内蒙古地区不同医疗保障对慢性肾脏病患者合并焦虑的影响
Effect of different medical insurance on comorbid anxiety in chronic kidney disease in Inner Mongolia Region
曹美令 1王帅 1于磊2
作者信息
- 1. 内蒙古医科大学研究生学院,内蒙古呼和浩特 010010
- 2. 内蒙古自治区人民医院肾内科,内蒙古呼和浩特 010010
- 折叠
摘要
目的 探讨内蒙古自治区不同医疗保障对慢性肾脏病(CKD)患者发生焦虑的影响.方法 将2023年7月至12月内蒙古地区多中心5家三级甲等公立医院和1家私营·民营企业(新型"免费医疗"经营模式)共637例CKD1～5期患者纳入研究,收集临床资料及其焦虑的患病情况,并分析不同医疗保障状态下CKD患者发生焦虑的差异,相关影响因素纳入单因素和多因素分析.结果 在637例CKD1～5期患者中有焦虑症状的45例,占7.1％.CKD患者不同种类的医疗保障对焦虑有明显影响,医疗保障报销比例增加是保护因素,城镇职工医疗保险患者发生焦虑的风险较城乡居民医疗保险患者降低55.9％(95％CI:0.230～0.833,P=0.012),免费治疗患者发生焦虑的风险较城乡居民医疗保险患者降低79.6％(95％CI:0.040～0.880,P=0.033).结论 CKD患者发生焦虑与医疗保障密切相关,通过增加政府及社会医疗补助力度,有望改善患者的焦虑状态.
Abstract
Objective To explore the effect of different medical insurance on the occurrence of anxiety in patients with chronic kidney disease(CKD)in Inner Mongolia Autonomous Region.Methods A total of 637 patients with CKD stages 1-5 from five tertiary-level public hospitals and one private-private enterprise(a new"free medical care"business model)in a multicenter in Inner Mongolia Region were enrolled in the study between July and December 2023,and clinical data and their prevalence of anxiety were collected,and differences in the occurrence of anxiety in patients with CKD under different states of medical care were analyzed in univariate and multivariate analyses.Differences in the occurrence of anxiety in CKD patients under different states of healthcare coverage were analyzed,and relevant influencing factors were included in univariate and multivariate analyses.Results In 637 patients with CKD stages 1-5 there were 45 patients with anxiety symptoms,accounting for 7.1％.Different types of medical insurance for CKD patients had a significant effect on anxiety,and the increase in the reimbursement rate of medical insurance was a protective factor.The risk of anxiety in patients with urban workers'medical insurance was 55.9％lower than that in patients with urban residents'medical insurance(95％CI:0.230-0.833.P=0.012),and the risk of anxiety in free treatment patients was 79.6％lower than that in urban residents'health insurance patients(95％CI:0.040-0.880,P=0.033).Conclusion The occurrence of anxiety in CKD patients is closely related to health care coverage,and it is expected to improve the anxiety status of patients by increasing government and social health care subsidies.
关键词
慢性肾脏病/焦虑/医疗保障/免费医疗Key words
Chronic kidney disease/Anxiety/Medical insur-ance/Free medical care引用本文复制引用
基金项目
内蒙古自治区科技计划项目(2022YFSH0010)
出版年
2024
NETL
NSTL
万方数据