雅安市精神障碍患者就诊情况及影响因素研究
Study on the treatment of mental disorder patients in Ya 'an and its influencing factors
投稿时间:2020-06-27  修订日期:2020-08-13
DOI:
中文关键词:  精神障碍  卫生服务利用  就诊率
英文关键词:Mental disorder  Utilization of health services  Treatment rate
基金项目:1.芦山4.20地震五年后雅安地区精神障碍现况调查及干预对策研究;2.基于我国现行法律规定下非自愿住院精神分裂症患者出院模式探讨
作者单位地址
田国娇 雅安市第四人民医院 雅安市雨城区大兴镇清溪路
高茹 雅安市第四人民医院 
邹开庆 雅安市第四人民医院 
易宏 雅安市第四人民医院 
彭述蓉 雅安市第四人民医院 
白静珍 雅安市第四人民医院 
李家忠 雅安市第四人民医院 
李国波 雅安市第四人民医院 
虞甚也 雅安市第四人民医院 
王成英 雅安市第四人民医院 
张霞 雅安市第四人民医院 
张炳智* 雅安市第四人民医院 雅安市大兴镇清溪路7号
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中文摘要:
      目的 了解雅安市精神障碍患者就诊情况及影响因素,提高雅安市精神卫生服务利用质量。方法 采用分层整群随机抽样方法抽取雅安市6县2区9 000名居民作为调查对象,实际完成调查8876名,使用精神卫生服务利用调查表对其中符合《精神疾病诊断与统计手册》第5版(DSM-5)诊断标准的1 127例精神障碍患者的就诊情况进行调查。采用χ2检验及Logistics二元回归对患者就诊情况的影响因素进行分析。结果 1127例精神障碍患者中,曾到精神卫生专业机构就诊176例,就诊率15.62%(标化就诊率为15.61%)。就诊率排名后三的病种为:强迫及相关障碍(0.00%)、创伤及应激相关障碍(6.52%)、物质相关及成瘾障碍(7.92%)。未就诊而采用自助方式者(求神拜佛、咨询亲友等)41例,其中汉族23例,少数民族18例。居住地为乡村(OR=2.79,P<0.01)、家族史阴性(OR=0.01,P<0.01)、无就诊意愿(OR=0.33,P<0.01)是就诊情况的影响因素。结论 雅安市精神障碍患者就诊率偏低,尤其以强迫及相关障碍、创伤及应激相关障碍、物质相关及成瘾障碍最低。就诊方式以精神科住院及门诊就诊为主。居住在农村、家族史阴性、无就诊意愿影响精神障碍患者的就诊。
英文摘要:
      Objective To understand the treatment and influencing factors of mental disorder patients in Ya 'an city, improve the utilization quality of mental health services in Ya 'an city. Methods A stratified cluster random sampling method was adopted to select 9,000 residents in 6 counties and 2 districts of Ya 'an city, and 8 876 residents were actually investigated. A self-compiled mental health utilization questionnaire was used to investigate the 1,127 patients with mental disorders who conform the diagnostic criteria of DSM-5. The influencing factors were analyzed by 2 test and Logistics binary regression. Results 176 was sought treatment?, the rate was 15.62%(The standardized rate was 15.61%).Treatment rate bottom three diseases were compulsive and related disorders (0.00%), traumatic and stress-related disorders (6.52%), substance and addiction disorders (7.92%).41 patients (praying to Buddha, consulting relatives and friends) who did not seek medical treatment but adopted self-help methods: 23 cases of Han nationality and 18 cases of ethnic minorities.Rural residence (OR=2.79, P < 0.01), family history (OR=0.01, P < 0.01), and sought treatment intention (OR=0.33, P < 0.01) were the treatment rate influencing factors .Conclusion The treatment rate of mental disorders patients in Ya 'an is low, especially the compulsion and related disorders, trauma and stress-related disorders, substance related and addiction disorders. Psychiatric inpatient and out-patient treatment were the main methods of treatment. Living in rural areas, negative family history and no intention to see a doctor affect the treatment of patients with mental disorders.
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