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约旦慢性病患者自杀意念的社会心理预测因素

Psychosocial predictors of suicidal ideation in patients diagnosed with chronic illnesses in Jordan.

作者信息

Amer Nuha Remon Yacoub, Hamdan-Mansour Ayman M

机构信息

Royal Medical Services College for Allied Professions, Amman, Jordan.

出版信息

Issues Ment Health Nurs. 2014 Nov;35(11):864-71. doi: 10.3109/01612840.2014.917752.

Abstract

Suicide ideation (SI) is considered a major psychiatric emergency in patients diagnosed with chronic illnesses. Suicide ideation is a multifaceted issue that involves bio- psychosocial and cultural factors that interfere with patients' abilities. The purpose of this study is to investigate the psychosocial predictors of SI among Jordanian patients with chronic illnesses. A cross-sectional design using self-administered questionnaires was used to collect data from 480 patients diagnosed with diabetes mellitus, cardiovascular diseases, and cancer. The mean score of suicide ideation was 4.07 (SD  =  1.7) and almost 20% (n  =  85) of the participants found to be suicidal, the majority were suffering from moderate to severe depressive symptoms and low levels of life satisfaction. Also, the analysis showed that the patients had a high level of optimism and moderate perception of social support from family, friends, and significant other. Type of illness has a significant relation to the 'seriousness' component of SI (p  =  0.023). Depression (β  =  0.345, p<0.001) was a significant risk factor for 'thought' component of SI, and optimism (β  =  -0.008, p<0.05) a significant protective factor against the thought component of SI. Patients with chronic illnesses suffer serious psychological disturbances and are in need of psychological care, and periodic psychological screening to maintain their psychological wellbeing.

摘要

自杀意念(SI)被认为是诊断为慢性病患者的一种主要精神科急症。自杀意念是一个多方面的问题,涉及生物心理社会和文化因素,这些因素会干扰患者的能力。本研究的目的是调查约旦慢性病患者中自杀意念的心理社会预测因素。采用自我管理问卷的横断面设计,从480名诊断为糖尿病、心血管疾病和癌症的患者中收集数据。自杀意念的平均得分为4.07(标准差=1.7),近20%(n=85)的参与者被发现有自杀倾向,大多数人患有中度至重度抑郁症状且生活满意度较低。此外,分析表明,患者具有较高的乐观水平,对来自家人、朋友和重要他人的社会支持感知适中。疾病类型与自杀意念的“严重性”成分有显著关系(p=0.023)。抑郁(β=0.345,p<0.001)是自杀意念“想法”成分的一个显著危险因素,而乐观(β=-0.008,p<0.05)是预防自杀意念“想法”成分的一个显著保护因素。慢性病患者遭受严重的心理困扰,需要心理护理以及定期进行心理筛查以维持其心理健康。

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