Abstract：
Environmental factors are crucial determinants of disability in schizophrenic patients. Using data from the 2014-2018 Certification of Disability and Care Needs dataset, we identified 3882 adult patients (46.78% females; age, 51.01 ± 13.9 years) with schizophrenia. We found that patients with severe schizophrenia had lower capacity and performance than those with moderate schizophrenia. The chances of having an access barrier to environmental chapter 1 (e1) products and technology in moderate schizophrenic patients and in severe schizophrenic patients were 29.5% and 37.8%, respectively. Logistic regression analyses demonstrated that the performance score was related to accessibility barriers in the categories described in e1, with adequate fitness of models in category e110 for personal consumption, e115 for personal usage in daily living activities, and e120 for personal outdoor and indoor mobility and transportation. Furthermore, the capacity-performance discrepancy was higher in moderate schizophrenic patients with accessibility barriers in the e110, e115, and e120 categories than that in moderate schizophrenic patients without accessibility barriers. However, severe schizophrenic patients with category e120 accessibility barriers were prone to a lower discrepancy, with institutional care a potentially decreasing factor. In conclusion, providing an e1 barrier-free environment is necessary for patients with schizophrenia to decrease their disability.
摘要：
环境因素是精神分裂症患者残疾的关键决定因素。使用2014-2018年残疾和护理需求认证数据集的数据，我们确定了3882名成年患者（女性占46.78％；年龄，51.01±13.9岁)伴精神分裂症。我们发现，重度精神分裂症患者的能力和表现低于中度精神分裂症患者。中度精神分裂症患者和重度精神分裂症患者获得环境第1章(e1)产品和技术的机会分别为29.5%和37.8%,分别。Logistic回归分析表明，性能得分与e1中描述的类别中的可访问性障碍有关，并且e110类别中的模型适合个人消费，E115用于日常生活活动中的个人使用，和e120个人户外和室内移动和运输。此外，在e110,e115和e120类别中有可及性障碍的中度精神分裂症患者中,容量-性能差异高于无可及性障碍的中度精神分裂症患者.然而,e120类障碍的严重精神分裂症患者容易出现较低的差异，机构护理是一个潜在的下降因素。总之,提供e1无障碍环境对于精神分裂症患者减少残疾是必要的。
