综合医院心理病区情感障碍的分布及护理应对  

STUDY ON DISTRIBUTION FEATURES OF AFFECTIVE DISORDERS IN THE PSYCHIATRIC WARD OF A GENERAL HOSPITAL AND CORRESPONDING NURSING MEASURES

作　　者：洪春霞[1] 王相兰[1] 陶炯[1,2] 李凌江[2] 张晋碚[2] 

机构地区：[1]中山大学附属第三医院精神科,广州510630 [2]中南大学湘雅二医院精神卫生中心

出　　处：《现代预防医学》2009年第21期4094-4096,4099,共4页Modern Preventive Medicine

基　　金：广东省医学科研基金资助(A2009199)

摘　　要：[目的]研究综合医院心理病区情感障碍的性别、年龄分布特征,探讨护理应对措施。[方法]将2002～2007年中山大学附属第三医院心理病区的情感障碍病人1020人,分为单相抑郁(UD)、双相抑郁(BD)和其他双相障碍(BP)3组,分组对照分析其性别分布、年龄分布、发病年龄。[结果]情感障碍收治比例为23.7%。UD女性/男性比值平均(1.77±0.24岁),和BD(1.05±0.23岁)、BP(0.77±0.51岁)的差异具有统计学意义(P﹤0.01)。UD男性(39±15岁)或女性(41±14岁)平均发病年龄均高于BD(31±11岁,31±11岁)和BP(28±12岁,29±12岁)(P﹤0.01)。UD发病年龄分布存在性别差异(P=0.002),女性46～55岁比例(23.2%)最高。[结论]情感障碍是综合医院心理病区常见病种,单相抑郁病人中女性是男性的1.77倍,围绝经期是女性单相抑郁的高发期,护理工作应据此进行调整。[Objective ] To study the gender and age distributions of affective disorders in the psychiatry ward in a general hospital and analyze the corresponding nursing measures. [ Methods] In total, 1020 in-patients dignosed as affective disorders according to the Chinese Classification and Diagnostic Criteria of Mental Disease （3rd version） （CCMD-3）, who were in psychological ward of the Third Mfiliated Hospital of Sun Yat-sen University from 2002 to 2007. were divided into three groups as following： the group of unipolar depression （UD）, the group of bipolar depression （BD） and the group of other types of bipolar disorders （BP） . Distributions of gender and age and the age of onset were statistically analyzed among these groups. [ Results] Affective disorders accounted for 23.7% of all the patients in hospital from 2002 to 2007. The average ratio of female patients of UD group （1.77±0.24） was significantly higher than that of both BD group （1.05±0.23） and BP group （0.77±0.51） （P 〈 0.001 ）. For both the female （41±14） and the male （39±15） in UD group, The average ages of onset were older than those of BD group （31±11. 31±11 respectively） or BP group （28±12, 29±12 respectively） （P 〈 0.001）. For Gender distribution, there were significant differences among seven age groups in UD group （the groups aged ≤ 18ys, 19ys-25ys, 26ys-35ys, 36ys-45ys, 46ys-55ys, 56ys-65ys, and ≥66ys, P = 0.002） and the group with the largest proportion （23.2%） in the female was the group aged 46ys-55ys. [Conclusion] In the psychiatry ward of a general hospital, affective disorder is a common type of mental disorders and female patients is 1.77 times as many as male. Perimenopause is the high-incidence stage of unipolar depression in women. The optimal nursing measures should be set up on the basis of these findings.

关 键 词：单相抑郁 性别 年龄 临床护理研究 

分 类 号：R395[哲学宗教—心理学]