摘要
目的了解四川省重性精神疾病的基本情况,旨在为四川省重性精神疾病社区管理治疗工作提供技术指导。方法依据国家公共卫生服务均等化重性精神疾病管理治疗服务规范及工作规范和国家数据收集分析系统的要求制定工作方案,开展全省精神卫生机构、疾病预防控制机构及社区卫生服务中心和乡镇卫生院相关人员技术培训,按照工作方案的要求于2010年7月在全省范围内启动重性精神疾病摸底调查,资料完整者录入国家数据收集分析系统,再将2011年12月末四川省各市州录入国家重性精神疾病数据收集分析系统的数据导出进行统计分析。结果截止2011年12月末,四川省共调查出重性精神疾病119313例,同意并实施网络管理的重性精神疾病54700例,管理率为45.85%。本次显示四川省重性精神疾病患者经济状况处于当地贫困线以下为61.77%;文盲和半文盲为31.87%,小学文化为37%;农村重性精神疾病为80.8%,城市无业人员为5.46%;重性精神疾病未婚率为31.01%,离婚率为4.21%;重性精神疾病患者间断服药和不服药者分别为27.9%和33.5%;重性精神疾病患者危险行为发生率为21.56%,其中肇事、肇祸发生率为7.84%。结论我省重性精神疾病患者社会、经济地位十分低下,对社会、家庭的危害及潜在危险极大,需进一步探索和改变现有的管理治疗模式,以维护社会的和谐稳定。
Objective In order to provide professional guidance to community management and treatment for patients with severe mental illness in Sichuan province,it was essential to analysis the situation of the patients. Methods Our proposal was de- signed according to the requirements of equalization of basic public services, the criterions of treatment, service and management for patients with severe mental illness ,and standard of national data collection/analysis system. The physicians and technicians were treated all over Sichuan province in mental health institutions, decease prevention and control institutions, community centers of health service and township hospital. In order to collect information of patients with severe mental illness ,the specific investigation began in July,2010. The collected data was mlalyzed and the information of a patient was uploaded to national data collection/anal- ysis system if it is completely collected. The psychosis information, which has been collected from cities of Sichuan province till Dec,2011 ,was downloaded from the national data collection/analysis system and statistically analyzed. Results Up to Dec,2011, it was investigated that there were 119313 patients suffering severe mental illness. 54700 patients accepted for management by net- work,the ratio of the patients in network management were 45.85%. From the mental illness investigation in Sichuan province,it was found that 61.77% patients with severe mental problem were living in impoverished condition;31.87% patients were illiterate or semi -literate,37% patients were primary educated;80.8% patients were living in rural area,5.46% patients were living in urban area without a job;31.Ol% patients were not married,4.21% patients divorced;27.9% patients did not take medication regularly and 33.5% patients had never taken medication;21.56% patients had risk behaviors in a year and 7.84% of them caused troubles.Conclusion The status of the patients with severe mental illness was extremely low. These patients may cause se- vere
出处
《四川精神卫生》
2012年第4期200-203,共4页
Sichuan Mental Health
关键词
重性精神疾病
网络管理
危险行为
服药依从性
Severe mental illness Network management Risk behavior Medication compliance
