心理因素与门诊服务利用的关系  

The Relation between Mental Factors and Outpatient Service Utility

作　　者：何江江[1] 徐凌忠[1] 孙辉[2] 张希玉[2] 王建新[2] 李瑞英[2] 

机构地区：[1]山东大学社会医学与卫生事业管理研究所,济南250012 [2]威海市疾病预防控制中心,威海264200

出　　处：《中国心理卫生杂志》2007年第9期646-649,660,共5页Chinese Mental Health Journal

基　　金：威海市卫生局委托研究项目(威卫函[2004]30号)

摘　　要：目的：探索心理因素与门诊服务利用的关系。方法：采用分层整群随机抽样方法抽取样本,利用自制调查问卷和Kessler10量表进行访谈式调查。结果：共调查威海市15岁及以上居民11652人。占威海市总人口的4.72‰。（1）居民两周患病检出率为10.4%（其中农村地区为10.9%,城市地区为7.7%）,两周就诊率平均为4.8%（其中农村地区为5.0%,城市地区为4.1%）;63.6%的患者就诊时选择基层医疗机构;（2）单因素和多因素分析结果显示,影响门诊服务利用的主要心理因素是K10分值,其高分组（30-50）的OR值=2.258（95%CI：1.265-4.032）。结论：心理健康状况差与两周就诊率高相关。Objective： To find out the relationship between mental factors and outpatient service utility. Method： Stratum-based random sampling method was used to select samples. The sample was interviewed with both selfmade questionnaire and Kessler 10 rating scale. Results： The survey covered 11652 persons aged 15 and above. The incidence within two weeks was 10. 38% （ 10. 87% in rural areas and 7. 73% in urban areas ）, the average rate of outpatient service seeking within two weeks was 4. 83% （4. 97% in rural areas and 4. 11% in urban areas） , 63. 59% of the patients selected mainly the basic health service institution when they sought outpatient service; the primary mental factor affecting utility of outpatients was the mental state （ K10 score ） , and the OR value of the high K10 group （ scored 30 -50） was 2. 258 （95% CI： 1. 265 - 4. 032） . Conclusions： Poor mental health is associated with higher utility of out-clinic service.

关 键 词：心理 门诊服务 利用 Kessler10(K10) logistic多因素分析 横断面调查 

分 类 号：R395.1[哲学宗教—心理学]