综合医院精神科门诊中专科和非专科医师抑郁障碍治疗模式比较.docVIP

综合医院精神科门诊中专科和非专科医师抑郁障碍治疗模式比较 　　【摘 要】 目的：比较综合性医院精神科门诊中专科和非专科医生对抑郁障碍的治疗模式，为提高综合医院精神科室的功能提供参考依据。方法：连续收集来自上海市9所综合性医院精神科门诊的抑郁障碍患者297例（专科医师组180例，非专科医师117例）。在入组时和入组后第2周、第4周、第8周、第12周进行汉密顿抑郁量表24项（HAMD24）、汉密顿焦虑量表（HAMA）、自编药物依从性评估量表的评定。依据就诊病例资料，以两组的药物使用情况来评估两组治疗模式的差异。结果：① HAMD减分率显示，在治疗后第8周、第12周两组疗效差异有统计学意义（第8周：显著进步及痊愈率专科组分别为56%、43%，非专科组66%、20%，χ2=29.91， P2=46.46，P2=13.67，P2=19.37，P 　　【关键词】 抑郁障碍；综合性医院；疗效；精神科医生；非精神科医生；横断面研究 　　 　　中图分类号：R749.4 文献标识码：A 文章编号：1000-6729(2009)006-0388-06 　　doi:10.3969/j.issn.1000-6729.2009.06.003 　　Comparison of Treatment Styles for Depression between Psychiatrists and Non- psychiatrists in General Hospitals 　　LU Zheng1@,ZHU Jun-Juan2,CAI Jun2,LI Yu-Shan1,SHI Shen-Xun3,SHI Yi-Jue4, 　　WANG Chong-Shun5,JIANG You-Qian6,JI Jian-Lin7,ZHU Rong-Shen8,HAN Hong-Yi9,DING Su-Ju10 　　1Tongji Hospital of Tongji University,Shanghai 200065,China 2Shanghai Mental Health Center,Shanghai 200030,China 　　3Huashan Hospital of Fudan University,Shanghai 200040,China 　　4Ruijin Hospital of Shanghai jiaotong University School of Medicine,Shanghai 200025,China 　　5Shanghai First Peoples Hospital,Shanghai 200233,China 6Shuguang Hospital,Shanghai 200021,China 　　7Zhongshan Hospital of Fudan University,Shanghai 200032,China 8Shanghai Tenth Peoples Hospital,Shanghai 200072,China 　　9Shanghai East Hospital,Shanghai 200120,China 10Changhai Hospital of Shanghai,Shanghai 200433,China 　　@Corresponding author,Email:luzheng@tongji.省略 　　【Abstract】Objective：By comparing the ability of coping with depressive disorders and evaluating the different therapeutic pattern between psychiatrists and non- psychiatrists in psychiatric clinics of general hospitals,the study is aimed to provide data for improving mental health service in general hospitals.Methods：The subjeds were 297 depressive patients consulting psychiatric clinics from 9 general hospitals in Shanghai,and assessed with the Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),self-made questionnaires in