中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2008年
4期
225-227
,共3页
张启文%肖水源%周亮%桂立辉%徐慧兰%刘庆武%何晓燕
張啟文%肖水源%週亮%桂立輝%徐慧蘭%劉慶武%何曉燕
장계문%초수원%주량%계립휘%서혜란%류경무%하효연
农村卫生%精神分裂症%诊室就医%就诊延误
農村衛生%精神分裂癥%診室就醫%就診延誤
농촌위생%정신분렬증%진실취의%취진연오
Rural health%Schizophrenia%Office visits%Delay of help-seeking
目的 探讨农村社区精神分裂症患者就诊延误情况及其影响因素.方法 以浏阳市农村社区为研究现场,采用分层整群随机抽样方法,对抽中的3个乡镇共23个行政村≥15岁常住人口61 165人进行精神障碍的线索调查,对符合美国精神障碍诊断与统计手册第4版轴I障碍定式临床检查患者版中精神分裂症诊断标准的220例患者进行问卷调查.就诊延误定义为出现精神症状后≥2个月的时间没有就诊于医疗机构.结果 220例精神分裂症患者中,仅71例(32.3%)在出现明确的精神症状1个月内到医疗机构就诊;129例(58.6%)就诊延误≥2个月,113例(51.4%)≥3个月,104例(47.3%)≥6个月,28例(12.7%)自发病到接受调查之日从未就诊.影响患者就诊延误的主要因素是起病缓慢、首发症状以阴性症状为主、文化程度低和无稳定婚姻关系.结论 浏阳市农村社区精神分裂症患者存在严重的就诊延误;针对影响就诊延误的主要因素,应通过健康教育和精神障碍筛查等手段提高精神分裂症患者的就诊率.
目的 探討農村社區精神分裂癥患者就診延誤情況及其影響因素.方法 以瀏暘市農村社區為研究現場,採用分層整群隨機抽樣方法,對抽中的3箇鄉鎮共23箇行政村≥15歲常住人口61 165人進行精神障礙的線索調查,對符閤美國精神障礙診斷與統計手冊第4版軸I障礙定式臨床檢查患者版中精神分裂癥診斷標準的220例患者進行問捲調查.就診延誤定義為齣現精神癥狀後≥2箇月的時間沒有就診于醫療機構.結果 220例精神分裂癥患者中,僅71例(32.3%)在齣現明確的精神癥狀1箇月內到醫療機構就診;129例(58.6%)就診延誤≥2箇月,113例(51.4%)≥3箇月,104例(47.3%)≥6箇月,28例(12.7%)自髮病到接受調查之日從未就診.影響患者就診延誤的主要因素是起病緩慢、首髮癥狀以陰性癥狀為主、文化程度低和無穩定婚姻關繫.結論 瀏暘市農村社區精神分裂癥患者存在嚴重的就診延誤;針對影響就診延誤的主要因素,應通過健康教育和精神障礙篩查等手段提高精神分裂癥患者的就診率.
목적 탐토농촌사구정신분렬증환자취진연오정황급기영향인소.방법 이류양시농촌사구위연구현장,채용분층정군수궤추양방법,대추중적3개향진공23개행정촌≥15세상주인구61 165인진행정신장애적선색조사,대부합미국정신장애진단여통계수책제4판축I장애정식림상검사환자판중정신분렬증진단표준적220례환자진행문권조사.취진연오정의위출현정신증상후≥2개월적시간몰유취진우의료궤구.결과 220례정신분렬증환자중,부71례(32.3%)재출현명학적정신증상1개월내도의료궤구취진;129례(58.6%)취진연오≥2개월,113례(51.4%)≥3개월,104례(47.3%)≥6개월,28례(12.7%)자발병도접수조사지일종미취진.영향환자취진연오적주요인소시기병완만、수발증상이음성증상위주、문화정도저화무은정혼인관계.결론 류양시농촌사구정신분렬증환자존재엄중적취진연오;침대영향취진연오적주요인소,응통과건강교육화정신장애사사등수단제고정신분렬증환자적취진솔.
Objective To study the extent of delay in help-seeking and its related factors among patients with schizophrenia in rural communities.Methods Twenty-three villages were sampled from Liuyang City using stratified-cluster random sampling techniques.Clues of schizophrenia were identified among 61 165 residents,in which 220 persons were diagnosed as schizophrenia by using the Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition (SCID-I/P).Delay of help-seeking was defined as being delayed 60 days and more to visit a doctor after psychiatric symptoms was notified.Results Among 220 cases with schizophrenia,only 71 (32.3% ) visited doctors within one month after psychiatric symptoms notified,129(58.6% ),113(51.4% ),and 104(47.3% ) delayed at least two,three and six months,respectively.Subtle onset,negative symptoms (such as apathy,hypobulia),lower-level educated, unstable marital and family structure were major risk factors of delay in help seeking Conclusion Delay in help-seeking in patients with schizophrenia is a serious mental health problem in rural areas.This study implies that targeted health education and scanning for schizophrenia are urgently needed to promote patients with schizophrenia seeking help from medical institutions.
