| 云南省农村重性精神疾病患者公共卫生服务利用现状及影响因素 |
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| 引用本文： | 赵光红,崔文龙,武慧欣,赵玲,蔡乐. 云南省农村重性精神疾病患者公共卫生服务利用现状及影响因素[J]. 昆明医科大学学报, 2018, 39(1): 35-38 |
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| 作者姓名： | 赵光红 崔文龙 武慧欣 赵玲 蔡乐 |
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| 作者单位： | 昆明医科大学公共卫生学院 |
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| 基金项目： | 基金: 云南省哲学社科青年基金资助项目 (QN2015030); 昆明医科大学重大科技成果培育基金资助项目 (CGPY201503) ;昆明医科大学科技创新团队基金资助项目 (CXTD201706); |
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| 摘 要： | 目的 分析云南省农村重性精神疾病患者的公共卫生服务利用现状及影响因素.方法 采用分层整群抽样方法选取云南省农村重性精神疾病患者及其主要照顾者作为调查对象, 采用多因素logistic回归法分析其公共卫生服务利用的影响因素.结果 本次共调查农村重性精神疾病患者284例, 其中男性144人 (50.7%) , 女性140人 (49.3%) .重性精神疾病患者的健康档案建档率、村医随访率、免费体检参与率和健康教育接受率分别为89.8%、84.9%、73.2%和56.7%.女性患者接受免费体检服务的情况优于男性患者 (P<0.05) ;有工作和病情得到控制的患者及其照顾者接受该疾病健康教育的情况优于无工作和病情尚未得到控制的患者及其他们的照顾者 (P<0.05) .结论 应采取措施加强对男性患者的体检工作力度, 加大无工作和病情未得到控制的患者及其照顾者的健康教育工作, 提高农村重性精神疾病患者的公共卫生服务利用率.
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| 关 键 词： | 农村 重性精神疾病 公共卫生服务利用 影响因素 |
| 收稿时间： | 2017-09-12 |
Status and Influencing Factors of Public Health Services Utilization among Rural Patients with Severe Mental Illness in Yunnan Province |
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| Abstract: | Objective The aim of this study was to analyze the status and influencing factors of public health service utilization in rural patients with severe mental illness in Yunnan province. Methods The main caregivers of patients with severe mental illness in Yunnan province were selected by stratified cluster sampling method. Multivariate logistic regression was used to analyze the influencing factors of public health service utilization. Results A total of 284 cases of rural patients with severe mental illness were investigated, including144 males ( 50.7%) and 140 females ( 49.3%) . The rate of medical file filing, follow-up rate of village doctor, participation rate of free physical examination and health education acceptance rate among patients with severe mental illness were 89.8%, 84.9%, 73.2% and 56.7% respectively ( P <0.05) . Female patients had higher participation rate of free physical examination than male patients, and patients having work and patients with controlled disease condition and their caregivers had higher rates of health education acceptance rate than their counterparts ( P <0.05) . Conclusion Measures should be taken to strengthen the work of medical examination for male patients, and to expand health education activities for patients having no work and patients with uncontrolled disease condition, so as to improve the public health service utilization in rural areas of Yunnan province. |
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