《精神卫生法》颁布后精神专科医院患者入院方式的现状调查

摘要

目的 了解《中华人民共和国精神卫生法》颁布后精神专科医院患者的入院方式.方法 随机抽取重庆市精神卫生中心2013年5月1日~2016年4月30日收治住院的精神障碍患者住院病历313份,采用自制调查量表对入院方式等进行横断面调查.结果 313例患者中自愿入院者128例(40.9%),非自愿入院185例(59.1%).两组患者临床诊断分布、自知力、治疗意愿的差异有统计学意义(P<0.01);非自愿入院患者中严重精神障碍患者比例更高(P<0.01).Logistic回归显示治疗意愿是非自愿住院的危险因素(OR=3.231,95%CI=1.657~6.300,P<0.01).结论 精神卫生法颁布实施以来,精神专科医院精神障碍患者入院方式仍以非自愿住院为主,受患者治疗意愿影响.%Objective To explore the admission style of psychotic patients in psychiatric hospital after Mental Health Law issued. Methods Totals of 313 psychotic inpatients in Chongqing Mental Health Center from May 1, 2013 to April 30, 2016 were assessed by self-made questionnaire. Results In all patients, 128 (40.9%) were voluntary admission, while 185 were involuntary admission (59.1%). Clinical diagnosis, insight and attitudes toward treatment were statistically significant between two groups (P<0.01). Proportion of severe mental disorders were significantly higher in involuntary admission group (P<0.01). Logistic regression showed that treatment attitude (OR=3.213,95%CI=1.657-6.300,P<0.01) was influencing factor of involuntary hospi-talization. Conclusions Involuntary hospitalization is the major admission style of psychotic patients after Men-tal Health Law issued. Treatment attitude may have an impact on it.