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目的:调查分析影响功能性消化不良(FD)患者就医行为的因素。方法:选取在5家医院门诊就诊的FD 200例,按照初诊医院分为基层医院组与三级医院组,进行罗马Ⅲ标准问卷调查并评分,对结果进行统计分析。结果:两组患者性别、年龄、职业、学历、消化不良症状的严重程度,差异均不显著(P>0.05);三级医院组消化不良症状的发作频率、焦虑发生比例及就诊费用显著高于基层医院组(P<0.05)。结论:影响患者就诊于不同级别医院的因素,可能包括症状发作频率、情感障碍,以及医疗费用等。
Objective: To investigate and analyze the factors affecting the medical treatment in patients with functional dyspepsia (FD). Methods: 200 FD patients were selected from outpatient clinics in five hospitals. According to the first hospital, they were divided into primary hospital group and tertiary hospital group, and questionnaire of Rome Ⅲ was conducted and scored. The results were statistically analyzed. Results: There was no significant difference in the severity of dyspepsia, gender, age, occupation, education and dyspepsia between the two groups (P> 0.05). The incidence frequency of dyspepsia, the incidence of anxiety and the cost of visiting were significantly higher in the tertiary hospitals Primary hospital group (P <0.05). CONCLUSIONS: Factors that influence the patient’s attendance at different levels of the hospital may include the frequency of symptoms, mood disorders, and medical costs.