大专科小综合办院模式前后精神科住院病种变化趋势分析  

Changing trends of illness-category in psychiatric in-patients before and after the hospital-running model of large-special and small-general dept.

作　　者：陈汉良[1] 李章[1] 高镇松[1] 林纯良[1] 

机构地区：[1]汕头市第四人民医院,广东汕头515021

出　　处：《临床心身疾病杂志》2006年第4期319-320,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨我院“大专科小综合”办院模式前后精神科住院病种分布的变化趋势。方法对1996～2003年在我院精神科住院的2912例病历资料进行回顾性调查分析．并对办院模式转变前后住院的疾病诊断，种类、分布及构成比等各种因子的变化进行对比分析。结果“大专科小综合”办院模式实施后精神科住院患者的病种分布逐年趋向广泛，但仍以精神分裂症和情感性精神障碍为主．平均各占63．05％和11．98％．精神分裂症的构成比逐年呈下降趋势（P〈0．05）．器质性疾病所致精神障碍的构成比则呈逐年上升的趋势（P〈0．01）。结论随着跨科精神障碍逐年增加的趋势，要求精神病医院要拓宽其服务范围．开设相关学科和边缘学科．“大专科小综合”的办院模式可在多数精神病医院推广。Objective To compare and analyze the changing trends of ill-distribution in psychiatric in-patients between before and after the hospital-running model of large-special and small-general dept. Methods The data of 2912 case psychiatric in-patients during 1996 to 2003 were reviewed. The changing trends of ill-distribution between before and after the hospital-running model were analyzed with x^2 test. Results The ill-distribution in psychiatric in-patients after the hospital-running model showed widening tendency. But, schizophrenia and affective disorder were still the main ill-composition ratio with 63.05% and 11. 98% respectively. The ill-composition ratio of schizophrenia showed yearly decreasing tendency （P〈0.05） but significantly increasing tendency in the ratio of organic mental disorder （P〈0.01）. Conclusion With the yearly increasing tendency of cross-medicine mental disorders, mental hospitals might extend their services and set up related fields and borderline subjects. The hospital-running model could be spread in major mental hospitals.

关 键 词：大专科小综合 精神科 病种分布 

分 类 号：R197.323[医药卫生—卫生事业管理]