本文選題：朝覲 + 回族　； 參考：《寧夏醫(yī)科大學(xué)》2016年碩士論文

【摘要】：目的:了解寧夏55歲及以上朝覲人群抑郁狀況及影響因素,探討宗教信仰與抑郁癥的關(guān)系,為國際社會更好的理解宗教信仰與精神健康提供跨文化證據(jù)。方法:第一部分研究是從寧夏地區(qū)2013參加朝覲體檢的回族中,選擇55及以上朝覲人群進(jìn)行問卷調(diào)查,并與當(dāng)?shù)厣鐓^(qū)人群進(jìn)行比較,調(diào)查內(nèi)容包括:一般人口學(xué)特征、杜克信仰指數(shù)量表。第二部分研究按20%的比例從寧夏地區(qū)2013至2015年參加朝覲體檢的回族中,按照體檢順序選擇55及以上人群進(jìn)行調(diào)查,并與當(dāng)?shù)厣鐓^(qū)人群進(jìn)行比較。調(diào)查內(nèi)容包括問卷調(diào)查和臨床檢查兩部分。問卷調(diào)查由統(tǒng)一培訓(xùn)的醫(yī)學(xué)生在體檢現(xiàn)場進(jìn)行一對一調(diào)查,問卷現(xiàn)場收回。臨床檢查包括:體格檢查(血壓、身高、體重等)、血糖、尿、心電圖檢查、B超檢查、X線片檢查,由�？婆R床醫(yī)生完成。抑郁的測量采用老年抑郁量表(geriatric depression scale,GDS)。結(jié)果:第一部分調(diào)查共收回完整問卷809份,男403人(49.8%),女406人(50.2%);第二部分調(diào)查共收回完整問卷1597份,男769人(48.2%),女828人(51.8%)。其中:1、DUREL量表檢測發(fā)現(xiàn),各維度ORA、NORA、IR、及總分評分在三組人群間比較差異有統(tǒng)計(jì)學(xué)意義(F=2540.03、3775.24、4613.48、7038.98,P㩳0.001)。2、朝覲人群抑郁檢出率顯著低于同地區(qū)社區(qū)人群(3.2%vs32,9%),并且在控制了一般人口學(xué)特征(年齡、性別、文化程度、職業(yè)、婚姻及獨(dú)居情況)、生活習(xí)慣(吸煙、飲酒)、及各種疾病(高血壓、糖尿病、心電圖異常、脂肪肝)等相關(guān)因素后,進(jìn)行兩人群多因素比較分析發(fā)現(xiàn)朝覲人群抑郁患病風(fēng)險(xiǎn)仍顯著低于社區(qū)人群(OR=0.09,95%CI0.05~0.21,P㩳0.001)。3、朝覲人群單因素分析發(fā)現(xiàn),肺部疾病者抑郁的檢出率高于無肺部疾病者(x~2=4.59,p=p㩳0.05)、心電圖異常者檢出率高于心電圖正常者(x~2=28.16,p㩳0.001)、獨(dú)居者抑郁的檢出率高于非獨(dú)居者(x~2=19.81,p㩳0.05)、2次及以上婚姻者檢出率高于1次婚姻者(x~2=4.19,p㩳0.05);4、多因素logistic回歸分析提示,肺部疾病(OR=2.969,95%=1.126~7.826,p㩳0.05)、婚姻次數(shù)是朝覲人群郁發(fā)生的影響因素(OR=0.264,95%CI=0.070~0.995,p㩳0.05)。結(jié)論:寧夏55歲及以上回族朝覲人群抑郁的檢出率顯著低于社區(qū)人群,回族宗教信仰可能對人群精神健康具有積極作用。
[Abstract]:Objective: to explore the relationship between religious beliefs and depression and to provide cross-cultural evidence for better understanding of religious beliefs and mental health in the Hajj population aged 55 and above in Ningxia. Methods: in the first part of the study, we selected 55 or more pilgrims from 2013 Hui people who took part in Hajj physical examination in Ningxia, and compared them with the local community. The contents of the survey included: general demographic characteristics. Duke belief Index scale. In the second part of the study, 55 or more people were selected according to the order of physical examination from 2013 to 2015 in Ningxia area, and compared with the local community population, according to the proportion of 20% of the Hui people who took part in the Hajj physical examination from 2013 to 2015. The investigation includes two parts: questionnaire survey and clinical examination. A one-to-one survey was conducted on the physical examination site by the unified training medical students, and the questionnaire was collected on the spot. Clinical examinations include: physical examination (blood pressure, height, weight, etc.), blood sugar, urine, electrocardiogram, B ultrasound examination X ray examination, by a specialist clinician. The depression was measured by (geriatric depression scale. Results: a total of 809 complete questionnaires were collected in the first part, 403 males (49.8%) and 406 females (50.2%), and 1597 questionnaires (769 males (48.2%) and 828 females (51.8%) were collected in the second part. Among them, there were significant differences among the three groups in the different dimensions of ORAA NORARAIRI and the total score (FF2540.033.3775.24, 4613.488.98P0.001). The prevalence of depression in pilgrims was significantly lower than that in the community in the same area (3.2vs3229%), and the general demographic characteristics (age, sex, sex) were controlled. Related factors such as education, occupation, marriage and living alone, lifestyle (smoking, drinking), and various diseases (hypertension, diabetes, abnormal electrocardiogram, fatty liver), The risk of depression in the Hajj population was still significantly lower than that in the community population (ORO 0.09 95 CI 0.05 0.21 P0. 001). The univariate analysis of the Hajj population showed that the risk of depression was still significantly lower than that of the community population. The positive rate of depression in patients with pulmonary diseases was higher than that in patients without pulmonary diseases (x2 / 2, 4.59%), in patients with abnormal electrocardiogram (ECG) was higher than that in those with normal electrocardiogram (x / 22 / 28. 16 / p0. 001), the rate of depression in patients living alone was higher than that in those who were not living alone (x2 / 2 / 19. 81 / 0. 05). The detection rate of depression in patients with abnormal ECG was higher than that in those with 2 or more marriages. The results of multivariate logistic regression analysis showed that there was no significant difference between the two groups (P < 0. 05). Pulmonary diseases (OR 2.96995) and the number of marriages were the influencing factors of Hajj depression (OR0.26495 CI 0.0700.995p0.05). Conclusion: the prevalence of depression in Hui pilgrimage population aged 55 and above is significantly lower than that in community population. The religious belief of Hui nationality may play a positive role in the mental health of the population.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R749.4

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