中青年慢性病住院患者自杀意念的危险因素分析  

Risk factors of suicidal ideation in young and middle-aged chronic disease inpatients

作　　者：符敏[1] 胡少华[2] 王婷[1] 范引光 程光敏[2] 李峰[2] 姚素玉[2] 谢玉环[2] 李超群 FU Min;HU Shaohua;WANG Ting(Department of General Surgery,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院普外科,合肥230022 [2]安徽医科大学第一附属医院护理部,合肥230022 [3]安徽医科大学卫生管理学院流行病与统计学教研室,合肥230032

出　　处：《安徽医学》2020年第10期1119-1122,共4页Anhui Medical Journal

基　　金：安徽省自然科学基金(项目编号:1608085MH174),安徽省教育厅科研项目(项目编号:SK2019A0158)。

摘　　要：目的探讨中青年慢性病住院患者自杀意念的危险因素。方法采用横断面研究设计和方便抽样法选取2019年8月1~31日安徽医科大学第一附属医院收治的住院号末尾数为偶数的中青年慢性病住院患者270例为研究对象。通过问题“最近一周内,你是否曾有过自杀的念头”来测定患者自杀意念发生情况,回答“是”则判定为有自杀意念,反之则无。根据有无自杀意念,将患者分成有自杀信念组(23例)和无自杀信念组(247例)。通过logistic回归分析导致患者有自杀意念的危险因素。结果logistic回归分析结果显示,婚姻状况(OR=0.182,95%CI:0.065~0.504,P=0.001)、主观支持(OR=0.703,95%CI:0.588~0.841,P=0.000)和家庭功能(OR=0.793,95%CI:0.658~0.956,P=0.015)是中青年慢性病住院患者自杀意念的危险因素。结论单身、获得社会支持少和家庭功能欠佳是中青年慢性病住院患者产生自杀意念的危险因素,临床对此类患者在治疗过程中应予密切关注并及时干预。Objective To analyse therisk factors of suicidal ideation in young and middle-aged chronic disease inpatients.Methods A cross-sectional designedsurvey and convenient sampling method were conducted in 270 young and middle-aged chronic disease inpatientswith an even hospital number from August 1 st to August 31 st,2019.The question“Have you ever had suicidal thoughts in the last week?”was used to determine the incidence of suicidal ideation.According to suicidal ideation,the patients were divided into suicidal ideation group(23 cases)and non-suicidalideation group(247 cases).Univariate analysis and logistic regression analysis were used to analyze the possible risk factors of suicidal ideation.Results Univariate analysis showed that there were significant differences in age,marital status,objective support score,subjective support score,support utilization score and family function score between the two groups(P<0.05).Logistic regression analysis showed that marriage status(OR=0.182,95%CI:0.065-0.504,P=0.001),subjective support(OR=0.703,95%CI:0.588-0.841,P=0.000)and family function(OR=0.793,95%CI:0.658-0.956,P=0.015)were the risk factors of suicidal ideation in young and middle-aged inpatients with chronic diseases.Conclusion Single,lack of social support and lack of family function are the risk factors of suicidal ideation in young and middle-aged chronic disease inpatients,which call for clinical attention and timely intervention in the course of treatment.

关 键 词：自杀意念 自杀行为 中青年 慢性病 家庭功能 

分 类 号：R395.6[哲学宗教—心理学]