摘要
目的了解广东地区青少年精神障碍的就医现状,分析其影响因素。方法采用自行设计的《精神科急诊分诊标准及精神科急诊分诊评估表》,对广东地区青少年精神障碍患者就医情况进行调查,分析可能的影响因素。结果共调查349例青少年精神障碍患者,多为无精神疾病家族史(占59.05%)、就医距离<30 km(占60.17%)、对疾病认知程度较低(占83.95%)。就医率为14.04%,单因素分析显示:病程≥12个月、留守青少年、家庭经济水平高、就医距离<30 km、父母婚姻状态正常、疾病认知程度高的青少年精神障碍患者的就医率均较高(P值均<0.05);多因素分析显示:病程<12个月(OR=3.19,95%CI:1.15~5.04)、留守青少年(OR=3.44,95%CI:1.13~7.25)、无精神疾病家族史(OR=2.26,95%CI:0.98~4.37)、家庭经济水平低(OR=3.56,95%CI:1.21~7.42)、就医距离≥30 km(OR=3.02,95%CI:1.19~7.54)、父母离婚(OR=3.88,95%CI:1.37~7.65)、疾病认知程度低(OR=4.00,95%CI:1.22~7.62)、非重性精神疾病(OR=3.05,95%CI:1.16~5.69)是影响就医率的危险因素(P值均<0.05)。结论广东地区青少年精神障碍的就医率较低,应当制定针对性措施,增加社会支持,提高就医便利性,以改善就医现状。
Objective To study the current medical treatment situation and influencing factors of adolescents with mental disorders in Guangdong province.Methods The self-designed Criteria and Evaluation Form for Emergency Triage in Psychiatric Department was used to investigate current treatment condition among adolescent patients with mental disorders in Guangdong province,and possible influencing factors were analyzed.Results A total of 349 adolescent patients with mental disorders were investigated.Most of them had no family history of mental illness(59.05%),the distances to hospitals were less than 30 km(60.17%),and their awareness rates for disease were low(83.95%).The medical treatment rate was 14.04%.The single factor analysis showed that the medical treatment rates of patients with more than 12 month disease course,left-behind adolescents,patients with good economy status,the distance to medical treatment facility was less than 30 km,with normal the parents′ marriage status or with high disease awareness rates were higher(all P<0.05).Multivariate analysis showed that:course of disease <12 months(OR= 3.19,95% CI:1.15-5.04),left-behind adolescents(OR =3.44,95%CI:1.13-7.25),no family history of mental illness(OR=2.26,95%CI:0.98-4.37),poor family economic status(OR=3.56,95%CI:1.21-7.42),distance to medical treatment facility ≥30 km(OR =3.02,95%CI:1.19-7.54),divorced parents(OR=3.88,95%CI:1.37-7.65),low level of disease awareness(OR =4.00,95%CI:1.22-7.62) and non severe mental illness(OR= 3.05,95% CI:1.16-5.69) were the risk factors affecting the rate of medical treatment(all P<0.05).Conclusion The medical treatment rate of adolescent patients with mental disorders in Guangdong province was relatively low.Targeted measures should be conducted,the social support and the convenience of medical treatment should be enhanced to improve the treatment status.
作者
许燕
翁穗芸
刘松康
江妙玲
余敏
陈翠薇
XU Yan;WENG Sui-yun;LIU Song-kang;JIANG Miao-ling;YU Min;CHEN Cui-wei(Brain Hospital Affiliated to Guangzhou Medical University,Guangdong Guangzhou 510370,China)
出处
《江苏预防医学》
CAS
2022年第1期44-46,共3页
Jiangsu Journal of Preventive Medicine
基金
广东省医学科学基金项目(B2020042)
广州市卫生和计划生育科技项目(20181A010037)
广州市卫生健康科技项目(20211A010036)。
关键词
精神障碍
青少年
就医现状
影响因素
Mental disorders
Adolescents
The current situation of medical treatment
Influence factor
