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目的了解广州市美沙酮维持治疗患者产生自杀意念的现状,分析广州市美沙酮维持治疗患者产生自杀意念的影响因素。方法应用描述性统计方法,对广州市美沙酮维持治疗患者产生自杀意念的现况进行分析。应用R3.1.2软件建立多因素非条件Logistic回归模型,采用ROC法对模型进行有效性评价。结果本次调查人群中44人曾产生自杀意念(20.18%),13人曾计划自杀(5.96%),9人曾尝试自杀(4.13%)。多因素Logistic回归显示美沙酮维持治疗患者产生自杀意念的危险因素为轻度抑郁情绪、中重度抑郁、轻度焦虑情绪、中重度焦虑情绪,而保护因素为中社会支持度和高社会支持度;ROC法评价模型预测准确率为79.50%。结论抑郁情绪、焦虑情绪和低社会支持度是美沙酮维持治疗患者自杀意念的高危因素;社工和美沙酮维持治疗医务工作者有必要对患者进行更多的关怀。
Objective To understand the status of suicidal ideation in patients with methadone maintenance treatment in Guangzhou and to analyze the influencing factors of suicidal ideation in patients with methadone maintenance treatment in Guangzhou. Methods Descriptive statistics were used to analyze the prevalence of suicidal ideation in patients with methadone maintenance treatment in Guangzhou. Using R3.1.2 software to establish a multivariate non-conditional Logistic regression model, the validity of the model by ROC method. Results 44 of the surveyed population had committed suicidal ideation (20.18%), 13 had committed suicide (5.96%) and 9 had attempted suicide (4.13%). Multivariate logistic regression showed that the risk factors of suicidal ideation in patients with methadone maintenance therapy were mild depression, moderate to severe depression, mild anxiety and moderate to severe anxiety, while the protective factors were intermediate social support and high social support; ROC The accuracy of the forensic evaluation model is 79.50%. Conclusions Depression, anxiety and low social support are risk factors for suicidal ideation in methadone maintenance treatment. It is necessary for social workers and methadone maintenance medical workers to pay more attention to patients.