抑郁症患者的就医行为及影响因素

目的:探讨抑郁症患者认识及就医行为的影响因素。方法:按就诊先后顺序把首次在专科医院就医的抑郁症患者309例作为A组,首次在综合医院就诊的抑郁症患者303例作为B组。对2组病例进行SCL-90、HAMD、一般状况问卷调查。对2组病例患者家属进行自制量表的调查。结果:对疾病的认识与宗教信仰(P<0.05)、婚姻(P<0.01)、家庭成员(P<0.01)、疾病特点(P<0.01)相关,就医行为与年龄(P<0.05)、性格(P<0.05),就医费用(P<0.05)、医生的建议(P<0.05)、宗教信仰(P<0.01)相关。结论:抑郁症患者及家属对疾病的认识及就医行为存在误区,专科医院就诊率低。

Behavior of Seing Doctor of Depressive Patients and Factor of Influence

Objective:To explore the influential factors of recognition of depressive disorder and medical treatment received behaviors. Methods: 309 depressive disorder patients who come to the special hospital for the first time according to the visit order were as Group A; 303 depressive disorder patients who come to the general hospital for the first time according to the visit order were as Group B and start the investigation of SCL-90, HAMD and general condition questionnaire. Meanwhile start the investigation of self-made questionnaire to the patients family members. Results: Recognition of the disease correlates to religion belief (P<0.05), marriage (P<0.01), family members (P<0.01), disease features (P<0.01); medical treatment received behaviors correlates to the age(P< 0.05), the medical cost(P<0.05),tersonality(P<0.05),doctor’ s recommend(P<0.05),religion belief(P<0.01).Conclusions: Misunderstandings exist of recognition to the disease and medical treatment received behaviors from the patients and the family members, meanwhile the visit ratio from special hospital was low.