精神科留置陪护的影响因素研究

Study on influencing factors of providing family caretakers for inpatients with mental disorders

目的:探索精神科封闭病房住院患者是否留置陪护的影响因素,以期适当地设置陪护。方法:对189例精神科住院患者及其家属(陪护104名,不陪护85名)进行问卷调查统计分析。结果:单因素分析发现,家属的年龄较低、家属为女性、家属与患者的亲缘关系为夫妻或亲子关系、情感关系较好、患者总病期较短、首次住院、患者无攻击风险、患者能自理、患者要求陪护、家属有时间、医生认为要陪护等,则倾向于陪护。非条件Logistic回归分析发现,家属时间、患者意见及医生意见进入回归方程,可预测98.4%的结果。结论:家属时间因素、患者需求及医生意见制约家属的决策。

Objective: To explore influencing factors of family providing caretakers for mental disorder inpatients,in order to set the corresponding caretaking measures. Methods: 189 mental disorder inpatients and their family members( 104 cases with the caretakers,and 85 cases without the caretaker) were surveyed with self- designed questionnaire,and the results were statistically analyzed. Results: The single- factor analysis found that the family caretaker was younger and female,the caretaker and the patient was husband- wife relationship or parent- child relationship with a closer affective relationship,the total course of the patient was shorter and first hospitalized,and the patient was not aggressive and could take care of themselves; therefore,if the patient asked for the caretakers and the doctor thought it was necessary,it tended to provide family caretakers. Unconditioned Logistic regression analysis found that time factor of the family caretaker,views from patient and psychiatrist entered the regression equation,and the result was 98. 4%.Conclusions: The time factor of the family caretaker,and views from patient and psychiatrist can significantly influence the decision maker on providing family caretaker or not.