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某地区严重精神障碍应急医疗处置发生现状及影响因素

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目的 探讨某地区严重精神障碍应急医疗处置发生现状及影响因素。方法 回顾性分析2018年1月至2022年12月北京市大兴区某地区卫生院精神卫生管理工作信息平台中储存的严重精神障碍患者的数据信息。利用描述流行病学方法分析该地区严重精神障碍患者应急医疗处置的发生情况,使用单因素、多因素Logistic回归分析探讨影响该地区严重精神障碍应急医疗处置发生的因素。结果 本次调查共获取575例严重精神障碍患者的信息,其中共有75例患者发生应急医疗处置。多因素Logistic回归分析结果显示,发病年龄较小、发病时间与首次治疗时间间隔较长、男性、户籍为外地、婚姻状况为未婚、精神疾病家族史阳性、受教育程度较低、未接受个体化康复指导、既往有肇事肇祸史、既往住院次数较多、饮酒、贫困家庭、不参加免费体检、不领取监护人补贴及第一监护人受教育程度较低是影响严重精神障碍患者发生应急医疗处置的主要因素(P<0。05)。结论 某地区内严重精神障碍患者具有一定的应急医疗处置发生比例,对于存在危险因素的患者,需加强关注,另外,对于可改善的因素也应尽快采取有效的措施。
Current situation and influencing factors of emergency medical treatment of severe mental disorders in a certain area
Objective To explore the current situation and influencing factors of emergency medical treatment of severe mental disorders in a certain area.Methods The data of patients with severe mental disorders stored in the mental health management information platform of a regional health center in Daxing district of Beijing from January 2018 to December 2022 were retrospectively analyzed.The descriptive epidemiological method was used to analyze the occurrence of emergency medical treatment for patients with severe mental disorders in this area.Univariate and multivariate Logistic regression analysis were used to explore the factors affecting the occurrence of emergency medical treatment for severe mental disorders in this area.Results A total of 575 patients with severe mental disorders were obtained in this survey,and 75 patients had emergency medical treatment.Multivariate Logistic regression analysis results showed that younger age of onset,longer interval between onset time and first treatment time,male,non-local household registration,unmarried marital status,positive family history of mental illness,lower education level,no individualized rehabilitation guidance,history of causing accidents and disasters in the past,a high number of hospitalizations in the past,drinking,poor families,no free physical examination,no guardian's subsidy and lower education level of the first guardian were the main factors affecting the occurrence of emergency medical treatment in patients with severe mental disorders(P<0.05).Conclusion Patients with severe mental disorders in a certain area have a certain proportion of emergency medical treatment.For patients with risk factors,attention should be paid to them.In addition,effective measures should be adopted as soon as possible for the factors that can be improved.

severe mental disorderemergency medical treatmentage of onsetfamily history of mental illnessfree physical examination

王江、王志魁、李朝晖

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北京市大兴区北臧村镇中心卫生院,北京,102600

北京市大兴区心康医院,北京,102600

严重精神障碍 应急医疗处置 发病年龄 精神疾病家族史 免费体检

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)