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抑郁症患者病耻感水平现状及其相关影响因素分析

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目的 探讨抑郁症患者病耻感水平现状及其相关影响因素。方法 用便利抽样方式选择2020年2月至2021年12月就诊于赣州市第三人民医院的136例抑郁症患者为研究对象,采用多元线性回归分析抑郁症患者病耻感水平现状及其相关影响因素。结果 抑郁症患者病耻感总分为(68。05±9。67)分,其中能力因子(18。02±1。66)分、社交因子(25。42±2。51)分、治疗因子(13。59±1。48)分。单因素分析显示:不同病程、文化程度、家庭人均月收入、居住情况、社会支持水平的抑郁症患者病耻感水平比较,差异有统计学意义(P<0。05);不同年龄、职业、性别、婚姻状况的抑郁症患者病耻感水平比较,差异无统计学意义(P>0。05)。多元线性回归分析结果显示,病程≥5年(β=0。373,t=5。441,95%CI=3。324~1。517)、独居(β=0。324,t=3。578,95%CI=5。325~18。904)是影响抑郁症患者病耻感水平的危险因素(P<0。05);文化程度大专及以上(β=-0。211,t=-2。210,95%CI=-0。280~-0。053)、家庭人均月收入≥3 000 元(β=-0。412,t=-2。385,95%CI=-5。294~-0。942)、社会支持中高水平(β=-1。318,t=-2。769,95%CI=-2。462~-1。104)是抑郁症患者病耻感水平的保护因素(P<0。05)。结论 抑郁症患者病耻感水平较强,其受病程、文化程度、家庭人均月收入、居住情况、社会支持影响。
Analysis of the current status of stigma levels in patients with depression and its related influencing factors
Objective To explore the status of stigma levels in patients with depression and its related influencing factors.Methods A total of 136 patients with depression who were admitted to the Third People's Hospital of Ganzhou from Febru-ary 2020 to December 2021 were selected by convenience sampling method.Multiple linear regression was used to analyze the status quo of stigma level and related influencing factors of depression patients.Results The total stigma score of pa-tients with depression was(68.05±9.67)points,including ability factor(18.02±1.66)points,social factor(25.42±2.51)points,and treatment factor(13.59±1.48)points.Univariate analysis showed that there were statistically significant differ-ences in the levels of stigma among patients with depression of different disease courses,education levels,family per capita monthly income,residential situation and social support(P<0.05).And there were no statistical differences in the levels of stigma among patients with depression of different ages,occupations,sex,and marital status(P>0.05).Multiple linear re-gression analysis showed that disease courses ≥ 5 years(β=0.373,t=5.441,95%CI=3.324-1.517)and living alone(β=0.324,t=3.578,95%CI=5.325-18.904)were risk factors that affected the level of stigma among patients with depression(P<0.05).Educational level of college or above(β=-0.211,t=-2.210,95%CI=-0.280 to-0.053),family per capita monthly income ≥3 000 yuan(β=-0.412,t=-2.385,95%CI=-5.294 to-0.942)and medium-to-high level of social sup-port(β=-1.318,t=-2.769,95%CI=-2.462 to-1.104)were protective factors of stigma among patients with depression(P<0.05).Conclusion Depressed patients have a high level of stigma,which is influenced by the course of disease,educa-tion level,family per capita monthly income,residential situation and social support.

DepressionEducation levelStigmaSocial supportCourse of disease

李海燕、温淑媛、陈喜梅、邱吉明、宋祥优、匡小龙、谢贻洁、顾丽琴

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江西省赣州市第三人民医院七病区,江西赣州 341000

江西省赣州市第三人民医院女一区,江西赣州 341000

江西省赣州市第三人民医院女三区,江西赣州 341000

抑郁症 文化程度 病耻感 社会支持 病程

江西省卫生健康委科技计划项目

202212300

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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