男科门诊患者心理状况调查及风险预警联合多学科团队协作干预对男科门诊患者满意度的影响  

Psychological status-based early risk warning combined with multidisciplinary team intervention improves satisfaction of the outpatients in the andrology clinic

作　　者：黄勋梅 孟平 李慧 何伟翔 马晓丽 高晶晶 薛睿智 程蕊 HUANG Xun-mei;MENG Ping;LI Hui;HE Wei-xiang;MA Xiao-li;GAO Jing-jing;XUE Rui-zhi;CHENG Rui(Department of Urology,The First Affiliated Hospital of Air Force Military Medical University,Xi’an,Shaanxi 710032,China;Department of Neurology,The First Affiliated Hospital of Air Force Military Medical University,Xi’an,Shaanxi 710032,China;Department of Gastroenterology,The First Affiliated Hospital of Air Force Military Medical University,Xi’an,Shaanxi 710032,China;Department of Oncology,The First Affiliated Hospital of Air Force Military Medical University,Xi’an,Shaanxi 710032,China)

机构地区：[1]空军军医大学第一附属医院泌尿外科,陕西西安710032 [2]空军军医大学第一附属医院神经内科,陕西西安710032 [3]空军军医大学第一附属医院消化内科,陕西西安710032 [4]空军军医大学第一附属医院肿瘤科,陕西西安710032

出　　处：《中华男科学杂志》2024年第10期878-883,共6页National Journal of Andrology

基　　金：国家自然科学基金(82201768);空军军医大学第一附属医院学科助推计划立项资助项目(XJHL22D103)。

摘　　要：目的:调查男科门诊患者的心理状况,探讨风险预警联合多学科团队协作干预诊疗对男科门诊患者满意度的影响。方法:采用方便抽样法对2022年7~10月就诊于空军军医大学第一附属医院男科门诊的患者进行抽样,最终纳入600例患者作为研究对象。采用简单随机分组法将患者分为对照组和观察组各300例。采用自制一般问卷了解患者基本信息,医院焦虑抑郁量表(HADS)评价患者抑郁状态,医院门诊患者满意度问卷调查表调查患者满意度。对照组患者按常规诊疗流程就诊;观察组患者就诊前将HADS评分反馈给接诊医生进行预警,HADS≤7分者医生正常接诊,针对HADS在8~10分者,医生在接诊过程中应用共情方式,HADS≥11分的患者,由心身科医生介入实施联合诊疗干预,最后调查比较两组患者的就诊满意度。结果:两组患者的一般情况无统计学差异(P>0.05);男科门诊患者普遍存在焦虑抑郁情绪(综合焦虑抑郁阳性率47.83%,对照组和观察组阳性率分别为47.00%、48.67%);学历相对较低的患者合并焦虑抑郁的比例更高(初中及以下、高中/中专、本科及以上学历的焦虑抑郁阳性率分别为60.99%、22.34%、16.67%);相对年轻的患者焦虑抑郁状态患病率更高(18~40岁组、41~60岁组和61岁以上组的焦虑抑郁阳性率分别为67.38%、51.82%、38.33%);观察组患者就诊满意度(97.18%)高于对照组满意度(90.39%,P<0.05)。结论:男科门诊患者普遍存在焦虑、抑郁心理情绪,学历相对较低和年龄相对较低的患者合并焦虑抑郁的风险更高,风险预警联合多学科团队协作干预可提高男科门诊患者的满意度。Objective:To investigate the psychological status of the outpatients in the andrology clinic and the effect of risk warning combined with multidisciplinary team(MDT)intervention on their satisfaction.Methods:Using convenience sampling,we enrolled 600 outpatients seeking medical attention in the Department of Andrology of our hospital from July to October 2022.We randomized the patients into a control(n=300)and an observation group(n=300),obtained their basic information,evaluated their psychological status with the Hospital Anxiety and Depression Scale(HADS),and assessed their satisfaction with the Xijing Hospital Outpatients'Satisfaction Questionnaire(HOSQ).The controls followed the routine procedure of treatment,while the patients in the observation group received early warning before intervention based on their HADS scores.We provided normal medical care for those with HADS scores≤7,employed empathetic communication for those with HADS scores of 8-10,and conducted MDT intervention for those with HADS scores≥11,followed by comparison of the patients'satisfaction with the outpatient service between the two groups.Results:There were no statistically significant differences in general conditions between the groups of patients(P>0.05).The mean prevalence rate of anxiety and depression was 47.83%among the male subjects,lower in the control than in the observation group(47.00%vs 48.67%,P>0.05),but higher in the patients with the education of junior high school or below(60.99%)than in those with that of senior high school(22.34%)and university or above(16.67%),and also higher in those aged 18-40 years(67.38%)than in those aged 41-60 years(51.82%)and over 60 years old(38.33%).A significantly higher rate of satisfaction with the outpatient service was found in the observation group than in the controls(97.18%vs 90.39%,P<0.05).Conclusion:Anxiety and depression are prevalent among the outpatients in the andrology clinic,with a higher prevalence rate in those with lower education and at a younger age.Early risk warning

关 键 词：男科 门诊 预警干预 多学科 满意度 心理 护理 

分 类 号：R473.6[医药卫生—护理学]