The Related Factors of High Risk Behavior for Patient with Schizophrenia

• Main Authors: Tang, Chao-Jung, 湯昭容
• Other Authors: Hsiung, Ping-Chuan
• Format: Others
• Language: zh-TW
• Published: 2002
• Online Access: http://ndltd.ncl.edu.tw/handle/64978899018658917707

碩士 === 國立臺灣大學 === 護理學研究所 === 90 === ABSTRACT The purpose of this study was to explore the related factors of high-risk sexual behaviors of patients with schizophrenia. A descriptive correlation study design was used. Structured questionnaires were filled by the investigator through interviews. A purposive sample of 208 patients of schizophrenia came from outpatient psychiatric departments of a medical center and a psychiatric hospital in central Taiwan. Descriptive and inferential statistics were used for data analysis. Major findings of this study included: 1. Patients practiced as much as 7 high-risk sexual behaviors. 55.8% of patients had practiced high-risk sexual behaviors. Causal sex happened with 46.2% of patients. Substance related high-risk sexual behavior sex happened with 25.5% of patients. 2. The characteristics of patients practiced high-risk sexual behaviors were male, had history of substance use, were frequently hospitalized, perceived the impact of psychotropic medications on their sexual feelings, experienced more severe positive symptoms, experienced less severe negative symptoms, had first sexual experience in their early age, had multiple sexual partners, had history of HIV-infection or other sexual transmitted diseases. 3. The characteristics of patients practiced causal sex were male, married, had history of substance abuse, were frequently hospitalized, were diagnosed with schizophrenia in their early age, had more severe positive symptoms, had first sexual experience in their early age, had multiple partners, had history of HIV-infection or other sexual transmitted diseases. 4. The characteristics of patients practice substance related high-risk sexual behaviors were had history of substance use, perceived the impact of psychotropic medications on their sexual feelings, had less severe negative symptoms, had first sexual experience in their early age, had multiple sexual partners, infrequently used condoms, had history of HIV infection or other sexual transmitted diseases. 5. The HIV/AIDS related knowledge was positively correlated with attitudes towards HIV/AIDS. Patients with more positive attitudes towards HIV/AIDS practiced less high-risk sexual behaviors and less casual sex. 6. Statistically significant correlates of a higher high-risk sexual practice included frequent hospitalization, more sexual partners, more positive symptoms, and less negative symptoms. 7. Statistically significant correlates of a higher casual sex included male, not married, and more sexual partners. 8. Statistically significant correlates of a higher substance-related sexual practice included more sexual partners, less negative symptoms, and had history of HIV infection and other sexual transmitted diseases. The implications of this study were threefold. First, the results can be used to increase the assessment and understanding of mental health professionals of high-risk sexual behaviors of patients with schizophrenia. Secondly, the results provide a guideline for psychiatric nurses in designing and implementing nursing care related to sexual behaviors. Lastly, patients can be educated to increase their knowledge and practice of safe sex. Future educational and administrative efforts should focus on improving quality of nursing care related to sexual health of patients with schizophrenia.