中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2010年
6期
477-479
,共3页
姜荣环%党卫民%马弘%刘梅颜%白文佩%魏镜%何燕玲
薑榮環%黨衛民%馬弘%劉梅顏%白文珮%魏鏡%何燕玲
강영배%당위민%마홍%류매안%백문패%위경%하연령
抑郁%诊断%鉴别%门诊病人
抑鬱%診斷%鑒彆%門診病人
억욱%진단%감별%문진병인
Depression%Diagnosis,difierential%Outpatients
目的 了解非精神科医生对抑郁障碍的识别及相关因素.方法 对北京三所三级医院连续就诊患者进行横断面调查,抑郁障碍患者经国际神经精神科简式访谈问卷进行诊断,非精神科医生对抑郁障碍的"识别"定义为给予抑郁障碍患者精神类药物或建议精神科就诊.结果 非精神科医牛对抑郁障碍的识别率为21.0%,其中神经科医生的识别率为40.4%,明显高于心内科(22.4%)、消化科(3.8%)和妇科(2.0%)(x2=61.077,P<0.05).就诊于神经科、疾病对生活的影响大、有精神障碍病史、主诉精神心理主题、合并焦虑障碍是非精神科医生识别抑郁障碍的相关因素(P<0.05);精神心理主题主诉中,情绪问题和失眠问题与非精神科医牛对抑郁障碍识别的联系有统计学意义(P<0.05).结论 综合医院非精神科医牛对抑郁障碍的识别率较低;疾病对生活的影响大,有精神障碍的病史,主诉情绪和失眠问题的抑郁障碍患者更容易被医生识别.
目的 瞭解非精神科醫生對抑鬱障礙的識彆及相關因素.方法 對北京三所三級醫院連續就診患者進行橫斷麵調查,抑鬱障礙患者經國際神經精神科簡式訪談問捲進行診斷,非精神科醫生對抑鬱障礙的"識彆"定義為給予抑鬱障礙患者精神類藥物或建議精神科就診.結果 非精神科醫牛對抑鬱障礙的識彆率為21.0%,其中神經科醫生的識彆率為40.4%,明顯高于心內科(22.4%)、消化科(3.8%)和婦科(2.0%)(x2=61.077,P<0.05).就診于神經科、疾病對生活的影響大、有精神障礙病史、主訴精神心理主題、閤併焦慮障礙是非精神科醫生識彆抑鬱障礙的相關因素(P<0.05);精神心理主題主訴中,情緒問題和失眠問題與非精神科醫牛對抑鬱障礙識彆的聯繫有統計學意義(P<0.05).結論 綜閤醫院非精神科醫牛對抑鬱障礙的識彆率較低;疾病對生活的影響大,有精神障礙的病史,主訴情緒和失眠問題的抑鬱障礙患者更容易被醫生識彆.
목적 료해비정신과의생대억욱장애적식별급상관인소.방법 대북경삼소삼급의원련속취진환자진행횡단면조사,억욱장애환자경국제신경정신과간식방담문권진행진단,비정신과의생대억욱장애적"식별"정의위급여억욱장애환자정신류약물혹건의정신과취진.결과 비정신과의우대억욱장애적식별솔위21.0%,기중신경과의생적식별솔위40.4%,명현고우심내과(22.4%)、소화과(3.8%)화부과(2.0%)(x2=61.077,P<0.05).취진우신경과、질병대생활적영향대、유정신장애병사、주소정신심리주제、합병초필장애시비정신과의생식별억욱장애적상관인소(P<0.05);정신심리주제주소중,정서문제화실면문제여비정신과의우대억욱장애식별적련계유통계학의의(P<0.05).결론 종합의원비정신과의우대억욱장애적식별솔교저;질병대생활적영향대,유정신장애적병사,주소정서화실면문제적억욱장애환자경용역피의생식별.
0bjective To explore the level of identification and related factors of depression in physicians of Beijing tertiary general hospitals.Methods A cross-sectional investigation was used to screen the outpatients,and depression was diagnosed according to Mini International Neuropsyehiatric Interview (MINI).Identification of depression was defined as referral to psychiatrist or managed with antidepressant or sedative hypnotics.Results Among 248 cases of depression,30(12.1%)were referred to psychiatrists,28(8.9%)managed with antidepressant or sedative hypnotics.The identification rate of depression by physicians was 21.0%.and the identification rate by neurologist was 40.4%,which is higher than the rate by cardiologist(22.4%),gastrointestinal physician(3.8%)and gynecologist(2.0%)(χ2=61.077,P<0.05).Visiting neurology department,severity of life impairment,with psychotic distress history,hadpsychological complaints.co-morbidity with anxiety related to the physician's identification of depression.Among the psychological complaints.only mood disorder and insomnia were related to the physician'sidentification of depression.Conclusions The level of depression identification by physician was low,the level of neurologist wag higher than that of cardiologist,gastrointestinal physician and gynecologist.The patient with serious life impairment,psychotic distress history,mood disorder and insomnia complaints was asily to be identified.
