本文選題：軍隊(duì)　切入點(diǎn)：醫(yī)院　出處：《軍醫(yī)進(jìn)修學(xué)院學(xué)報(bào)》2006年04期

【摘要】：目的:研究某軍隊(duì)醫(yī)院內(nèi)科門診患者神經(jīng)癥性癥狀的流行規(guī)律和具有此類癥狀患者的醫(yī)院滿意度及影響因素。方法:從某三家軍隊(duì)醫(yī)院內(nèi)科門診隨機(jī)抽取502名患者。用Zung焦慮自評(píng)表,W akefield抑郁自評(píng)表,A lbert驚恐障礙和軀體化障礙評(píng)估手冊(cè),一般情況調(diào)查表評(píng)估研究對(duì)象。心理科醫(yī)生、內(nèi)科醫(yī)生依據(jù)DSM-Ⅳ對(duì)502名患者進(jìn)行鑒別診斷。結(jié)果:502名患者中,2/3為軀體疾病不伴有神經(jīng)癥性癥狀,1/3為有神經(jīng)癥性癥狀。其中有神經(jīng)癥性癥狀患者中,已確診為各種神經(jīng)癥的占34.5%,確診為軀化障礙的占8.33%,確診為軀體疾病伴神經(jīng)癥性癥狀的占57.14%。神經(jīng)癥性癥狀組自認(rèn)醫(yī)院滿意度顯著低于軀體疾病不伴有神經(jīng)癥性癥狀組。結(jié)論:軍隊(duì)醫(yī)院內(nèi)科門診患者的心理問題嚴(yán)重,神經(jīng)癥性癥狀患者自認(rèn)醫(yī)院滿意度低。神經(jīng)癥性癥狀嚴(yán)重程度,自認(rèn)疾病程度、特殊檢查次數(shù)、累積就診次數(shù)、累積醫(yī)療費(fèi)用、藥物治療情況對(duì)此類患者的醫(yī)院滿意度影響較大�？梢酝ㄟ^采用加強(qiáng)精神衛(wèi)生服務(wù)意識(shí)和觀念、重視對(duì)精神衛(wèi)生知識(shí)的學(xué)習(xí)和運(yùn)用等對(duì)策干預(yù)目前軍隊(duì)醫(yī)院內(nèi)科門診的這一現(xiàn)狀。
[Abstract]:Objective: to study the prevalence of neurotic symptoms in outpatients of internal medicine in a military hospital and the hospital satisfaction and influencing factors of patients with these symptoms. Methods: 502 patients were randomly selected from the outpatient department of internal medicine in three military hospitals. Using the Zung anxiety self-assessment form and W akefield depression self-assessment form A lbert panic disorder and somatization disorder evaluation manual, General situation questionnaire assesses the subjects of the study. The physician differentiated 502 patients according to DSM- 鈪，

本文編號(hào)：1660897