【摘要】 目的 分析河北省精神障碍患者就诊距离的差异,为河北省精神卫生资源配置提供参考。方法 参与2016年6-8月河北省第二次精神障碍流行病学调查并诊断为精神障碍者,采用问卷调查的方法,调查精神障碍者就诊精神卫生医疗机构的距离、求医方式等,对整理后的数据进行统计学分析。结果 共发放问卷2 186例,回收符合要求、就诊情况部分填写信息完整问卷1 961份,其中符合DSM-Ⅳ-TR轴Ⅰ障碍者1 826份,精神发育迟滞和痴呆者135例。就诊距离在30 km以内的患者构成比为67.67%(1 327/1 961)。有426例患者未曾进行精神疾病的治疗,其他患者采取了不同的求医方式:精神卫生机构,诊所、综合医院,或采取迷信等非医疗方式。各地市城市之间的精神障碍患者就诊距离构成比以及求医方式差异有统计学意义(P<0.05)。结论 河北省内各个地市精神障碍患者就诊精神卫生机构的距离不尽相同,不同的就诊距离精神障碍患者获得精神卫生服务的方式和感觉均不相同。更多还原

【Abstract】 Objective To analyze the differences in the distance between patients with mental disorders and medical services,so as to provide references for the allocation of mental health resources in Hebei Province. Methods From June to August in 2016, the patients who has been diagnosed with mental disorder in the second epidemiological investigation of mental disorders in Hebei Province were investigated for the distance from medical services and the their method of seeking for medical service by questionnaires. Descriptive analysis of data and x~2 test were performed. Results A total of 2 186 questionnaires were released. The number of recovery questionnaires which met the recovery criteria with full filled information was 1 961 : 1 826 cases of mental disorders and 135 cases of mental retardation and dementia. The constituent rate of patients within a distance of 30 km was 67.67%(1 327/1 961). There were 426 cases patients who have not been treated for mental illness. Other patients have taken different methods to seek medical services like mental health institutions, clinics and hospitals, or have taken superstitious and other non-medical methods. The differences between constituent rate of treatment distance and methods of seeking medical service were statistically significant(P < 0.05). Conclusions The distance between medical service and patients are different from cities in Hebei Province. The access to mental health service and feeling in patients with different treatment distance are different.更多还原