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目的:调查精神分裂症患者居家自我管理能力现状及影响因素，为临床护理干预提供理论依据。方法:本研究为横断面研究。采用便利抽样法，选取2019年6—12月在北京市某三级甲等精神专科医院门诊就诊的220例精神分裂症患者作为研究对象，采用一般资料调查表、精神分裂症患者自我管理量表进行调查。结果:本研究共发放问卷220份，回收有效问卷207份，有效回收率为94.09%。精神分裂症患者居家自我管理量表得分为（63.51±9.55）分，得分率为47.58%。单因素分析显示，不同年龄、婚姻状况、教育程度、工作状态、家庭人均月收入、居住状况、经济负担、病程、住院次数、家人态度、社会支持的精神分裂症患者居家自我管理量表得分比较，差异有统计学意义（n P<0.05）。多因素分析显示，年龄、婚姻状况、社会支持、经济负担是精神分裂症患者居家自我管理能力的影响因素（n P<0.05），共解释总变异的36.0%。n 结论:精神分裂症患者的居家自我管理能力亟待提高，医护人员应根据患者的不同特征实施护理干预或自我管理教育，以有效提高患者的自我管理能力，以促进其疾病康复，降低复发率，从而提高生活质量。“,”Objective:To investigate the current situation and influencing factors of home-based self-management ability of patients with schizophrenia and to provide theoretical basis for clinical nursing intervention.Methods:This study is a cross-sectional study. Using the convenient sampling method, a total of 220 patients with schizophrenia who were admitted to Outpatient Department of a Class Ⅲ Grade A Psychiatric hospital in Beijing from June to December 2019 were selected as the research objects. The General Information Questionnaire and Home-based Self-management Scale for Patients with Schizophrenia were used to investigate.Results:In this study, a total of 220 questionnaires were distributed and 207 valid questionnaires were returned. The effective recovery rate was 94.09%. The score of Schizophrenia Self-Management Instrument Scale was (63.51±9.55) , and the scoring rate was 47.58%. Univariate analysis showed that, the scores of Home-based Self-management Scale for Patients with Schizophrenia with different ages, marital status, education levels, working status, household monthly income per capita, living status, economic burden, courses of disease, times of hospitalization, family attitudes and social supports showed statistically significant differences (n P<0.05) . Multivariate analysis showed that, age, marital status, social support and economic burden were the influencing factors of home-based self-management ability of schizophrenia patients (n P<0.05) , accounting for 36.0% of the total variation.n Conclusions:The home-based self-management ability of patients with schizophrenia needs to be improved urgently. Medical staff should implement nursing intervention or self-management education according to the different characteristics of patients to effectively improve the self-management ability of patients, promote the recovery of the disease, reduce the recurrence rate and improve quality of life.