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精神障碍患者社会参与情况及影响因素分析

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目的:分析上海金山区张堰镇精神障碍患者的社会参与情况及影响因素,为社区家庭医生健康管理提供依据.方法:通过对上海金山区张堰镇有意愿的居家精神障碍患者进行问卷调查,共收集有效问卷 247 份.调查对象中男性 110 名,女性 137 名.分析精神障碍患者社会参与情况及其影响因素.结果:247 例精神障碍患者的社会参与率为56.28%,Logistic回归分析结果显示,经济来源(OR=1.976,95%CI:1.054~3.705)、自我照顾可自行完成(OR=2.381,95%CI:1.577~3.595)、注重康复运动或保健(OR=2.813,95%CI:1.451~5.454)3 个为促进因素,男性(OR=0.507,95%CI:0.278~0.924)、情绪沮丧(OR=0.488,95%CI:0.265~0.897)为阻碍因素.结论:应探索家庭医生服务团队提供连续个性化的精神障碍患者管理服务,提高精神障碍患者社会参与感,健全患者的社会功能.
Analysis of social participation and influencing factors of patients with mental disorders
Objective:To analyze the social participation and influencing factors of patients with mental disorders in Zhangyan Community of Jinshan District,Shanghai,and to provide basis for the health management of community family doctors.Methods:The questionnaire survey was conducted in the patients with mental disorders at home in Zhangyan Community of Jinshan District,Shanghai,and valid questionnaires were collected 247 copies.Among the survey subjects,there were 110 males and 137 females.The social participation and influencing factors of patients with mental disorders were analyzed.Results:The social participation rate of 247 patients with mental disorders was 56.28%,Logistic regression analysis showed that the financial resources(OR=1.976,95%CI:1.054-3.705),self-care that could be completed by themselves(OR=2.381,95%CI:1.577-3.595),and focus on rehabilitation sports or health care(OR=2.813,95%CI:1.451-5.454)were promoting factors,male(OR=0.507,95%CI:0.278-0.924),and emotional depression(OR=0.488,95%CI:0.265-0.897)were the hindering factors.Conclusion:The family doctor service team to provide continuous personalized management services for patients with mental disorders should be explored to improve the sense of social participation of patients with mental disorders,and improve their social functions.

mental disordersocial participationcommunityhealth management

张珂、祝娟、陈红、段国威、吴菁

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上海市金山区张堰镇社区卫生服务中心预防保健科,上海 201514

上海市金山区张堰镇社区卫生服务中心院部,上海 201514

精神障碍 社会参与 社区 健康管理

上海市金山区卫生健康系统第五周期"优秀青年人才"培养计划

JSYQ202320

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(16)
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