Analysis of the readiness to return to work and its influencing factors in patients with schizophrenia during recovery period

Objective To understand the status of readiness of returning to work for schizophrenic patients during rehabilitation, and to analyze the influencing factors. Methods A convenient sampling method was used to select 300 patients with schizophrenia during rehabilitation period who were admitted to a Class ⅢGrade A psychiatric hospital in Jiangsu Province from April 2018 to March 2019. They were surveyed using the Social Disability Screening Schedule (SDSS) and the Readiness for Return-to-work Scale (RRTW) . Results The RRTW scores of the 300 schizophrenia patients who returned to work during the rehabilitation period from high to low were as follows: the contemplation dimension was (3.18±1.24) , the precontemplation dimension was (2.85±1.07) , the prepared for action-self-evaluative dimension was (2.74±1.03) , the prepared for action-behavioral was (2.14±0.82) . The distribution of the number of people in each dimension from high to low is as follows: contemplation (209 cases) , precontemplation (43 cases) , prepared for action-self-evaluative (37 cases) , prepared for action-behavioral (11 cases) .The results of Pearson correlation analysis show that social disability and social withdrawal, social activities outside the family, activity inside the family, family functions, interest and concern for the outside world, responsibility and planning are negatively correlated with readiness to return to work (r=-0.222--0.442, P<0.05) . Conclusions The readiness of schizophrenic patients to return to work during rehabilitation is at a low level. Psychiatric nursing staff should take targeted intervention measures to improve the readiness of patients with schizophrenia to return to work according to the influencing factors of their readiness to return to work. Key words: Schizophrenia; Rehabilitation; Readiness for return to work; Influencing factors