甘肃省70538例居家重性精神疾病患者管理效果评价

发布时间：2018-05-30 22:41

本文选题：甘肃省 + 重性精神疾病　；参考：《中国神经精神疾病杂志》2017年01期

【摘要】：目的掌握甘肃省重性精神疾病患者居家管理的干预现状,并对管理效果做出评价,为今后对重性精神疾病患者更好地进行社区康复管理、救治救助奠定基础。方法依据重性精神疾病管理治疗工作规范(2012年版)和国家基本公共卫生服务规范(2011年版),对甘肃省2015年1月至2016年4月期间,通过普查和线索调查筛查出疑似患者并确诊,然后进行随访,进一步收集和分析其接受随访管理(在管)、治疗、服药、危险行为发生情况等信息。结果甘肃省共计确诊重性精神疾病患者70538例,其中在管患者占81.08%(57195例)。在管、非在管和失访的重性精神疾病患者中,治疗率为69.92%(48009/68663),其中双相情感障碍的治疗率(76.00%)最高(均P0.001)。在管居家患者的服药率为42.16%(24113/57195),规律服药率为24.74%(14150/57195),其中偏执性精神病的服药率(51.98%)最高(均P0.001),癫痫所致精神障碍的规律服药率(31.02%)最高(均P0.001)。结论目前甘肃省重性精神疾病居家管理率、治疗率、在管居家患者的服药率和规律服药率均低于全国平均水平,在普及精神疾病防治知识和提高医务人员对重性精神疾病规范化治疗能力等方面需大力加强。
[Abstract]:Objective to grasp the present situation of intervention in the management of patients with severe mental illness in Gansu province and to evaluate the effect of management so as to lay a foundation for better community rehabilitation management and rescue for patients with severe mental illness in the future. Methods according to the guidelines for the management and treatment of severe mental disorders (2012 edition) and the national standard for basic public health services (2011 edition), suspected patients were screened and diagnosed by census and clue investigation during the period from January 2015 to April 2016 in Gansu Province. They were followed up to further collect and analyze information on their follow-up management (in management, treatment, medication, and risk behavior). Results A total of 70538 patients with severe mental diseases were diagnosed in Gansu Province, of whom 81.088 cases were in tube and 57195 cases were in tube. The rate of treatment was 69.92% (P 0.001) and 76.00% (P = 0.001) among the patients with severe mental diseases who were not in the tube, in which the treatment rate was 48009 / 68663g / 48009 / 68663N, and the treatment rate of bipolar affective disorder was 76.00% (all P 0.001). The rate of taking medicine was 42.16% 24113 / 57195, and the regular rate was 24.74 / 14150 / 57195, among which the rate of taking drugs in paranoid psychosis was the highest (all P 0.001, the regular rate of taking medicine was 31.02B) (all P 0.001). Conclusion at present, the household management rate, treatment rate, drug taking rate and regular drug rate of patients with mental illness in Gansu Province are lower than the national average. In the aspects of popularizing the knowledge of prevention and treatment of mental diseases and improving the ability of standardized treatment of severe mental diseases, medical staff should be strengthened greatly.
【作者单位】：甘肃省疾病预防控制中心;
【分类号】：R749.05

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