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预防医学  2022, Vol. 34 Issue (12): 1267-1272    DOI: 10.19485/j.cnki.issn2096-5087.2022.12.015
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
严重精神障碍患者监护人心理健康状况调查
李俊1, 江雁1, 陈婧怡1, 王文静2,3
1.上海市金山区朱泾社区卫生服务中心科教科,上海 201599;
2.上海市杨浦区中心医院(同济大学附属杨浦医院),上海 200090;
3.上海市疾病预防控制中心,上海 200336
Investigation on mental health status among guardians of patientswith severe mental disorders
LI Jun1, JIANG Yan1, CHEN Jingyi1, WANG Wenjing2,3
1. Department of Science and Education, Zhujing Community Health Service Center of Jinshan District,Shanghai 201599, China;
2. Center for Clinical Research and Translation Medicine, Yangpu District CentralHospital (Yangpu Hospital Affiliated to Tongji University), Shanghai 200090, China;
3. Shanghai Center for Disease Control and Prevention, Shanghai 200336, China
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摘要 目的 了解严重精神障碍患者监护人心理健康状况及其影响因素,为完善监护人心理健康服务提供依据。方法 选择上海市金山区朱泾镇登记在管的严重精神障碍患者第一监护人为调查对象,于2021年1—6月采用自行设计的调查问卷收集人口学、经济状况、健康状况、与患者关系等资料,采用《12项一般健康问卷》(GHQ-12)评估心理健康状况;采用多因素logistic回归模型分析监护人心理健康状况的影响因素。结果 发放问卷650份,回收有效问卷606份,回收有效率为93.23%。男性356人,占58.75%;年龄为(59.61±12.61)岁;患者配偶256人,占42.24%;与患者同住516人,占85.15%。GHQ-12得分为(3.18±2.48)分,存在心理健康问题171人,占28.22%。多因素logistic回归分析结果显示,初中及以下学历(OR=2.715,95%CI:1.076~6.850)、在婚(OR=0.374,95%CI:0.184~0.761)、为患者的父母(OR=0.303,95%CI:0.114~0.806)、与患者同住(OR=0.481,95%CI:0.237~0.974)、有城镇职工基本医疗保险(OR=0.489,95%CI:0.254~0.942)、享受政府补助(OR=3.788,95%CI:1.734~8.276)、自评健康状况(良好,OR=0.105,95%CI:0.037~0.299;一般,OR=0.126,95%CI:0.049~0.325)、认为照护患者对家庭有影响(OR=3.689,95%CI:1.807~7.531)、对患者未来充满希望(OR=0.372,95%CI:0.139~0.994)和患者需要陪诊/代诊(OR=1.606,95%CI:1.006~2.565)是严重精神障碍患者监护人心理健康问题的影响因素。结论 28.22%的严重精神障碍患者监护人存在心理健康问题,主要受文化程度、经济状况、健康状况和患者照护需求等因素影响。
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李俊
江雁
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王文静
关键词 严重精神障碍监护人心理健康    
AbstractObjective To investigate the mental health status and its influencing factors among guardians of patients with severe mental disorders, so as to provide the evidences for improving mental health services among guardians. Methods The first guardians of patients with severe mental disorders registered and managed in Zhujing Township, Jinshan District, Shanghai Municipality were enrolled. Participants' demographics, economic status, health status and relationships with patients were collected using self-designed questionnaires from January to June 2021. Participants' mental health was assessed with twelve-item General Health Questionnaire (GHQ-12), and factors affecting guardians' mental health were identified with a multivariable logistic regression model. Results A total of 650 questionnaires were allocated, and 606 valid questionnaires were recovered, with an effective recovery rate of 93.23%. The participants included 356 men (58.75%), and had a mean age of (59.61±12.61) years. Among all participants, 256 were patients' spouse (42.24%), and 516 lived with patients (85.15%). The mean GHQ-12 score was (3.18±2.48), and there were 171 participants with mental health problems (28.22%). Multivariable logistic regression analysis identified educational level of junior high school and below (OR=2.715, 95%CI: 1.076-6.850), married (OR=0.374, 95%CI: 0.184-0.761), patients' parents (OR=0.303, 95%CI: 1.114-0.806), living with patients (OR=0.481, 95%CI: 0.237-0.974), having basic medical insurance for urban employees (OR=0.489, 95%CI: 0.254-0.942), receiving government subsidy (OR=3.788, 95%CI: 1.734-8.276), self-rated health status (good, OR=0.105, 95%CI: 0.037-0.299; average, OR=0.126, 95%CI: 0.049-0.325), considering that caring patients has an impact on family (OR=3.689, 95%CI: 1.807-7.531), being hopeful about the patient's future (OR=0.372, 95%CI: 0.139-0.994) and patients' need for accompanying/surrogate care (OR=1.606, 95%CI: 1.006-2.565) as factors affecting mental health among guardians of patients with severe mental disorders. Conclusion Mental health problems are found among 28.22% of guardians of patients with severe mental disorders, and the development of mental health problems is affected by educational level, economic status, health status and patient's need of caring.
Key wordssevere mental disorder    guardian    mental health
收稿日期: 2022-08-01      修回日期: 2022-10-24      出版日期: 2022-12-10
中图分类号:  R749  
基金资助:上海市卫生健康委员会科研项目(青年项目)(20194Y0416)
通信作者: 王文静,E-mail:wwjcdc@sina.com   
作者简介: 李俊,硕士,副主任医师,主要从事社区卫生事业管理工作
引用本文:   
李俊, 江雁, 陈婧怡, 王文静. 严重精神障碍患者监护人心理健康状况调查[J]. 预防医学, 2022, 34(12): 1267-1272.
LI Jun, JIANG Yan, CHEN Jingyi, WANG Wenjing. Investigation on mental health status among guardians of patientswith severe mental disorders. Preventive Medicine, 2022, 34(12): 1267-1272.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.12.015      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I12/1267
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