老年精神疾病患者就医期望及影响因素分析

Medical expectations of elderly patients with mental illness and its influence factors

目的了解老年精神疾病患者就医期望现况,并分析其影响因素。方法采用一般资料调查表、领悟社会支持量表(PSSS)、精神疾病内化污名量表(ISMI)及就医期望评价量表对412例老年精神疾病患者展开调查,使用分层回归分析探讨患者就医期望的影响因素。结果老年精神疾病患者的就医期望得分为(174.15±33.58)分,其中以诊疗结果和价格收费2个维度的期望最高。回归分析结果显示年龄、文化程度、人均月收入和居住地是影响患者就医期望的主要因素(P<0.05),除人口学资料外,社会支持和自我污名可分别解释就医期望变异的10.6%和17.1%。结论老年精神疾病患者就医期望受多种因素影响,医护人员应综合考虑多方因素,尽力满足患者的就医期望。

Objective To know about the status quo of the medical expectations of elderly patients with mental illness and to analyze the influence factors. Methods A total of 412 elderly patients with mental illness were investigated using the General Information Questionnaire, Perceived Social Support Scale(PSSS), Internalized Stigma of Mental Illness Scale(ISMI) and Health Care Expectation Rating Scale. A stratified regression analysis was used to explore the influence factors of patients’ medical expectations. Results The medical expectation score for elderly patients with mental illness was(174.15±33.58), with the highest expectations for medical treatment results and price charges. The results of regression analysis showed that age, education level, monthly income per capita and place of residence were the main factors affecting patients’ medical expectations(P<0.05). In addition to demographic data, social support and self-stigma could be used to explain 10.6% and 17.1% of the variance in medical expectations, respectively. Conclusions The medical expectations for elderly patients with mental illness are affected by many factors. Medical staff should consider various factors in a comprehensive way and try their best to meet the patients’ medical expectations.