head injury patients combined with craniocerebral injury is higher than those who without craniocerebral injury, but the difference between the two groups has no statistically significant difference.We could not detect a difference in the incidence of social deficit between those head injury patients with or without craniocerebral injury ones.

    Release date:2016-09-07 02:28 Export PDF Favorites Scan
  • Using Evidence-Based Medicine to Promote Clinical Research in Psychiatry

    Release date:2016-09-07 02:28 Export PDF Favorites Scan
  • 精神病患者急腹症围手术期处理

    目的 探讨精神病患者急腹症围手术期的特点和处理方法。 方法 对1996年9月-2012年12月收治的26例精神病患者急腹症的病情特点、治疗方法、治疗效果和术后并发症,进行回顾性分析。 结果 26例患者治愈25例,死亡1例。术后并发症6例,发生率23%。 结论 精神病患者急腹症在围手术期有主诉不明确、临床症状不典型、病情变化多端等特点,临床医护人员应高度重视,以确保患者的及时救治。

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • 利培酮引发过敏性紫癜一例

    Release date: Export PDF Favorites Scan
  • C反应蛋白检测在长期住院精神病患者细菌性感染性疾病诊断中的应用价值

    目的探讨C反应蛋白(CRP)检测对长期住院的精神病患者患细菌性感染性疾病的临床诊断应用价值。 方法将2013年5月-2014年6月长期住院的精神病患者中已确诊的细菌性感染性患者184例分为急性上呼吸道感染组52例,急性支气管炎组41例,细菌性肺炎组37例,细菌性肠炎组21例,尿路感染组18例,败血症组15例。采用免疫荧光法,分别测定各组全血CRP含量、白细胞总数(WBC)、中性粒细胞(Neu)水平并比较各组的阳性率。 结果184例患细菌性感染性疾病的长期住院的精神病患者中CRP总阳性率91.3%,明显高于WBC总阳性率52.7%,Neu总阳性率60.9%,CRP同WBC、Neu总阳性率比较差异有统计学意义(P<0.01)。各组CRP阳性率由高到低为细菌性肺炎组(97.3%)、细菌性肠炎组(95.2%)、急性支气管炎组(90.2%)、尿路感染组(88.9%)、急性上呼吸道感染组(88.5%)、败血症组(86.7%),各细菌性感染组CRP同WBC、Neu阳性率比较差异具有统计学意义(P<0.05),但各组间CRP阳性率比较差异无统计学意义(P>0.05)。 结论与WBC、NEU相比,CRP检测对长期住院精神病患者患细菌性感染性疾病具有更好的临床诊断应用价值。

    Release date: Export PDF Favorites Scan
  • Effect of Drug Management Skill Training on Lightening the Family Burden of Schizophrenic Patients in the Recovery Period

    ObjectiveTo explore the effects of drug management skill training on lightening the family burden of schizophrenic patients in their recovery period. MethodsBetween December 2011 and December 2013, 101 patients with schizophrenia were randomly divided into experimental group (n=56) and control group (n=45). The experimental group was given drug management skill training, while the control group only received routine follow-up. The course of the research was six months. Both groups were assessed by the positive and negative syndrome scale on patients' psychological symptoms, and family burden scale of diseases was used to assess the burden of the family. ResultsCompared with the controls, patients in the experimental group improved more in their positive symptoms (t=2.692, P=0.008), negative symptoms (t=2.729, P=0.008), general psychopathology symptoms (t=3.231, P=0.002) and the whole psychiatric symptoms (t=3.870, P<0.001). Moreover, the degree of patients' symptom improvement was positively correlated with the degree of family burden lightening (r=0.44, P<0.001). ConclusionFor patients with schizophrenia, reasonable drug management skill training can effectively improve patients' medication compliance, promote treatment effect and lighten family burden.

