摘要
目的 :探讨情感性精神障碍患者的入院态度及其影响因素。 方法 :对 81例抑郁症患者和 6 4例躁狂症患者的入院态度及其影响因素进行评估 ,并对影响因素作Logistic回归分析。 结果 :抑郁症患者的自愿入院率为 32 .1% ,非自愿入院率为 5 3.1% ,强迫入院率为 14 .8%。躁狂症患者分别为10 .9%、5 1.6 %和 37.5 %。多因素Logistic回归分析显示 ,抑郁症患者的住院次数、自知力、治疗时间及Hamilton抑郁量表 (HAMD)总分进入了回归方程 ;躁狂症患者的自知力、BechRafaelsen躁狂量表 (BRMS)总分及自我评价项目进入回归方程。 结论 :情感性精神障碍患者入院态度受多种因素影响。
Objective:To study the admission attitude and its influential factors in affective disorders. Method:81 patients with depression and 64 patients with mania were investigated with admission attitude and associated factors, which were analyzed with Logistic regression. Results:In depressive patients,the rates of voluntary admission,involuntary admission and compulsory admission were 32.1%,53.1% and 14.8% respectively.In manic patients,the rates were 10.9%,51.6% and 37.5%.Analysis of Logistic regression showed that,the factors of depressive patients which entered the regressive equation were admission times,insight,duration of treatment and total scores of HAMD,and the standardized regressive coefficients were 4.9300, 2.1000,-1.3676, 0.4896 respectively ;The factors of manic patients which entered the regressive equation were insight,total scores of BRMS and the self-assessment items of BRMS,and the standardized regressive coefficients were 5.1981, 3.7435, -3.2341 respectively. Conclusion:The admission attitude of affective disorders is affected by multiple factors.This study might provide some evidence for legislation of mental health related to admission and treatment principles for affective disorders.
出处
《临床精神医学杂志》
2004年第4期213-214,共2页
Journal of Clinical Psychiatry
基金
山东省卫生厅计划项目 ( 2 0 0 1CAICEA3 )
