本文選題：綜合醫(yī)院　切入點(diǎn)：軀體疾病　出處：《中南大學(xué)》2009年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】： 目的:通過(guò)對(duì)某綜合醫(yī)院住院病人自殺意念調(diào)查,探討自殺意念危險(xiǎn)因素,為軀體疾病病人自殺預(yù)防提供依據(jù)。 方法:調(diào)查對(duì)象為2008年7-12月某三甲綜合醫(yī)院年齡≥15歲愿意合作能夠填寫(xiě)調(diào)查表的住院病人(主要為耳鼻喉科、腫瘤科、普外科、神內(nèi)科、心內(nèi)科等),用自編的住院病人一般資料調(diào)查表、軀體疾病病人自殺危險(xiǎn)因素與自殺意念調(diào)查表、軀體疾病相關(guān)情況調(diào)查表(由醫(yī)生填寫(xiě))等進(jìn)行調(diào)查,了解住院病人自殺意念發(fā)生情況,并通過(guò)logistic回歸分析自殺意念危險(xiǎn)因素。 結(jié)果:1.407例完成自殺意念評(píng)定的患者中,有自殺意念者為33人(8.11%,95%CI為5.46%-10.76%),其中16人有相應(yīng)的自殺計(jì)劃。各科室病人自殺意念發(fā)生率無(wú)顯著性差異。2.有自殺意念的病人有更多的焦慮、抑郁情緒(P=0.000)。3.自編軀體疾病病人自殺意念危險(xiǎn)因素調(diào)查表總的Cronbach'sα系數(shù)為0.878,各因子的α系數(shù)在0.551-0.825之間,各條目的負(fù)荷為0.413-0.662。軀體疾病病人自殺危險(xiǎn)因素調(diào)查表與抑郁自評(píng)量表、焦慮自評(píng)量表得分、自殺意念呈正相關(guān)(抑郁自評(píng)量表r=0.729,焦慮自評(píng)量表r=0.548,自殺意念r=0.345,P＜0.01)。4.多因素logistic回歸分析發(fā)現(xiàn),軀體疾病病人自殺意念危險(xiǎn)因素包括疾病預(yù)后、病人既往自殺史與自制的住院病人自殺危險(xiǎn)因素調(diào)查表中的3個(gè)因子:焦慮、歸因方式、無(wú)望感。 結(jié)論:1.軀體疾病病人自殺意念、自殺計(jì)劃高于一般人群,其自殺意念的產(chǎn)生與軀體疾病病情等因素有密切的關(guān)系。2.自編軀體疾病病人自殺危險(xiǎn)因素調(diào)查表有較好的信、效度,可用于臨床調(diào)查。3.軀體疾病病人自殺意念主要危險(xiǎn)因素是疾病預(yù)后、病人既往自殺史與自制的住院病人自殺危險(xiǎn)因素調(diào)查表中的3個(gè)因子:焦慮、歸因方式、無(wú)望感,共15個(gè)條目。4.這15個(gè)條目可用來(lái)篩查軀體疾病病人自殺意念危險(xiǎn)因素,伴有自殺意念危險(xiǎn)因素的病人應(yīng)視為自殺高危人群。
[Abstract]:Objective: to investigate the risk factors of suicidal ideation in hospitalized patients in a general hospital and to provide evidence for the prevention of suicide in patients with somatic diseases. Methods: the subjects were inpatients who were more than 15 years old and who were willing to cooperate to fill out the questionnaire (mainly otolaryngology, oncology, general surgery and internal medicine) in a general hospital from July to December in 2008. A self-designed questionnaire for general information of inpatients, a questionnaire for suicidal risk factors and suicidal ideation in patients with somatic diseases, a questionnaire on the related conditions of physical diseases (to be filled out by a doctor), etc. To understand the incidence of suicidal ideation in inpatients and to analyze the risk factors of suicidal ideation by logistic regression analysis. Results of the 407 patients who completed the assessment of suicidal ideation, 33 had suicide ideation (8.11%) and 95% (CI = 5.46-10.76C), 16 of whom had corresponding suicide plans. There was no significant difference in the incidence of suicidal ideation among patients in different departments. The patients with suicidal ideation had more anxiety. Total Cronbach's 偽 coefficient was 0.878, the 偽 coefficient of each factor was between 0.551-0.825, and the load of each item was 0.413-0.662.The questionnaire of suicide risk factors of patients with physical diseases and the self-rating depression scale were used in this study, and the total Cronbach's 偽 coefficient of the questionnaire was 0.878, the 偽 coefficient of each factor was between 0.551-0.825, and the load of each item was 0.413-0.662. The scores of self-rating anxiety scale were positively correlated with suicidal ideation (self-rating depression scale r0.729, self-rating anxiety scale r 0.548, suicide ideation r 0.345 P < 0.01). Multivariate logistic regression analysis showed that the risk factors of suicidal ideation in patients with physical diseases included disease prognosis. There were three factors in the questionnaire of suicide risk factors: anxiety, attribution style and hopelessness. Conclusion (1) suicide ideation in patients with somatic diseases is higher than that in the general population. There is a close relationship between suicide ideation and the condition of somatic diseases. 2. The questionnaire of suicide risk factors for patients with somatic diseases has good reliability and validity. The main risk factors of suicidal ideation in patients with somatic diseases are the prognosis of disease, the three factors in the questionnaire of suicide risk factors of patients with previous suicide history and self-made inpatients: anxiety, attribution style, hopelessness, anxiety, attribution style, hopelessness, anxiety, attribution style, hopelessness, anxiety, attribution style and hopelessness. These 15 items can be used to screen the risk factors of suicidal ideation in patients with somatic diseases, and patients with suicidal ideation risk factors should be regarded as high risk groups for suicide.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2009
【分類(lèi)號(hào)】：B846

【引證文獻(xiàn)】

相關(guān)期刊論文 前1條

1 何蘭;彭颯麗;胡立莎;;外科住院患者自殺危險(xiǎn)因素與疼痛的相關(guān)性分析[J];護(hù)理學(xué)報(bào);2010年24期

相關(guān)碩士學(xué)位論文 前1條

1 朱麗君;對(duì)抑郁癥患者自殺意念及相關(guān)因素的認(rèn)知心理干預(yù)研究[D];山西醫(yī)科大學(xué);2011年

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本文編號(hào)：1566266