摘要
目的了解不同人群功能性躯体不适的流行病学现状及其就医行为。方法用以症状自评量表(SCL-90)和CMI为基础修订的心身症状量表和包括就医行为的一般情况问卷调查某软件企业职工450人,医学生301人。结果1.职工组和学生组在50项躯体症状中具有的症状数分别为(15.2±12.4)项和(15.61±11.82)项(P>0.05);两组人群躯体不适频数段分布和总不适数接近(P>0.05);2.两组人群比较中任一躯体因子分>2(但≤3)的人数比例职工组为32.4%,学生组为34.2%;任一躯体因子分>3的人数比例职工组为6.6%,学生组为6%,两组之间比较均差异无显著性(P>0.05)。3.女性的五官(学生组)、疼痛(职工组)和疲劳(职工组)不适多于同组的男性(P<0.05);4.受试人群的门诊次数、用药天数和因病花费等就医行为与人群、年龄、婚姻及有关躯体不适症状关系较大(P<0.05)。结论1.轻度的躯体不适是大多数健康个体的正常体验,不同人群、不同性别的不同器官系统躯体不适出现率并不完全一致。2.不同严重程度的功能性躯体不适均可造成医疗资源消耗;导致功能性躯体不适个体就医的主要原因有人群特点、病感及躯体不适本身。
Objective To understand the help-seeking behaviors and rates of functional somatic symptoms （FSS） in different kinds of populations of Hunan province, China. Methods 450 software corporation employees and 301 medical students were investigated with psychosomatic symptom scale developed based on the Symptom Checklist 90 （SCL-90） combined with the Comell Medical Index （CMI） and social-demographic Questionnaire ineluding help-seeking behavioral items. Results Employees and students had （ 15.2 ± 12.4 ） and （ 15.61 ± 11.82） respectively in the 50 somatic symptoms of the scale （ P 〉 0. 05 ）. Still no statistically significant differences were found in the frequencies of psychological and physical symptoms between the two groups （ P 〉 0.05 ）. The rates of different severe degree of the symptom were similar（ P 〉 0.05 ） in employees and students. Female prevalence rates of five sense organ symptoms （student group）, pain （employee group） , and fatigue （employee group） were higher than that of male （ P 〈0. 05 ）. Help-seeking behaviors （ times of doctor visiting, medicine taking days, medical cost） had statistically significant correlation with different groups, age, marital status and symptoms of pain, five sense organ, respiratory and somatic symptoms total scores （ P 〈 0. 05）. Conclusion Mild FSS are usually experienced in most healthy individuals. The rates of different somatic systems in different populations and different gender are not always the same. FSS are important medical resource consuming diseases. Which can be influenced by the traits of populations, age, marriage status and FSS themselves.
出处
《中国行为医学科学》
CSCD
2006年第5期457-459,共3页
Chinese Journal of Behavioral Medical Science
