1 324例某部救援人员自评抑郁状况的调查及影响因素分析

Prevalence and influencing factors of self-assessed depression in 1 324 rescuers:A cross-sectional study

  • 摘要: 目的 调查陆军某部1 324例救援人员抑郁水平和相关影响因素,提供该部人员早期预警模型和循证依据。方法 于2018年11月采取整群抽样方式,对某部全体救援人员进行健康问卷抑郁量表(Patient Health Questionnaire 9,PHQ9)的横断面调查,运用logistic回归分析抑郁自评阳性的相关因素。结果 该部救援人员均为男性,平均年龄20.54±1.86岁,PHQ9自评抑郁阳性率为10.3%(137/1 324),logistic回归分析结果显示:吸烟年数(OR=1.261;95% CI:1.006 ~ 1.582)、家族史(OR=4.263;95% CI:1.567 ~ 11.600)、失眠(OR=5.154;95% CI:1.470 ~ 18.072)是抑郁自评阳性的影响因素(P均<0.05)。结论 该部救援人员抑郁自评阳性可能与吸烟年数、家族史和失眠有关,应针对这些因素进行早期预防和管理,避免因抑郁状态造成的非战斗减员。

     

    Abstract: Objective To explore the prevalence and influencing factors of depression in 1324 rescuers,and provide early-warning model and evidences for them. Methods Patient Health Questionnaire (PHQ9) was used to perform a cross-sectional survery on rescuers in November 2018.Logistic regression was used to explore risk factors of positive self-assessed depression. Results All the rescuers were male,with the average age of (20.54±1.86) years old.The positive rate of self-assessed depression in the rescuers was 10.3% (137/1 324).Logistic regression analysis showed that years of smoking (OR,1.261;95% CI,1.006 to 1.582),family history of diseases (OR,4.263;95% CI,1.567 to 11.600),insomnia (OR,5.154;95% CI,1.470 to 18.072) were risk factors of self-assessed depression. Conclusion The self-assessed depression may be related with years of smoking,family history of diseases and insomnia.Early prevention and management should be done so as to avoid attrition due to depression.

     

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