医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
18期
98-100
,共3页
综合医院%抑郁障碍%自测健康
綜閤醫院%抑鬱障礙%自測健康
종합의원%억욱장애%자측건강
general hospital%depression%self-evaluated health
目的：探讨综合医院住院患者中抑郁障碍者自测健康状况及其影响因素。方法采用自编一般情况问卷、自测健康状况评定量表(SRHMS)、美国《精神障碍诊断与统计手册第四版》DSM-Ⅳ轴Ⅰ障碍定式临床检查病人版(SCID)对广州市3家综合医院≥16岁的600名住院患者进行调查。以SCID为精神障碍的诊断标准，对其中的66名抑郁障碍患者(抑郁组)与465名无现患任何D S M-I V轴I障碍的住院患者(对照组)进行比较，并分析住院抑郁障碍患者自测健康状况的影响因素。结果综合医院抑郁障碍患者SRHM总分为222.85±65.53，生理健康、心理健康及社会健康子量表得分分别为92.39±31.97、75.06±24.97和55.09±23.10，均显著低于对照。年龄<55岁者较≥55岁者生理健康及心理健康得分高；文化程度影响社会健康得分。多元线性回归分析显示：与现婚者比较，未婚及离婚/丧偶者SRHMS总分低；家庭人均月收入越高SRHMS总分越高；首次住院者SRHMS总分较高；与住院8-14天者比较，住院时间在15天及以上者SRHMS总分较低。结论综合医院抑郁障碍患者自测健康状况较低。年龄、婚姻状况、文化程度、家庭人均月收入、住院次数及住院时间可能是其不良健康状况的重要影响因素。
目的：探討綜閤醫院住院患者中抑鬱障礙者自測健康狀況及其影響因素。方法採用自編一般情況問捲、自測健康狀況評定量錶(SRHMS)、美國《精神障礙診斷與統計手冊第四版》DSM-Ⅳ軸Ⅰ障礙定式臨床檢查病人版(SCID)對廣州市3傢綜閤醫院≥16歲的600名住院患者進行調查。以SCID為精神障礙的診斷標準，對其中的66名抑鬱障礙患者(抑鬱組)與465名無現患任何D S M-I V軸I障礙的住院患者(對照組)進行比較，併分析住院抑鬱障礙患者自測健康狀況的影響因素。結果綜閤醫院抑鬱障礙患者SRHM總分為222.85±65.53，生理健康、心理健康及社會健康子量錶得分分彆為92.39±31.97、75.06±24.97和55.09±23.10，均顯著低于對照。年齡<55歲者較≥55歲者生理健康及心理健康得分高；文化程度影響社會健康得分。多元線性迴歸分析顯示：與現婚者比較，未婚及離婚/喪偶者SRHMS總分低；傢庭人均月收入越高SRHMS總分越高；首次住院者SRHMS總分較高；與住院8-14天者比較，住院時間在15天及以上者SRHMS總分較低。結論綜閤醫院抑鬱障礙患者自測健康狀況較低。年齡、婚姻狀況、文化程度、傢庭人均月收入、住院次數及住院時間可能是其不良健康狀況的重要影響因素。
목적：탐토종합의원주원환자중억욱장애자자측건강상황급기영향인소。방법채용자편일반정황문권、자측건강상황평정량표(SRHMS)、미국《정신장애진단여통계수책제사판》DSM-Ⅳ축Ⅰ장애정식림상검사병인판(SCID)대엄주시3가종합의원≥16세적600명주원환자진행조사。이SCID위정신장애적진단표준，대기중적66명억욱장애환자(억욱조)여465명무현환임하D S M-I V축I장애적주원환자(대조조)진행비교，병분석주원억욱장애환자자측건강상황적영향인소。결과종합의원억욱장애환자SRHM총분위222.85±65.53，생리건강、심리건강급사회건강자량표득분분별위92.39±31.97、75.06±24.97화55.09±23.10，균현저저우대조。년령<55세자교≥55세자생리건강급심리건강득분고；문화정도영향사회건강득분。다원선성회귀분석현시：여현혼자비교，미혼급리혼/상우자SRHMS총분저；가정인균월수입월고SRHMS총분월고；수차주원자SRHMS총분교고；여주원8-14천자비교，주원시간재15천급이상자SRHMS총분교저。결론종합의원억욱장애환자자측건강상황교저。년령、혼인상황、문화정도、가정인균월수입、주원차수급주원시간가능시기불량건강상황적중요영향인소。
Objective To explore the self-evaluated health level and it’s associated factors in inpatients with depression in general hospital. Method A total number of 600 inpatients were enrol ed from three general hosptial in Guangzhou city. Al of these patients were asked to complete a self-designed questionaire about demorgraphic features, and complete self-rating health measurement scale(SRHMS) to evaluate health level. Diagnostic and statistic manual about mental disorder, fourth edition(DSM-IV) was used to diagnose depression. We compared the differences between the depression group and control, and probed the associated factors of self-evaluated health level in depression group. Result The total score of SRHMS in patients with depression in general hosptial was 222.85±65.53, the scores of physical health, mental health and social health were 92.39±31.97, 75.06±24.97 and 55.09±23.10 respectively, which were al significantly lower than that in controls. The scores of physical health and mental health were higher in patients who were below 55 years old compare with those older. The educational level was associated with social health level. Multiple linear regression analysis showed that the fol owing factors were associated with higher total score of SRHMS, married, higher family monthly income, first admission and inpatient time range from 8 to 14 days. Conclusion The self-evaluated health levels were low in patients with depression in general hospital. Age, marrital status, educational level, family monthly income, admission frequency and time may be the important factors associated with health level.
