山西职工医学院学报
山西職工醫學院學報
산서직공의학원학보
Journal of Shanxi Medical College for Continuing Education
2015年
5期
5-8
,共4页
社区服务中心%全科门诊%精神障碍%检出率
社區服務中心%全科門診%精神障礙%檢齣率
사구복무중심%전과문진%정신장애%검출솔
community service centers%full outpatient%mental disorders%detection rate
目的：研究社区卫生服务中心全科门诊精神障碍的检出率。方法：选取2013年1月~2014年1月社区服务中心就诊患者160例入组研究对象，按随机数字法将他们分为对照组和观察组，各80例。对照组进行精神障碍常规诊断，观察组进行精神障碍干预诊断。调查分析两种诊断方法的灵敏度和特异度，以及两组患者的总精神障碍检出率及各项具体精神障碍检出率。结果：两种诊断方法的灵敏度和特异度均有明显差异，具有统计学意义（P ﹤0．05）。观察组精神障碍的检出率为58．75%，而对照组为26．25%，两组比较差异具有统计学意义（P ﹤0．05）。观察组抑郁障碍以及焦虑障碍的检出率也均明显高于对照组，两组比较差异具有统计学意义（ P ﹤0．05）。结论：社区精神障碍检出率较高，精神科医师的指导以及专题讨论会的展开有助于精神障碍的检出，提高精神障碍患者的识别率。
目的：研究社區衛生服務中心全科門診精神障礙的檢齣率。方法：選取2013年1月~2014年1月社區服務中心就診患者160例入組研究對象，按隨機數字法將他們分為對照組和觀察組，各80例。對照組進行精神障礙常規診斷，觀察組進行精神障礙榦預診斷。調查分析兩種診斷方法的靈敏度和特異度，以及兩組患者的總精神障礙檢齣率及各項具體精神障礙檢齣率。結果：兩種診斷方法的靈敏度和特異度均有明顯差異，具有統計學意義（P ﹤0．05）。觀察組精神障礙的檢齣率為58．75%，而對照組為26．25%，兩組比較差異具有統計學意義（P ﹤0．05）。觀察組抑鬱障礙以及焦慮障礙的檢齣率也均明顯高于對照組，兩組比較差異具有統計學意義（ P ﹤0．05）。結論：社區精神障礙檢齣率較高，精神科醫師的指導以及專題討論會的展開有助于精神障礙的檢齣，提高精神障礙患者的識彆率。
목적：연구사구위생복무중심전과문진정신장애적검출솔。방법：선취2013년1월~2014년1월사구복무중심취진환자160례입조연구대상，안수궤수자법장타문분위대조조화관찰조，각80례。대조조진행정신장애상규진단，관찰조진행정신장애간예진단。조사분석량충진단방법적령민도화특이도，이급량조환자적총정신장애검출솔급각항구체정신장애검출솔。결과：량충진단방법적령민도화특이도균유명현차이，구유통계학의의（P ﹤0．05）。관찰조정신장애적검출솔위58．75%，이대조조위26．25%，량조비교차이구유통계학의의（P ﹤0．05）。관찰조억욱장애이급초필장애적검출솔야균명현고우대조조，량조비교차이구유통계학의의（ P ﹤0．05）。결론：사구정신장애검출솔교고，정신과의사적지도이급전제토론회적전개유조우정신장애적검출，제고정신장애환자적식별솔。
Objective:To study the detection rate at General outpatient in Community Health Service Center. Methods:160 patients in Community Service Center from January 2013 to January 2014 were studied,and randomly di-vided into a control group and a observation group. The control group(80 patients)was used with mental disorders rou-tine diagnosis,and the observation group(80 patients)was used with mental disorder intervention diagnosis. The sensi-tivity and specificity of two diagnostic methods were investigated,and the mental disorders detection rate,depression disorders detection rates and the anxiety disorders detection rate of two groups were analyzed. Result:There was statisti-cally significant difference in the sensitivity and specificity of two diagnostic methods(P ﹤ 0. 05). The mental disorders detection rate of the observation group was 58. 75% ,while the control group was 26. 25% ,so there was statistically sig-nificant difference in the two groups(P ﹤ 0. 05). The detection rate of depressive disorder and anxiety disorders in the observation group were also significantly higher than the control group,and there was statistically significant difference in the two groups(P ﹤ 0. 05). Conclusion:The mental disorders detection rate in the community is higher. The guide of psychiatrists and seminars can promote the detection of mental disorders,which furthermore improves the recognition rate of mental disorders.
