摘要
目的分析淄博市严重精神障碍患者网络管理的基本情况,为研究制定淄博市严重精神障碍患者救助救治政策提供科学依据。方法选取截至2016年12月31日淄博市15岁以上常住人口中明确诊断的17700例严重精神障碍在管患者进行基础信息及随访情况采集,并对病种分布特征、病程构成、人口学特征、管理治疗现状等进行统计分析。结果在淄博市15岁以上确诊为严重精神障碍的17700例在管患者中,精神分裂症患者(n=12121)的占比为68.48%,在6种疾病分类中占比最高,其次为精神发育迟滞伴发精神障碍及癫痫所致精神障碍(n=3048),其中沂源县(n=3576)、淄川区(n=2309)和临淄区(n=2215)为淄博市各区县中的严重精神障碍的在册患者最多。淄博市严重精神障碍在册患者的报告患病率为3.83‰(n=67),管理率为74.67%(n=13216),规范管理率为59.66%(n=10559)。其中在9个区县中,桓台县的管理率最高(85.95%),高青县的规范管理率最高(78.94%);周村区的管理率最低(59.95%),张店区的规范管理率最低(29.51%)。结论淄博市严重精神障碍网络管理治疗工作已在全市开展,但疾病检出率、规范管理率、规律服药率及治疗率水平均低于全省平均水平,建议政府加大投入建设本市精神专科医院力度,做好专业人员培训,加强疾病治疗与防控的宣传,加速提高本市精神障碍患者的网络管理水平,建设有效、完善的信息系统。
Objective To investigate and analyze the basic situation of the network management of patients with severe mental disorders in Zibo city,and to provide scientific basis for the research and formulation of the rescue and treatment policies for patients with severe mental disorders in Zibo city.Methods By December 31,2016,17700 cases of severe mental disorders diagnosed in the permanent resident population over 15 years of age in Zibo city were selected for the collection of basic information and follow-up,and the distribution characteristics,course composition,demographic characteristics,management and treatment status of the disease were statistically analyzed.Results Among the 17700 in-patients diagnosed with severe mental disorders over the age of 15 in Zibo city,the proportion of patients with schizophrenia(n=12121)was 68.48%,which accounted for the highest proportion among the six disease categories,followed by mental retardation with mental disorders and mental disorders caused by epilepsy(n=3048).Among them,Yiyuan county(n=3576),Zichuan district(n=2309)and Linzi district(n=2215)were the most registered patients with severe mental disorders in all districts and counties of Zibo city.The reported prevalence of patients with severe mental disorders in Zibo city was 3.83‰(n=67),the management rate was 74.67%(n=13216),and the standardized management rate was 59.66%(n=10559).Among the 9 districts and counties,Huantai county had the highest management rate(85.95%);Gaoqing county had the highest standard management rate(78.94%);Zhoucun district had the lowest management rate(59.95%)and Zhangdian district had the lowest standardized management rate(29.51%).Conclusion The network management and treatment of severe mental disorders in Zibo city has been carried out in the city,but the disease detection rate,standardized management rate,regular medication rate and treatment rate are below the average level of the province.It is recommended that the government increase investment in the construction of psychiatric hospitals in the city,strengthen training professionals and the promotion of disease treatment and prevention and control,accelerate the improvement of the city’s network management level for patients with mental disorders,and build an effective and complete information system.
作者
刁艳云
任清涛
李小鹏
张晓芹
孙梦月
DIAO Yan-yun;REN Qing-tao;LI Xiao-peng;ZHANG Xiao-qin;SUN Meng-yue(Department of Disease Control and Prevention,Zibo Mental Health Center,Zibo,Shandong 255100,China;不详)
出处
《慢性病学杂志》
2021年第7期984-988,共5页
Chronic Pathematology Journal
基金
山东省医药卫生科技发展规划项目(2016WS0741)
关键词
严重精神障碍
管理治疗现状
疾病分布
网络管理
精神专科
Severe mental disorder
Management and treatment status
Disease distribution
Network management
Psychiatry
