河北省精神障碍患者未治期的影响因素分析
作者:
作者单位:

作者简介:

通讯作者:

基金项目:


Analysis of the influence factors of duration of untreated psychosis in patients with mental disorders in Hebei Province
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 探讨河北省精神障碍患者未治期(DUP)的影响因素。方法 以DSM- Ⅳ为诊断 标准,用《DSM- Ⅳ轴Ⅰ障碍用临床定式检查》(SCID- Ⅰ /P)作为诊断工具。对筛选出存在精神障碍 的患者进行了自制的精神卫生服务利用问卷调查。结果 共检出精神障碍患者1 826 例,已经就诊 过的有252 例, DUP 为15(4,30)d。将患者分为短DUP 组(DUP ≤ 15 d)和长DUP 组(DUP > 15 d),分 别为149 例和103 例。不同DUP组患者的户口性质(χ2=4.123,P=0.032),近6 个月被医生确诊有慢性 疾病(χ2=12.091,P< 0.01),居住地距离最近的精神卫生机构的距离(χ2=24.867,P < 0.01),发现精 神疾病前是否接受过有关疾病防治知识的卫生宣传(χ2=4.223,P=0.040),首次就诊机构的医疗单位 (非)专科情况(χ2=4.449,P=0.035),出现症状最先采取措施(χ2=21.431,P< 0.01)的组间差异有统计 学意义。Logistic 回归模型分析显示,近6 个月被医生确诊有慢性疾病是DUP的危险因素(OR=4.950, 95% CI=1.805~9.291),农业户口为非专科医院为DUP的危险因素(OR=2.041,95%CI=1.021~3.973)。 结论 影响精神障碍患者DUP的因素应该从多方面考虑,其中伴有躯体慢性疾病以及农业户口性质对 患者的DUP具有很大影响。

    Abstract:

    Objective To investigate the influencing factors of duration of untreated psychosis( DUP) in patients with mental disorders. Methods "Diagnostic and Statistical Manual of Mental Disorders"( DSMIV) was used as the diagnostic criteria, "DSM-Ⅳ axis Ⅰ disorder with clinical definite examination"( SCID-Ⅰ/P) as a diagnostic tool. The screened psychiatric patients were investigated with a self-designed "Hebei Mental Health Service Utilization Checklist". Results Totally 252 patients have been diagnosed among 1 826 screened psychiatric patients, and DUP was 15( 4, 30) days. The patients were assigned into short DUP group( DUP≤ 15 d) and long DUP group( DUP>15 d), with 149 and 103 cases respectively in the two groups. The comparison of the two groups showed that there was significant difference of the nature of the account( χ2=4.123, P=0.032), being diagnosed with chronic diseases by doctors in recent 6 months( χ2=12.091, P< 0.01), the distance from residence place to the nearest mental health organization( χ2=24.867, P < 0.01), whether received health education on prevention and treatment of related diseases before the discovery of mental illness( χ2=4.223, P=0.040), whether the first visit medical institution was special hospital( χ2=4.449, P=0.035), the first intervention taken when symptoms appeared( χ2=21.431, P < 0.01). Logistic regression analysis showed that being diagnosed by doctors in recent 6 months was risk factor( OR=4.950, 95%CI=1.805-9.291). Another risk factor of DUP was rural household( OR=2.041, 95%CI=1.021-3.973). Conclusions The influencing factors of DUP should be considered in different aspects. Among them, chronic diseases and rural household have a great impact on the DUP of patients.

    参考文献
    相似文献
    引证文献
引用本文

王琦 张云淑 周梦迪 栗克清.河北省精神障碍患者未治期的影响因素分析[J].神经疾病与精神卫生,2018,18(5):
DOI :10.3969/j. issn.1009-6574.2018.05.010.

复制
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2018-08-21