影响抑郁症患者精神专科门诊治疗的相关因素研究

目的探讨影响抑郁症患者在精神专科门诊治疗的相关因素，为提高治疗依从性提供科学依据。方法采用简明精神病量表（BPRS）和自制问卷调查79例精神专科医院门诊就诊的抑郁症患者，分析影响在专科治疗的因素，进行健康指导，采取预约复诊或电话回访随访1年。结果63．29％的抑郁症患者首诊选择非精神科诊治；53．16％的患者未到精神科就诊的原因是不知道患抑郁症；首诊于精神专科的患者诊断、首次连续治疗时间、用药、疗效均明显优于首诊于非精神科患者（P〈0．01）；系统健康教育后治疗依从性提高，差异有统计学意义（P〈0．01）。结论对医护人员、患者及家属开展积极有效的精神卫生知识宣传与普及是提高早期诊断、早期治疗、提高疗效、防止复发的关键。

Research on relatively factors which influence depressions' therapy in psychosis clinic

Objective To investigate the factors which influence the depressions' therapy in psychosis clinic,provide Scientific basis for improving the level of treatment compliance.Methods The Brief Psychiatric Rating Scale and home-made questionnaire were used to investigate 79 depressions patients who took treatment in psychosis clinic,to analyse the influencing factors,and to give them the Health guide.Appointment for further consultation or call to follow up were carried out for 1 year.Results There were 63.29% depressions chose the general hospital to see the doctor at first time,53.16% patients did not go to the psychiatric hospital because they didn' t know their disease feature;the diagnosis,treatment session,medication,effect are obviously prior in the patients seeing the psychiatrists at first time(P ＜ 0.01);patients' therapeutic compliance improved after Systemic health education,the discrepancy is statistically significant.(P ＜ 0.01).Condnsions To make active and valid propaganda on mental healthy is the key points to diagnosis and therapy prophase,can also prevent the recrudesce.