综合医院心理科首诊患者就诊现状分析

目的分析综合医院心理科首诊患者的就诊现状,探讨精神疾病患者在综合医院的就诊误区。方法依据CCMD-3诊断标准,对79例心理科首诊患者的就诊次数、发病年龄、文化程度等进行统计。结果首诊心理科者:①发病年龄与其他组比较有非常显著差异(F=10.13,P0.01);受教育程度与第3次及以上就诊者比较有非常显著差异(F=5.51,P0.01);②睡眠问题,胸闷、胃肠道、心慌症状等躯体症状占(63.29%～32.91%)。结论应加大精神疾病知识的普及力度,加强综合医院非心理科医生对精神疾病的识别能力。

Analysise on Patients as the Primary Presentation in Psychology Department of General hospital

Objective To analyze patients as the primary presentation in psychology department of general hospital.To explore misunderstanding that mental disease patients see a doctor in hospital of general hospital.Methods According to the times of seeing doctors,age of onset,educational background of 79 cases as the primary presentation in psychology department were counted and analyzed.Based on CCMD-3 Standard of Diagnosis.Results Patients as the primary presentation in psychology department：①Age of onset was very significantly different than other group（F=10.13,P〈0.01）;educational background was very significantly different than the third presentation or over（F=5.51,P〈0.01）.②Somatization including sleep-disorder,chest stuffiness,gastrointestinal,flustered symptoms accounted for 63.29%～32.91%.Conclusion The popularization of mental illness should be increased, and the identify ability to mental disease of unpsychological doctors in general hospital should be strengthened.