精神障碍患者家属抑郁状况及影响因素

发布时间：2018-03-31 10:47

本文选题：精神障碍　切入点：家属　出处：《中国公共卫生》2017年02期

【摘要】：目的了解住院精神障碍患者家属的抑郁状况并分析相关影响因素,为制定干预措施提供参考依据。方法于2013年10月—2014年7月,在沈阳市精神卫生中心随机抽取住院的精神障碍患者家属600人,使用抑郁自评量表(SDS)进行问卷调查,并对数据进行logistic回归分析。结果 600名精神障碍患者家属中,SDS标准分为(61.22±11.26)分;抑郁倾向457人,阳性率76.17%;不同性别、年龄的精神障碍患者家属抑郁倾向阳性率比较差异有统计学意义(P0.05);多因素分析显示,女性(OR=4.018,95%CI=1.998~8.081),年龄30~49岁(OR=3.177,95%CI=1.371~7.361)、≥50岁(OR=4.766,95%CI=1.768~12.846),患病重性精神疾病(OR=15.488,95%CI=7.725~31.052)为抑郁倾向的危险因素;以与患者关系为父母(或长辈)为参照,与患者关系为配偶(OR=0.031,95%CI=0.002~0.559)、子女(OR=0.013,95%CI=0.001~0.240)及兄弟姐妹(OR=0.005,95%CI=0.000~0.088),家庭人均月收入水平1 500~2 999元(OR=0.117,95%CI=0.035~0.387)、≥3 000元(OR=0.120,95%CI=0.037~0.384),医疗费用的支付方式为公费(OR=0.099,95%CI=0.040~0.244)均为精神障碍患者家属抑郁倾向的保护因素。结论住院精神障碍患者家属的抑郁倾向阳性率较高,应引起社会的广泛关注,对其进行积极有效的心理干预非常必要。
[Abstract]:Objective to investigate the depression status of family members of inpatients with mental disorders and analyze the related factors to provide reference for making intervention measures.Methods from October 2013 to July 2014, 600 family members of mental disorder patients were randomly selected from Shenyang Mental Health Center. Self-rating Depression scale (SDSs) was used to investigate the data. The data were analyzed by logistic regression analysis.Results among the family members of 600 patients with mental disorders, the score of SDS was 61.22 卤11.26, the positive rate of depression was 76.17, the positive rate of depression was 76.17, and the positive rate of depression was significantly different among the families of patients with mental disorders of different sex and age (P 0.05).Conclusion the positive rate of depression tendency of family members of inpatients with mental disorders is high and should be paid more attention by the society. It is necessary to take active and effective psychological intervention.
【作者单位】：吉林大学公共卫生学院流行病与卫生统计学教研室;沈阳市精神卫生中心;
【分类号】：R749

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