摘要
目的了解综合性医院精神科门诊中专科和非专科医师对抑郁症的识别情况及对抑郁症的治疗模式和临床疗效,并对其相关影响因素进行分析,为制定综合医院精神卫生服务政策提供相关依据。方法收集来自上海市9所综合性医院精神科门诊中的抑郁症患者47例,分为专科医师组20 例和非专科医师组27例,在入组时、治疗第2周、第4周、第8周、第12周时,进行汉密顿抑郁量表24项 (HAMD24)、汉密顿焦虑量表(HAMA)、健康状况调查问卷(SF-36)、修订社会功能缺陷筛选量表 (SDSS)、自编的药物依从性评估等量表的评定。结果 (1)综合性医院精神科门诊中专科医师对抑郁症的识别显著高于非专科医师组(X2=12．68,P<0．01)。(2)专科医师组对抑郁症的治疗疗效优于非专科医师组(X2=7．16,P<0．01),两者在治疗后第8周及第12周HAMD、HAMA总分减分率上有显著性差异。(3)两组在治疗第12周时SF-36各因子分均较入组时有显著提高。结论综合性医院精神科门诊中专科医师在对抑郁症的识别、治疗疗效上优于非专科医师;非专科医师对抑郁症的识别及诊治能力有待进一步提高,相关的卫生管理体系作用需要进一步加强。
Objective： By investigating the current situation about the recognition of depression by psychiatrists and physicians, and the analysis of related influential factors, the study is aimed to provide corresponding basis for constituting policy on mental health service in general hospital. Methods： 47 cases consulting psychiatric clinics from 9 general hospitals in Shanghai were divided into psychiatrists treated group and physicians treated group. HAMD24, HAMA, SF - 36, SDSS were used to evaluate the therapeutic effect. Resuits ： （ 1 ） The psychiatrists had much more efficiency in the recognition of depression than the physicians in general psychiatric practice. （ P 〈 0.01 ） （ 2 ） There were statistically significant differences in HAMD, HAMA score reduction and some factors score reduction after 8 - week and 12 - week treatment between the two groups. （3）There was a significant improve in the eight factors score of SF -36 after 12 - week treatment for both of the groups. Conclusion ： More efforts must be imposed to improve the recognition of depression by the physicians in general psychiatric practice, and thus the role of the mental health service system must be strengthened for its effective management in general hospitals.
出处
《上海精神医学》
2005年第6期339-342,共4页
Shanghai Archives of Psychiatry
关键词
抑郁症
综合性医院
Depressive disorder General Hospital
