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(P<0.05);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。
Objective To analyze prevalence and influencing factors of depression among relatives of inpatients with mental disorders and to provide references for making intervention measures. Methods Using Self-Rating Depression Scale （ SDS ） and random sampling, we surveyed family members of 600 mental disorder patients hospitalized in Shenyang Municipal Mental Health Center from October 2013 to July 2014. Logistic regression was adopted in data analysis. Results Among the 600 relatives of the inpatients,the average score of SDS was 61.22 ± 11.26;457 were identified with depression tendency （SDS score 〉 53 ）, with a detection rate of 71.67%, and the detection rate differed significantly by gender and age of the relatives （both P 〈 0.05 ）. Logistic regression analyses showed that risk factors for the relatives＇ depression tendency included female gender （odds ratio [ OR] = 4. 018,95% confidence interval[ 95% CI] ： 1. 998 - 8. 081 ）, aged 30 - 49 years （OR = 3. 177,95 % CI：1. 371 -7. 361）, aged ≥ 50 years （ OR = 4. 766,95 % CI： 1. 768 - 12. 846）, and being a relative of an inpatients with severe mental disease （ OR = 15. 488,95% CI： 7. 725 - 31. 052） and the protective factors included being a relative other than parents or elders of an inpatient （inclusive of spouse [ OR = 0. 031,95 % CI：O. 002 -0. 559 ], children [ OR = 0.013,95 % CI：0. 001 -0. 240 ], and brothers and sisters OR =0. 005,95 % CI：0. 000 -O. 088 ] ）, high familial monthly income per capita （ inclusive of 1500 - 2999 yuan RMB [ OR = 0. 117,95 % CI：0. 035 - 0. 387 ], ≥ 3 000 yuan [ OR = 0. 120,95 % CI：0. 037 - 0. 384 ] ）, and being a relative of an inpatient with free medical service （ OR =0. 099,95% CI：0. 040 -0. 244）. Conelusion The detection rate of depression tendency is high among relatives of mental disorder inpatients and the situation needs to be concerned and specific psychological intervention is necessary.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第2期245-248,共4页
Chinese Journal of Public Health
关键词
精神障碍
家属
抑郁
mental disorder
relatives
depression
