摘要
目的研究流浪精神病患者的社会人口学、临床特征及其危险因素。方法采用自编的流浪精神病调查表收集温州市精神病医院2007年度入院的所有重型精神病患者的临床资料,将1 832名病例按照入院前的情况分成流浪组和其他组进行病例对照研究,并对可能导致流浪的危险因素进行了Logistic回归分析。结果流浪精神病患者占全年入院重性精神病患者的比例为11.40%(n=209),平均年龄为(30.92±11.73)岁,低于对照组的(35.87±12.89)岁(P<0.001);其中男性占54.6%。流浪精神病患者与其他住院精神病比较,急性应激障碍(19.8%vs5.8%)、精神病发育迟滞(15.3%vs1.3%)、入院前合并躯体疾病(30.9%vs9.0%)和急诊入院(66.7%vs29.5%)的比例较高,而入院前的治疗率却非常低(4.3%vs9.3%)。Logistic回归分析结果显示男性、独居、低文化、外来务工人员、无治疗经历、急性应激障碍和精神发育迟滞等是精神病患者外出流浪的危险因素。结论精神病患者外出流浪既有明显的精神病理因素又有独特的社会人口学特征,应加强对城市外来务工人员精神疾病的防治。
Objective To explore socio - demographic and clinical characteristics and related risk factors among homeless people with severe mental disorders in Wenzhou . Methods All serious psychiatric inpatients admitted consecutively to Wenzhou psychiatric hospital in 2007 were assessed with self-made inventory. Using case -control study, 1 832 patients were divided into two groups （homeless vs other situations） according to the living situation before admission. Risk factors for being homeless were analyzed by Logistic regression analysis. Results 11.40% of all admitted patients （ n = 209） were homeless [ mean age （30. 92 ± 11.73） years, male （54. 6% ）]. The homeless as compared to other psychiatric inpatients had higher rates of stress - related disorders （ 19. 8% vs 5.8% ） , mental retardation （ 15.5% vs 1.3% ） and comorbidity of medical disea- ses （30. 9% vs 9.0% ）. Homeless people were more often as an emergency admitted （66.7%）. The homeless had lower rates of hospitalization before admitted （4. 3% ）. Risk factors of being homeless at psychiatric admission were male, single, low educa- tional level, migrant peasant workers, lack of treatment before admitted, mental retardation and stress - related disorders. Con- clusion Socio - demographic and psychopathological factors independently contributed to the risk of homelessness. Prevention of mental disorders among migrant peasant workers is very important.
出处
《中国预防医学杂志》
CAS
2009年第3期179-182,共4页
Chinese Preventive Medicine
基金
温州市科技局社会发展科学研究项目(Y2006203)
