流浪精神障碍患者临床特征及综合性救治  被引量:7

The Wandering Mental Disorder Patients' Clinical Features and Comprehensive Treatment

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作  者:冯辉[1] 陈玉明[1] 杨佩娣[1] 庄晓伟[1] 

机构地区:[1]上海市静安区精神卫生中心,中国200040

出  处:《中国健康心理学杂志》2015年第4期491-494,共4页China Journal of Health Psychology

摘  要:目的:探讨流浪精神障碍患者的临床特征,为进一步完善综合救治措施以及政府决策提供参考依据。方法:对2010年1月1日-2013年12月31日我院接收"110"民警送留院观察治疗的流浪精神障碍患者,进行回顾性统计分析。结果:1流浪精神障碍患者共73例,其中男性47例(64.38%),女性26例(35.62%),性别差异有统计学意义(χ2=6.04,P〈0.05);年龄18~68岁,平均(33.95±12.24)岁;2Multinomial Logistic回归分析显示,性别、年龄、文化程度、婚姻状况及职业状况5个因素对模型的作用具有统计学意义(P〈0.05),尤其精神分裂症明显突出;3综合性救治结局以回归家庭为主。结论:精神障碍患者外出流浪既有病理、心理和社会因素,又有独特社会人口学特征,应加强对城市无业及外来务工人员的精神疾病防治,促进社会治安的综合治理。Objective:To explore the clinical features of patients with wandering mental disorder, in order to provide the reference for the further improvement of comprehensive treatment measures and poli- cy. Methods:Retrospectively the wandering mental disorder patients who were sent by the police to the hospital for observation treatment were analyzed from 2010 to 2013. Results:① The number of wandering mental disorder patients was 73, including 47 cases of male and 26 cases of female, the males patients were more than the females patients (X2 = 6.04, P 〈 0.05 ), they were from 18 to 68 years old, mean age was(33.95 ± 12.24)years old. ② Multinomial logistic regression analysis showed that statistically signifi- cant effects of gender, age, culture degree, marriage status and occupation status on the model (P 〈 0. 05 ), especially schizophrenia. ③The comprehensive treatment returned to families finally. Conclusion: Pathological, psychological, social factors and unique socio - demographic independently are contributed to the risk of homelessness. The prevention and treatment of the mental disorders among the employed and migrant workers is very important, which will promote the comprehensive management of social security.

关 键 词:流浪精神障碍 特征 综合性救治 精神分裂症 社会救助 

分 类 号:R749[医药卫生—神经病学与精神病学]

 

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