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在校護(hù)理專業(yè)學(xué)生負(fù)性生活事件應(yīng)激量及家庭功能與自殺意念關(guān)系的研究

發(fā)布時(shí)間:2018-01-24 23:33

  本文關(guān)鍵詞: 青少年 負(fù)性生活事件 應(yīng)激量 自殺意念 家庭功能 出處:《衛(wèi)生研究》2014年04期  論文類型:期刊論文


【摘要】:目的了解青少年自殺意念的形成與家庭功能、負(fù)性生活事件各應(yīng)激量及其他影響因素之間的關(guān)系。方法采用現(xiàn)況研究的方法,使用自殺意念自評(píng)量表、青少年生活事件量表和家庭功能指數(shù)量表等工具對(duì)江蘇省常州市一所衛(wèi)生高職院校和安徽省蕪湖市一所醫(yī)學(xué)本科院校護(hù)理專業(yè)在校學(xué)生(包括中職、高職、大專、本科)進(jìn)行問卷調(diào)查。調(diào)查兩所院校共發(fā)放問卷3700份,回收問卷3675份,其中有效問卷3620份,單因素分析采用χ2檢驗(yàn)、t檢驗(yàn)和單因素Logistic回歸分析,多因素分析采用多因素Logistic回歸分析。結(jié)果自殺意念的檢出率為7.0%。自殺意念檢出率最高的前5類特征分別為:成績(jī)情況差(33.6%)、家庭功能嚴(yán)重障礙(25.8%)、成績(jī)情況中下(11.7%)、經(jīng)濟(jì)情況差(10.8%)和就讀于三年級(jí)(9.9%);多因素Logistic回歸分析顯示負(fù)性生活事件各因子應(yīng)激量中"人際關(guān)系因子"(OR=1.135,95%CI1.071~1.202)、"學(xué)習(xí)壓力因子"(OR=1.169,95%CI 1.101~1.241)和"外圍事件因子"(OR=1.278,95%CI 1.187~1.376)等3個(gè)因子應(yīng)激量高是自殺意念產(chǎn)生的危險(xiǎn)因素;此外就讀年級(jí)越高(OR=1.980,95%CI 1.302~3.008)、成績(jī)情況差(OR=7.206,95%CI 1.745~9.789)和家庭功能中度障礙(OR=2.562,95%CI 1.527~2.892)至嚴(yán)重障礙(OR=8.287,95%CI 3.154~6.917)等也是自殺意念的危險(xiǎn)因素。結(jié)論家庭功能障礙和負(fù)性生活事件高應(yīng)激量是青少年產(chǎn)生自殺意念的主要影響因素,家庭和學(xué)校應(yīng)給予青少年必要和充足的支持,減少負(fù)性生活事件對(duì)其的影響,從而防止自殺行為的發(fā)生。
[Abstract]:Objective to investigate the relationship between suicide ideation and family function, the amount of negative life events and other influencing factors. The youth life events scale and family function index scale were used to analyze the nursing students of a health vocational college in Changzhou city of Jiangsu province and a medical undergraduate college in Wuhu city of Anhui province (including secondary vocational school and higher vocational school). A total of 3700 questionnaires were sent out from the two colleges and universities, and 3675 questionnaires were collected, of which 3620 were valid. 蠂 2 test was used for univariate analysis. T test and single factor Logistic regression analysis. Multivariate Logistic regression analysis was used. Results the detection rate of suicidal ideation was 7.0. The top five characteristics of suicide ideation were as follows: poor performance and 33.6%. . (B) serious family dysfunction (25.8B), poor economic status (10.8%) and poor performance (11.7m) and third-grade students (9.9m); Multivariate Logistic regression analysis showed that the "interpersonal relationship factor" was 1.135 / 95 CI 1.071 (1.2022) among the factors of negative life events. The learning stress factor was 1.169 / 95 CI 1.101 / 1.241) and the peripheral event factor was 1.278. The risk factors of suicidal ideation were high stress of 95 CI 1.187 and 1.376). In addition, the higher the grade, the higher the score is 1.980 / 95CI 1.3023.008, and the worse the result is 7.206. 95 / CI 1.745 / 9.789) and moderate family dysfunction (CI 1.527 / 2.892) and moderate family dysfunction (OR8.287). Conclusion Family dysfunction and high stress of negative life events are the main influencing factors of suicidal ideation in adolescents. Families and schools should provide adolescents with necessary and adequate support to reduce the impact of negative life events and thus prevent suicide.
【作者單位】: 常州衛(wèi)生高等職業(yè)技術(shù)學(xué)校護(hù)理系;安徽醫(yī)科大學(xué)流行病與衛(wèi)生統(tǒng)計(jì)學(xué)系;
【分類號(hào)】:G444;R47-4
【正文快照】: 自殺是全世界第10位的死亡原因[1]。在中國(guó)15~24歲青少年人群的死亡原因中,自殺則位列第一[2-3]。自殺被認(rèn)為是主動(dòng)自愿結(jié)束自己生命的行為,根據(jù)程度不同,通常分為自殺意念、自殺未遂和成功自殺或自殺已遂。自殺意念是自殺死亡者早期的心理活動(dòng),而負(fù)性生活事件與自殺意念和自

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