城市流浪精神患者与非流浪精神患者对比分析  

Comparative analysis on features of homeless vs. non- homeless psychotic patients in Xi＇an City

作　　者：崔萌[1] 王重阳[1] 

机构地区：[1]陕西省西安市精神卫生中心,陕西西安710061

出　　处：《实用临床医药杂志》2014年第E01期19-21,共3页Journal of Clinical Medicine in Practice

摘　　要：目的对了解西安市流浪精神病患者和非流浪精神病患者在一般资料和临床特征上的差异。方法收集2011年1月-2012年2月西安市精神卫生中心连续收治的505例流浪精神病患者和504例非流浪精神患者的病历资料，对比分析2组患者在姓名、年龄、性别、人院诊断、合并症、危害社会行为、所用药物、平均住院天数，平均日住院费上的差异。结果与非流浪精神患者相比，流浪精神患者：无名氏多，年龄不详者多；入院状态诊断多；对社会的危害性大。药物治疗、住院时间以及住院费受国家救助政策影响，流浪精神病患者治疗效果和回归社会家庭的情况差。结论流浪精神病患者的综合救治工作是一项复杂的系统工程，实际工作中应加强有效的社会监管，扩大医疗救治投入。Objective To investigate general features and clinical characteristics of homeless psychotic patients, and propose practical strategy for the management. Methods Retrospectively re- viewed 505 homeless and 504 non - homeless psychotic patients consecutively admitted in Xi＇ an Men- tal Health Center. Comparative analysis was performed on general features and clinical characteristics of the two groups. Results Compared with non- homeless patients, the homeless psychotic patients have following features： the number of patients with unknown name and age is much more; more patients are diagnosed as schizophrenia or symptoms syndrome; the patients are more harmful to the society; the therapy, therapeutic fee and duration of admission were significantly affected by the insur- ance police. The outcome of treatment and returning home - society are not satisfactory. Conclusion Enforcement of social and home - based guardianship, increasing of medical care and treatment finan- cially, and effective control of symptoms are the prospective directions of future practice.

关 键 词：流浪精神患者 救治和监管 社会救助 

分 类 号：R18[医药卫生—流行病学]