本地与外来人口精神分裂症患者就医行为调查  

Investigate on medical seeking behavior in local population and the migrant population with schizophrenia

作　　者：孙仲礼 熊祥玉[2] 陈敬兰 班春霞[1] 屈冬燕 解艳 陆敏[1] 杜文永 高存友 SUN Zhongli;XIONG Xiangyu;CHEN Jinglan(Shanghai Jiading District Mental Health Center,Shanghai 201806,China)

机构地区：[1]上海市嘉定区精神卫生中心,上海201806 [2]上海市精神卫生中心

出　　处：《国际精神病学杂志》2020年第3期457-460,共4页Journal Of International Psychiatry

基　　金：上海市嘉定区精神卫生重点专科建设项目(编号:JDYXZDZK-3)。

摘　　要：目的调查上海市嘉定区本地人口与外来人口精神分裂症患者的就医行为。方法应用“精神分裂症患者精神卫生服务利用调查问卷”,对上海市嘉定区精神卫生中心门诊精神分裂症患者进行调查。结果①、两组患者在性别、年龄、宗教信仰、工作、年收入、家庭人均收入、病程及家族史上,差异均无统计学意义(P>0.05);本地人口精神分裂症患者受教育年限较外来人口患者长(P<0.01),已婚比例明显低于外来患者(P<0.05),且具有医保的比例明显高于外来患者(P<0.05)。②、两组患者在最先求助措施上,差异无统计学意义(P>0.05);本地人口精神分裂症患者距首诊专科时间明显长于外来人口患者(P<0.05)。结论本地人口精神分裂症患者婚姻状况差、距首诊专科时间较长,对这类患者应加以关注,在精神病防治工作方面需要加强。Objective The purpose of this study was to investigate the medical seeking behavior in Jiading local population and the migrant population with schizophrenia.Method Outpatients with schizophrenia attending Shanghai Jading District Mental Health Center were investigated with“Questionnaire on mental health service utilization of schizophrenic patients”.Results①The education years of local population patients were longer than migrant population with schizophrenia,the difference was statistically significant(P<0.01).The proportion of married patients in the local population was significantly lower than that in the migrant population with schizophrenia,the difference was statistically significant(P<0.05).The proportion of patients with health insurance in local population was significantly higher than migrant population with schizophrenia,the difference was statistically significant(P<0.05).The two groups were not statistically different in gender,age,religious beliefs,working or not,annual income,per capita household income,course of disease and family history(P>0.05).②The difference was statistically significant in time from first visit to specialty between the patients in Jiading local population and the migrant population with schizophrenia(P<0.05).On the other hand,the first seeking help method after the onset was not statistically significantly different(P>0.05).Conclusion The marital status was bad and the time from first visit to specialty was longer in Jiading local population with schizophrenia,attention should be paid to these patients,psychiatric prevention and treatment in this area should be strengthened.

关 键 词：本地人口 外来人口 精神分裂症 就医行为 

分 类 号：R749.3[医药卫生—神经病学与精神病学]