综合医院非精神科住院患者心理健康状况调查  

Mental health status among non-psychiatric inpatients in a general hospital

作　　者：申义忠 袁帅 刘靖雯[1] 陈梓琳 郑丽娇 陈力豪 陈汉威 冯惠强 何红波[1] Shen Yizhong;Yuan Shuai;Liu Jingwen;Chen Zilin;Zheng Lijiao;Chen Lihao;Chen Hanwei;Feng Huiqiang;He Hongbo(The Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China;Guangzhou Panyu Central Hospital,Guangzhou 511400,China;Health Commission of Guangdong Province,Guangzhou 510060,China)

机构地区：[1]广州医科大学附属脑科医院,广东广州510370 [2]广州市番禺区中心医院,广东广州511400 [3]广东省卫生健康委员会,广东广州510060

出　　处：《四川精神卫生》2021年第6期533-539,共7页Sichuan Mental Health

摘　　要：目的了解综合医院非精神科住院患者心理健康状况并分析其影响因素,为非精神科住院患者心理健康问题的筛查识别及构建干预模式提供参考。方法采用横断面调查法,选取广州市某三级甲等综合医院916例非精神科住院患者为研究对象,采用患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)、阿森斯失眠量表(AIS)及哥伦比亚自杀严重程度评定量表(C-SSRS)评定住院患者的抑郁、焦虑、失眠状况和自杀风险,通过单因素分析及多因素Logistic回归分析筛选可能影响患者心理健康状况的因素。结果共检出339例心理健康问题阳性的住院患者,阳性检出率为37.0%。心理健康各维度阳性检出情况:抑郁218例(23.8%),焦虑141例(15.4%),失眠257例(28.1%),自杀意念42例(4.6%),自杀行为7例(0.8%)。二元Logistic回归分析结果显示:女性(OR=1.379,P<0.05)是心理健康筛查阳性的危险因素。有序Logistic回归分析结果显示:年龄≥60岁(OR=1.542,P<0.05)和未婚(OR=2.055,P<0.05)是抑郁严重程度的危险因素,受教育程度为高中至大专(OR=0.524,P<0.05)是抑郁严重程度的保护因素;女性(OR=1.472,P<0.05)是失眠严重程度的危险因素。结论综合医院非精神科住院患者的心理问题较常见,主要受性别、年龄、婚姻状况和受教育程度的影响。Objective To analyze the mental health status of non-psychiatric inpatients in a general hospital,and to explore the relevant influencing factors,so as to provide references for the screening of mental health problems and the construction of intervention models among non-psychiatric inpatients.Methods A cross-sectional study was conducted among 916 non-psychiatric inpatients in a third grade class A general hospital in Guangzhou,and all the inpatients were assessed using Patient Health Questionnaire-9 item(PHQ-9),Generalized Anxiety Disorder-7 item(GAD-7),Athens Insomnia Scale(AIS)and Columbia Suicide Severity Rating Scale(C-SSRS)to detect their depression,anxiety,insomnia and suicide risk status.Thereafter,univariate and multivariate Logistic regression analysis were used to screen the risk factors affecting the mental health of inpatients.Results A total of 339(37.0%)inpatients with positive mental health problems were screened,and the screening results for each dimension revealed 218 cases(23.8%)of depression,141 cases(15.4%)of anxiety,257 cases(28.1%)of insomnia,42 cases(4.6%)of suicidal ideation and 7 cases(0.8%)of suicidal behavior.Binary Logistic regression analysis showed that female(OR=1.379,P<0.05)was a risk factor for positive screening of mental health problems.Ordinal Logistic regression analysis denoted that age above 60 years old(OR=1.542,P<0.05)and singlehood(OR=2.055,P<0.05)were risk factors affecting the severity of depression,while senior high school to junior college education(OR=0.524,P<0.05)was a protective factor of depression,meantime,female(OR=1.472,P<0.05)was a risk factor affecting the severity of insomnia.Conclusion Mental health problems are quite common among non-psychiatric inpatients in general hospitals,and are mainly affected by factors such as gender,age,marital status and educational background.

关 键 词：综合医院 非精神科住院患者 心理健康 影响因素 

分 类 号：R749.29[医药卫生—神经病学与精神病学]