在喘患者自我伤害行为之前的医疗保健利用,身体和精神疾病:一个嵌套的病例对照研究
Yen-Hsun Huang1, Hsien-Chih Chiou1, Chun-Hung Pan1,2
1Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan.
Journal of asthma and allergy
|May 13, 2024
概括
参与自我伤害行为的喘患者有更高的医疗保健利用率和更多的并发症,包括心血管疾病和抑郁症. 这强调了需要综合护理来管理喘和心理健康.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 喘患者面临着重大的身体,心理和财务负担.
- 以前的研究表明喘和自杀倾向之间存在联系.
- 了解喘的并发症和医疗保健利用是至关重要的.
研究的目的:
- 分析喘患者在自我伤害行为之前的医疗利用模式.
- 在喘患者中识别与自我伤害行为相关的并发症.
- 为了比较喘患者与没有自我伤害行为之间的医疗保健使用模型.
主要方法:
- 使用台湾国家健康保险研究数据库进行了嵌套病例控制研究.
- 分析了186,862名新诊断患有喘 (1999-2013) 的患者.
- 500个自我伤害行为的病例与10个对照组相匹配.
主要成果:
- 具有自我伤害行为的喘患者表现出更高的门诊访问和住院频率.
- 病例中显著增加了心血管疾病 (aOR=1.58),双相情感障碍 (aOR=2.97),抑郁症 (aOR=4.44) 和睡眠障碍 (aOR=1.83).
- 抑郁症和双相情感障碍等并发症与自我伤害行为密切相关.
结论:
- 参与自我伤害行为的喘患者表现出明显的医学利用和并发症模式.
- 这些发现为医务人员提供了参考,以减轻喘患者的自我伤害行为.
- 综合护理方法对于管理喘和相关心理健康状况至关重要.
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