CAJ | 학술논문

目的：探讨住院传染病患者自杀原因及行为规律,及时预防住院传染病患者不良事件的发生,为医院提供相关干预及防范措施依据。方法采用自制的住院传染病患者自杀行为危险因素调查表对2010年3月—2013年10月收治的657例患者进行问卷调查,分析住院传染病患者产生自杀意念的危险因素。结果在657例被调查者中有48例产生过自杀意念,占7.31%。医疗保险报销比例为0%~20%、个人月收入低于3000元、有精神病史、患者自评本次疾病严重、疾病康复希望差、制定过自杀计划、有既往自杀史7项因素是住院传染病患者产生自杀意念的危险因素(χ2值分别为6.206,6.021,6.520,4.937,7.597,4.404,4.416；P<0．05)。结论伴有精神疾病、对疾病康复的绝望、疾病所致经济压力大是住院传染病患者产生自杀意念的主要原因。
목적：탐토주원전염병환자자살원인급행위규률,급시예방주원전염병환자불량사건적발생,위의원제공상관간예급방범조시의거。방법채용자제적주원전염병환자자살행위위험인소조사표대2010년3월—2013년10월수치적657례환자진행문권조사,분석주원전염병환자산생자살의념적위험인소。결과재657례피조사자중유48례산생과자살의념,점7.31%。의료보험보소비례위0%~20%、개인월수입저우3000원、유정신병사、환자자평본차질병엄중、질병강복희망차、제정과자살계화、유기왕자살사7항인소시주원전염병환자산생자살의념적위험인소(χ2치분별위6.206,6.021,6.520,4.937,7.597,4.404,4.416；P<0．05)。결론반유정신질병、대질병강복적절망、질병소치경제압력대시주원전염병환자산생자살의념적주요원인。
Objective To investigate status of suicidal ideation and risk factors of hospitalized patients with infectious diseases, in order to achieve timely prevention of adverse events and provide the basis of relevant intervention and prevention measures. Methods Totals of 657 cases admitted to the hospital from March 2010 to October 2013 were surveyed using the self-made hospitalization behavior risk factors. Results Totals of 48 cases within the 657 patients had the suicidal ideation, accounting for 7. 31%. The survey results showed that medical insurance covering 0% to 20% expenses, monthly personal economic income under 3 000 yuan, history of mental illness, self-evaluation of serious disease, self-assessment of poor rehabilitation hope, set suicide plan, previous suicide history were the independent risk factors of patients with infectious diseases (χ2=6. 206,6. 021,6. 520,4. 937, 7. 597,4. 404,4. 416, respectively;P<0. 05). Conclusions Infectious disease patients with mental illness, despair for disease rehabilitation, economic pressure caused by disease were the main reasons for their suicidal ideation.