某军队医院内科门诊神经症性症状患者医院满意度的影响因素.pdf
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1、某军队医院内科门诊神经症性症状患者医院满意度的影响因素 宁淑娥1, 李艳秋2, 李 萍1, 李维华3 (1. 海军大连舰艇学院, 辽宁大连 116018; 2. 海军上海基地水电路干休所; 3. 旅顺基地干休所, 辽宁大连 116000) 摘要 目的: 研究某军队医院内科门诊患者神经症性症状的流行规律和具有此类症状患者的医院满意度 及影响因素。方法: 从某三家军队医院内科门诊随机抽取 502 名患者。用 Zung 焦虑自评表, Wakefield 抑郁自评 表, Albert 惊恐障碍和躯体化障碍评估手册, 一般情况调查表评估研究对象。心理科医生、 内科医生依据 DSM-对 502 名患者进行
2、鉴别诊断。结果: 502 名患者中,2/3 为躯体疾病不伴有神经症性症状,1/3 为有神经症性症状。 其中有神经症性症状患者中, 已确诊为各种神经症的占34. 5%, 确诊为躯化障碍的占8. 33%, 确诊为躯体疾病伴神 经症性症状的占 57. 14%。神经症性症状组自认医院满意度显著低于躯体疾病不伴有神经症性症状组。结论: 军 队医院内科门诊患者的心理问题严重, 神经症性症状患者自认医院满意度低。神经症性症状严重程度, 自认疾病程 度、 特殊检查次数、 累积就诊次数、 累积医疗费用、 药物治疗情况对此类患者的医院满意度影响较大。可以通过采用 加强精神卫生服务意识和观念、 重视对精神卫生知识的
3、学习和运用等对策干预目前军队医院内科门诊的这一现状。 关键词 军队, 医院;门诊病人;神经行为学表现;病人满意度 中图分类号 R 395. 1文献标识码 A文章编号 1005-1139 (2006) 04-0281-03 Study on the internal medicine department outpatientssatisfaction with hospitals in mili- tary hospitals and its correlative factors NING Shu-e,LI Yan-qiu,LI Ping,LI Wei-hua (Psychological
4、Counseling Center,Naval Da Lian Academy, Liaoning Dalian 116018, China) ABSTRACT Objective: To investigate the prevalence of neurotic symptoms in internal medicine department of some military hospitals and for the outpatients with neurotic symptoms how to satisfy with hospitals and its correlative f
5、actors. Methods:First- ly, 502 subjects were taken out from all outpatients in internal medicine department of three military hospitals, Secondly, all sub- jects were tested by SAS、 SDS、 Albert manual for the panic and summarization scales and the general questionnaire. Thirdly,they were firmly diag
6、nosed by physicians and psychiatrists according to DSM-. Results: Among all 502 outpatients, 2/3 have physi- cal diseases without neurotic symptoms. 1/3 have neurotic symptoms. Among internal department outpatients with neurotic symp- toms. the prevalence rate of neurosis is 34. 5%,summarization dis
7、order is 8. 33%,physical diseases with neurotic symptoms is 57. 14%. The outpatients with neurotic symptoms were much less satisfied with hospitals than the outpatients of physical diseases without neurotic symptoms. Conclusions: The mental problem is serious and widespread in internal medicine depa
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- 关 键 词:
- 军队 医院 内科 门诊 神经症 症状 患者 满意 影响 因素
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