摘要
目的:掌握上海奉城镇社区在册精神障碍患者流行病学特征,为进一步开展社区防治工作提供依据。方法:对2022年12月31日前登记在册的375例精神障碍患者进行分析,患者中男性163例,女性212例,平均年龄为(58.24±13.29)岁。结果:在册375例精神障碍患者中,精神分裂症占42.9%,精神发育迟滞占40.3%,双相障碍占5.1%,分裂情感性障碍占0.3%,其他精神障碍11.4%。精神障碍在时间(近5年)、地区、人群的分布上差异均有统计学意义(均P<0.05);3种严重精神障碍在文化程度、婚姻状况的分布上差异均有统计学意义(均P<0.05)。结论:上海奉城镇社区老年人精神障碍患病率较高。精神分裂症和精神发育迟滞患者是社区严重精神障碍的主要类型;精神分裂症者中初中及以上文化程度占比最高(60.9%)。精神发育迟滞者中文盲半文盲的占比最高(76.2%)。应早发现、早诊断、早治疗,加强主动式社区干预,促进患者康复。
Objective:To understand the epidemiological characteristics of registered mental disorder patients in Fengcheng Community,Shanghai and provide a basis for further community prevention and treatment work.Methods:Three hundred and seventy-five patients with mental disorders registered before December 31,2022 were analyzed,among them there were 163 males and 212 females,and the average age was(58.24±13.29)years old.Results:Among 375 registered patients with mental disorders,42.9%were schizophrenics,40.3%were mental retardation,5.1%were bipolar disorder,0.3%were schizoaffective disorder,and 11.4%were other mental disorders.There were statistically significant differences in the distribution of time(in the past 5 years),region,and population(P<0.05);there were statistically significant differences in the distribution of education level and marital status among the three main mental disorders(P<0.05).Conclusion:Prevalence rate of mental disorders in the elderly in the Fengcheng Community,Shanghai is high.Schizophrenia and mental retardation are the main types of severe mental disorders in the community;education level of junior high school or above in schizophrenics accounted for the highest proportion(60.9%).Illiterate and semi illiterate in mental retardation accounted for the highest proportion(76.2%),early detection,diagnose,and treatment should be carried out to strengthen proactive community intervention to promote patients’recovery.
作者
蔡丹华
焦艳红
李瑞平
褚庆水
陆悄
CAI Danhua;JIAO Yanhong;LI Ruiping;CHU Qingshui;LU Qiao(Department of Prevention and Health Care of Fengcheng Community Health Service Center,Fengxian District,Shanghai 201411,China)
出处
《上海医药》
CAS
2024年第4期46-49,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
精神障碍
流行病学特征
社区
分析
mental disorder
epidemiological feature
community
analysis
