摘要
目的了解医疗机构门诊性病患者就诊延误行为发生情况及主要影响因素。方法连续收集3个月内前来研究点就诊、愿意合作的200名门诊性病患者作为样本,以面对面访谈方式,采用自编一般情况问卷、STD相关知识问卷和求医行为问卷进行调查。根据文献研究,就诊延误定义为出现STD症状后超过7d未到县级及以上公立医院就诊。结果200名STD患者样本中,130例(65.0%)患者发生就诊延误,延误时间最长为394d;就诊延误中位数时间为24d(P25=8d,P75=64.5d);多因素分析发现,患者就诊延误的主要影响因素为既往性病史、出现症状后的自我归因及STD知识知晓程度等。结论研究点STD患者发生就诊延误的比例较高(74.8%);提高STD知识、促进正确求医行为对预防和控制STD/HIV传播具有重要意义。
[Objective] To explore the occurrence of delay of health-seeking and its related factors of sexually transmitted diseases （STD） outpatients. [Methods] 200 consecutive STD outpatients who attended the clinic of a general hospital were investigated using a self-designed questionnaire, which included background information, STD related knowledge and health-seeking behaviors. Delay of health-seeking was defined as delayed seven and more days from the day of onset. [Results] Among 200 STD outpatients, 130 cases （65.0%） had delay of health-seeking. The median days of health-seeking delay were 24 （P25=8 days, P75=64.5 days）. Major factors related to delay of health-seeking were the history of STD, the self-attribution of STD symptoms and the level of knowledge related to STD. [Conelusion] Delay of health-seeking is common among the STD outpatients. To dissimilate knowledge related to STD among the public, and to modify the care-seeking behavior of STD outpatients are of key importance for controning and treatment of STD/HIV infection.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第13期2059-2062,共4页
China Journal of Modern Medicine
关键词
门诊性病患者
就诊延误
影响因素
STD outpatients
delay behaviors in health care seeking
related factor
