青海省藏族精神分裂症患者就诊延误及影响因素分析

Delay of Help-Seeking and The Related Factors Among Tibetan Patients with Schizophrenia in Qinghai

目的：探讨藏族精神分裂症患者就诊延误情况及其影响因素。方法：对青海省中央补助地方严重精神障碍管理治疗项目149例藏族精神分裂症患者的就诊等情况进行问卷调查。结果：在149例患者中，仅42例（28．19％）于出现症状后2个月内就诊，15例（10．07％）于（2～6）个月就诊，13例（8．72％）于（6～12）个月就诊，79例（53．02％）于12个月以上就诊，其中19例（12．75％）从发病到接受本次调查之日期间从未就诊。影响就诊延误的主要因素是婚姻状况、文化程度、家庭结构、居住地（P〈0．05）。结论：藏族精神分裂症患者就诊延误是一个严重问题，应大力开展精神卫生知识的健康教育并全面实施严重精神障碍管理治疗项目，促进患者及时就诊。

Objective： To study the delay of help--seeking and its related factors among Tibetan patients with schizophrenia in Qinghai Province.Methods..Totally 149 Tibetan patients with schizophrenia were investigated with questionnaires to investigate on delay of help--seeking and analyze the related factors. All the Tibetan patients were provided with the National Continuing Management and Intervention Program for Psychoses（ 686 Program）. Results.Among 149 Tibetan patients with schizophrenia, only 42 patients （28.19 %）visit doctor within two months after psychiatric symptoms was notified, 15 （ 10.07 % ）, 13 （8.72 %）, and 79 （53.02 %） respectively delayed at （2 6） months, （6 - 12） months, and 12 months later. 19 patient s （ 12.75 % ） had never visited doctor. Maj or risk factors of delay of help--seeking were marital status, educational level, family structure, place of residence. Conclusion： The delay of help--seeking in Tibetan patients with schizophrenia is a serious issue, which we should vigorously carry out health education and full implementation of 686 Program to promote Tibetan patients with schizophrenia seeking help timely.