综合医院住院抑郁障碍患者自测健康状况的研究

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1、综合医院住院抑郁障碍患者自测健康状况的研究陈晓东苏敬华农秋葵(广州市精神病医院情感障碍科510370)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。方法釆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-1V轴1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为精祌障碍的诊断标准，对其中的66名抑郁障碍患者(抑郁组＞与465名无现患任何DSM-IV轴I障碍的住院患者(对照组)进行比较，并

2、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,牛.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SRH

3、MS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。【关键词】综合医院抑郁障碍自测健康R197.3A2095-1752(2014)18-0098-03Thestudyofself-evaluatedhealthlevelininpatientswithdepressioningeneralhosptial.CHENXiaodong'SuJing

4、hua,NongQiukui.DepartmentofPsychiatry,GuangzhouPsychiatricHospital,Guangzhou510370,China.Tel:020-81268109【Abstract】ObjectiveToexploretheself-evaluatedhealthlevelandit’sassociatedfactorsininpatientswithdepressioningeneralhospital.MethodAtotalnumberof60

5、0inpatientswereenrolledfromthreegeneralhosptialinGuangzhoucity.Allofthesepatientswereaskedtocompleteaself-designedquestionaireaboutdemorgraphicfeatures,andcompleteself-ratinghealthmeasurementscale(SRHMS)toevaluatehealthlevel.Diagnosticandstatisticmanualabou

6、tmentaldisorder,fourthedition(DSM-IV)wasusedtodiagnosedepression.Wecomparedthedifferencesbetweenthedepressiongroupandcontrol,andprobedtheassociatedfactorsofself-evaluatedhealthlevelindepressiongroup.ResultThetotalscoreofSRHMSinpatientswithdepressioningenera

7、lhosptialwas222.85±65.53,thescoresofphysicalhealth,mentalhealthandsocialhealthwere92.39±31.97,75.06±24.97and55.09±23.10respectively,whichwereallsignificantlylowerthanthatincontrols.Thescoresofphysicalhealthandmentalhealthwerehigh

8、erinpatientswhowerebelow55yearsoldcomparewiththoseolder.Theeducationallevelwasassociatedwithsocialhealthlevel.Multiplelinearregressionanalysisshowedthatthefollowingfactorswereassociatedwithhighertotals