|
|
|
| Factors affecting physical examinations among patients with severe mental disorders in Shaoxing City |
| CHANG Qian1, WANG Weidan2, QIAN Jianjun1, HU Huafeng1
|
1. Office of Mental Health Prevention, Shaoxing Seventh People's Hospital, Shaoxing, Zhejiang 312000, China;
2. Mental Health Center (Tongde Hospital of Zhejiang Province), Hangzhou, Zhejiang 310012, China; |
|
|
|
|
Abstract Objective To investigate the proportion of physical examinations among patients with severe mental disorders and its influencing factors in Shaoxing City, Zhejiang Province, so as to provide the evidence for improving the proportion of physical examinations among patients with severe mental disorders. Methods The epidemiological and clinical features of patients with severe mental disorders included in community management in Shaoxing City in 2022 were collected from Zhejiang Provincial Severe Mental Disorder Management Information System, including demographics, disease diagnosis and treatment, physical examination, and rescue and assistance. Factors affecting the physical examination were identified among patients with severe mental disorders using a multivariable logistic regression model. Results A total of 25 468 patients with severe mental disorders were enrolled in Shaoxing City in 2022, including 12 151 males and 13 317 females, with a male to female ratio of 0.91∶1, and the participants had a mean age of (54.34±14.71) years. Schizophrenia was the predominant type of severe mental disorders (15 419 cases, 60.54%), and 21 374 subjects participating in the physical examinations in 2022 (83.92%). Multivariable logistic regression analysis showed that female (OR=0.901, 95%CI: 0.832-0.975), urban areas (OR=0.506, 95%CI: 0.468-0.547), mental disorders due to epilepsy (OR=1.779, 95%CI: 1.104-2.866), hospitalized treatment (6 to 10 times, OR=0.523, 95%CI: 0.401-0.681; 11 times and more, OR=0.177, 95%CI: 0.108-0.288), special diseases in outpatient (OR=1.738, 95%CI: 1.597-1.891), receiving medical assistance (OR=2.851, 95%CI: 2.616-3.107), targets of the community care and assistance groups (OR=1.653, 95%CI: 1.471-1.857) and guardian (spouse, OR=1.777, 95%CI: 1.513-2.086; children, OR=1.277, 95%CI: 1.069-1.526; parents, OR=1.342, 95%CI: 1.143-1.576) were statistically associated with the proportion of physical examinations. Conclusions The proportion of health examinations was 83.92% among patients with severe mental disorders in Shaoxing City in 2022. Gender, residence, guardian, disease diagnosis, times of hospitalized treatment, medical assistance, special diseases in outpatients and target of community care and assistance groups were factors affecting health examinations among patients with severe mental disorders.
|
|
Received: 27 February 2023
Revised: 20 April 2023
Published: 17 June 2023
|
|
|
|
|
|
[1] 中华人民共和国国家卫生健康委员会.关于印发严重精神障碍管理治疗工作规范(2018年版)的通知[EB/OL].[2023-04-20].http://www.gov.cn/gongbao/content/2018/content_5338247.htm.
[2] 邓延峰,朱宏,丁燕,等.社区长期服药严重精神障碍患者躯体共病的危险因素研究[J].解放军预防医学杂志,2019,37(4):168-169.
[3] 熊智俐,易志庆,卢童新.长期服药精神病患者肝胆彩超检查结果分析[J].当代医学,2021,27(35):176-177.
[4] 李熹娟,丁常娥.北京市某社区95例精神病患者健康体检血糖血脂异常情况分析[J].中国社区医师,2018,34(35):109-110,112.
[5] 中华人民共和国国家卫生健康委员会.国家卫生计生委关于印发《国家基本公共卫生服务规范(第三版)》的通知[EB/OL].[2023-04-20].http://www.nhc.gov.cn/jws/s3578/201703/d20c37e23e1f4c7db7b8e25f34473e1b.shtml.
[6] 吴越,杨雀屏,范洁,等.无锡市社区严重精神障碍患者体检率调查及其影响因素分析[J].现代预防医学,2019,46(3):455-460.
[7] 卿利,刘成锋,陈卿,等.深圳市某区严重精神障碍患者健康体检率调查及其影响因素研究[J].现代预防医学,2022,49(13):2459-2464.
[8] 余涛,姚华华,王意兰,等.绍兴市严重精神障碍患者肇事肇祸的影响因素分析[J].预防医学,2018,30(6):621-623.
[9] 赵光红,崔文龙,武慧欣,等.云南省农村重性精神疾病患者公共卫生服务利用现状及影响因素[J].昆明医科大学学报,2018,39(1):35-38.
[10] 刘成锋,卢楚虹,张泉水,等.严重精神障碍患者高风险行为影响因素分析[J].预防医学,2019,31(1):51-54,58.
[11] 马弘. 严重精神障碍社区防治工作指南[M].北京:中华医学电子音像出版社,2018.
[12] 彭小冬,周志坚,谢海燕,等.社区严重精神障碍患者暴力行为的影响因素[J].中华行为医学与脑科学杂志,2020,29(12):1093-1099.
[13] 郑在江,高茹,张炳智,等.雅安市精神障碍流行病学调查严重精神障碍流行病学分析[J].精神医学杂志,2021,34(2):136-139.
[14] 徐斐斐,何虎鹏,潘卫民,等.甘肃省65岁以上严重精神障碍患者现况分析[J].中国初级卫生保健,2021,35(8):38-39,43.
[15] 张萌,吕婷.中国精神疾病患者病耻感研究的meta分析[J].职业与健康,2020,36(8):1124-1129.
[16] 屠月丽,张博源.我国公众精神疾病病耻感问题的伦理思考及对策分析[J].中国医学伦理学,2022,35(6):654-662,702. |
|
|
|
