摘要
目的了解广州市城乡社区精神分裂症患者的治疗现状。方法采用分层整群随机抽样方法,从广州市12个区(县级市)中,抽取一个有农村建制的区和一个无农村建制的区,在每个区内随机抽取1个街道(镇),采用卫生部下发的《精神分裂症患者精神卫生服务利用调查问卷》,调查抽中区域内所有登记的精神分裂症患者,并比较调查结果的城乡差异。结果共调查了140例城区患者和141例农村患者。精神分裂症的时点治疗率城市为70.72%(99/140),农村为66.67%(94/141),总体为68.68%(193/281),终生未治疗率仅为6.41%(18/281)。城乡两组患者在从未就诊人数、从未服药治疗人数、从未住院治疗人数、最近1周未服药人数、患者服药率方面差异无统计学意义(P>0.05);而最近1年未治疗人数,农村明显高于城区,差异有统计学意义(P<0.05)。对症状出现的原因,农村组说不清楚的占52.5%,城区组认为受了精神刺激者占60%。在从未接受任何治疗的原因、最近1年没有接受治疗的原因、没有复查的原因中,农村组经济比较困难所占比例高于城区组,差异有统计学意义(P<0.05)。结论我市社区精神分裂症患者服药率达到国家规划要求。农村居民对精神分裂症发病因素的认识不如城市居民,应提高农村居民对精神卫生知识的知晓水平及获得社区精神卫生服务的能力。经济困难影响了农村患者的服药治疗,今后要加强对其医疗救助。
Objective To understand the status of medicine - taking in patients with schizophrenia in urban and rural area of Guangzhou. Methods Two districts were sampled from Guangzhou, using stratified cluster random sampling methods, one with establishment of major town, the other without. A questionnaire survey was carried out in all the patients with Schizophrenia in the selected areas, the results of which were to be analyzed. Results An ~nvestigation was carried out in a total of 140 cases in urban area and a total of 141 patients in rural area. The point treatment rate of schizophrenia was 68. 68% （193/281） in total, among which 70.72% （99/140） was in the urban and 66.67% （94/141） in the rural, only 6, 41% （ 18/281 ）had never accepted any psychiatric treatment. There was no statistical difference between the urban and rural area in the number of patients with no treatment, no hospitalization, no treatment in the last week and with medicine treat- ment. The rate of no treatment in last year was higher in rural than that in urban, which showed statistieal difference（P 〈 0.05 ）. For the cause of schizophrenia, the rural group had no idea on it （ about 52.5% ） , while the urban group thought it was the result of psychological disturbance （about 60% ）. When they were asked about why they didnt receive any treat- ment, or receive any treatment in the last year, or receive further consultation, the rural group focused more on the poor e- conomic situation than the urban group. Conclusions The medicine - taking rate of patients with schizophrenia meets the standard of national mental health program both in urban and rural areas. Residents in rural area have less knowledge about risk factors for schizophrenia than those in urban area. It is important to enhance the level of mental health services in rural community. Poor economic situation affects the treatment in rural communities. Therefore, the medical aid should be strengthened in that area in the future.
出处
《社区医学杂志》
2012年第2期1-4,共4页
Journal Of Community Medicine
关键词
城乡社区
精神分裂症
横断面调查
Urban and rural community
Schizophrenia
Cross - sectional survey
