精神疾病就诊途径及其影响因素

Seeking behavior of patients with mental disorders and interfering factors

目的 探讨不同精神疾病就诊途径及其影响因素。方法 采用自制《精神疾病就诊途径调查表》调查首诊于精神科的病人 3 98例。结果 5 0 %的躁狂症、66%的精神分裂症、近 90 %的抑郁症和神经症首诊于非精神科。 80 %不首诊于精神科的理由 ,视病情为正常现象、性格、思想和情绪问题。 1/3的病人患病 1年后才来专科就诊。其中多数病人在非精神科机构接受了多种检查和治疗。近 10 %的抑郁症、神经症和精神分裂症首诊精神科前已花费万元以上。结论 目前精神疾病就诊途径仍是问题 ,建议加强精神卫生知识在公众和综合性医院的普及工作。

Objective Toapproachdifferenthelp seekingbehavioranditseffectsonpatientswithmental illness Methods Weinvestigatedthepatientsfirstseekinghelpinpsychiatrydepartment,byapplyingthescale ofhelp seekingbehaviorofmentalillness Results Thereweresignificantdifferencesamongdifferentmental disorders 5 0 %patientswithmania ,66%withschizophrenia ,andabout 90 %withdepressionorneurosisfirst wenttogeneralhospitalwhentheirillnessbegan About 80 %patientsconsideredtheirsymptomsasnormal, temperament,andmoodproblems Thecourseofone thirdpatientswasoneyear,andmostpatientsweretreated withtraditionalherbs,westdrugsandtests Nearly 10 %patientswithdepression ,neurosisandschizophrenia spentmorethen 10 0 0 0yuanbeforeseekingthedoctorinpsychiatry Conclusion Nowthenitisstillamain problemforpatientswithmentaldisordersinseekingbehavior Wesuggestthatthepropagandaoftheknowledgeof mentalhealthshouldbepaidmoreattention ,especiallyforthepeopleincommunityanddoctorsingeneral hospital