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中文摘要: 摘 要 ：目的：深入了解社区精神分裂症患者超重或肥胖及糖尿病共病情况，为精准制定社区健康管理干预策略提供 科学依据。方法：以2025年上海市某区登记接受社区健康管理的精神分裂症患者作为研究对象，运用x² 检验探究不同特 征患者超重肥胖或糖尿病共病情况的差异性，采用二元logistic 回归模型分析患者超重肥胖及糖尿病共病的影响因素。结果： 本次共调查1848例患者，超重或肥胖检出率为54.44%,糖尿病共病率为13.47%。x² 检验结果显示，不同年龄、职业、医 保类型、家庭医生签约情况、病程以及监护人与患者关系的社区精神分裂症患者，超重或肥胖的检出率差异均有统计学意 义 ( P<0.05); 在探究不同特征患者糖尿病共病率时发现，年龄、职业、文化程度、病程及监护人与患者关系及体重指数 (BMI) 对糖尿病共病率影响明显，差异均有统计学意义 ( P<0.05) 。 logistic 回归分析结果进一步揭示，病程、监护人与患 者关系以及家庭医生签约情况，是社区精神分裂症患者超重或肥胖的影响因素，差异有统计学意义 ( P<0.05); 监护人与 患者关系、BMI 是患者糖尿病共病的重要影响因素，差异有统计学意义( P<0.05) 。 结论：社区精神分裂症患者超重或肥 胖及糖尿病共病的检出率处于较高水平。应强化超重或肥胖及糖尿病相关健康教育，明确监护人责任，督促其切实履行监护 义务；针对关键影响因素，实施精准化干预措施，以降低超重肥胖及糖尿病共病的发生风险，助力患者康复社会回归。
Abstract:Abstract: OBJECTIVE To gain an in-depth understanding of the prevalence patterns of overweight/obesity and diabetes comorbidity among community-dwelling schizophrenia patients,providing scientific evidence for the precise formulation of community health management intervention strategies.METHODS Schizophrenia patients registered for community health management in a district of Shanghai in 2025were enrolled as study subjects.The x²test was used to explore differences in overweight/obesity or diabetes comorbidity among patients with varying characteristics,while a logistic regression model analyzed the influencing factors of overweight/obesity and diabetes comorbidity.RESULTS A total of 1,848 patients were surveyed,with overweight or obesity detected in 54.44%and diabetes comorbidity in 13.47%.x²test results indicated statistically significant ifferences in overweight/obesity detection rates among community schizophrenia patients across age,occupation,medical insurance type,family doctor contract status,disease duration,and caregiver- patient relationship(P<0.05).When examining diabetes comorbidity rates among patients with different characteristics,significant differences were found for age,occupation,educational attainment,disease duration,caregiver-patient relationship,and BMI(P<0.05). Logistic regression analysis result further revealed that disease duration,guardian-patient relationship,and family doctor contract status were statistically significant factors influencing overweight/obesity in community schizophrenia patients(P<0.05).Guardian-patient relationship and BMI were statistically significant key factors affecting diabetes comorbidity(P<0.05).CONCLUSION The detection rates of overweight/obesity and diabetes comorbidity among community-dwelling schizophrenia patients are elevated.Health education on overweight/obesity and diabetes should be intensified,with clear delineation of caregiver responsibilities to ensure diligent fulillment of guardianship duties.Targeted interventions addressing key influencing factors should beimplemented to reduce the risk of overweight/ obesity and diabetes comorbidity,thereby supporting patient recovery and facilitating their successful reintegration into society.
文章编号：3202410020 中图分类号：R749 文献标志码：
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