    Release date: Export PDF Favorites Scan
  • Investigation on the Therapeutic Compliance of Acute Schizophrenic Patients with Psychotic Symptoms and the Emotional Expression of Their Family Members

    ObjectiveTo explore the influence factors of therapeutic compliance and emotional expression of first-degree relatives in acute schizophrenic patients with psychotic symptoms. MethodsThe Brief Psychiatric Rating Scale (BPRS) was used to measure the severity of psychotic symptoms in sixty schizophrenic patients from June to September 2014 in West China Hospital and the Toronto Alexithymia Scale (TAS) was used to survey the emotional expression in their family members. The homemade treatment adherence scale was used to survey the treatment adherence in patients for one week. ResultsThere was a poor therapeutic compliance in nineteen patients with acute schizophrenia (32%) and the other 41(68%) had good therapeutic compliance; the relatives of schizophrenic patients had high TAS scores (male: 67.61±10.03; female: 69.68±11.46) than the normal models did (P < 0.05) . The differences between the patients with different therapeutic compliance in BPRS total score, reactivator, hostile and suspicion factor (P < 0.05) . The therapeutic compliance was related to the severity of the psychotic symptoms (P < 0.05) . Conclusions There is a bad emotional expression in the relatives of acute schizophrenic patients. The psychotic symptoms can influence the therapeutic compliance. The milder the psychotic symptoms, the better the therapeutic dependence.

    Release date: Export PDF Favorites Scan
  • Correlation between the-2548G/A Polymorphism of Leptin Gene and Antipsychotic-induced Weight Gain: A Meta-Analysis

    ObjectiveTo systematically evaluate the relationship between the-2548G/A polymorphism in the leptin gene and antipsychotic-induced weight gain (AIWG). MethodsLiterature for the relationship between the-2548G/A polymorphism in the leptin gene and AIWG was retrieved in electronic databases including PubMed, EMbase, CNKI and WanFang Data from establishment dates to June, 2013. Two reviewers independently screened studies according to the inclusion and exclusion criteria, extracted data and evaluated the methodological quality of the included studies. Then meta-analysis was performed using RevMan 5.2 software. ResultsA total of 7 case-control studies were included, involving 404 AIWG cases and 508 controls (patients with no significant changes of weight after taking antipsychotic drugs). The results of meta-analysis showed that, regarding the total population, the-2548G/A polymorphism of the leptin gene was not associated with AIWG (OR=1.16, 95%CI 0.70 to 1.93, P=0.57). After stratification analysis, according to Chinese or non-Chinese origin, the results showed that significant association was found between the-2548G/A polymorphism of leptin gene and AIWG for Chinese (OR=2.15, 95%CI 1.41 to 3.26, P=0.000 4) but not for non-Chinese (OR=0.69, 95%CI 0.45 to 1.07, P=0.10). ConclusionThe current evidence suggests that the-2548G/A polymorphism in the leptin gene is associated with increased risk of AIWG for Chinese. Due to limited quantity of the included studies, the aforementioned conclusion needs to be further validate by more high-quality and large-scale studies.

    Release date: Export PDF Favorites Scan
  • Efficacy and Safety of Antipsychotics in the Treatment of Delirium: A Systematic Review

    ObjectivesTo systematically review the clinical efficacy and safety of antipsychotics for delirium. MethodsDatabases including The Cochrane Library (Issue 5, 2015), PubMed, MEDLINE, EMbase, CNKI, VIP and WanFang Data were electronically searched for randomized controlled trials (RCTs) about antipsychotics compared with placebo/blank for delirium from inception to May 2015. We also hand-searched related conference proceedings and references of included studies for additional studies. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then, meta-analysis was conducted by using RevMen 5.3 software. ResultsA total of 7 RCTs involving 712 patients were included. The results of meta-analysis showed that there were no significant differences between the antipsychotics group and the placebo/blank group in mortality (RR=1.00, 95%CI 0.90 to 1.10, P=0.99), duration of delirium (MD=-1.53, 95%CI -4.95 to 1.89, P=0.38), length of stay (MD=-0.89, 95%CI -7.69 to 5.90, P=0.80), and ICU stay time (MD=-3.70, 95%CI -15.83 to 8.43, P=0.55). Compared with the placebo/ blank group, the antipsychotics could reduce the severity of delirium (SMD=-1.62, 95%CI -2.32 to -0.93, P<0.000 01). ConclusionCurrent evidence shows that the efficacy of antipsychotics in the treatment of delirium is not clear. Due to the limited quantity and quality of the included studies, the above conclusion needs to be further verified by more high quality studies.

    Release date: Export PDF Favorites Scan
2 pages Previous 1 2 Next

Format

Content