2016年-2020年成都市严重精神障碍患者管理治疗分析  

Analysis of management and treatment of patients with severe mental disorders in Chengdu from 2016 to 2020

作　　者：毛国菊 秦小荣[1] 冯兰棱 叶子翔 赵艳[1] 杨琴 何昌九[1] Mao Guoju;Qin Xiaorong;Feng Lanling;Ye Zixiang;Zhao Yan;Yang Qin;He Changjiu(The Fourth People's Hospital of Chengdu,Chengdu 610036,China)

机构地区：[1]成都市第四人民医院,四川成都610036

出　　处：《四川精神卫生》2022年第6期550-555,共6页Sichuan Mental Health

基　　金：成都市卫生健康委员会项目(项目名称:成都市严重精神障碍患者社区管理的长期队列随访研究,项目编号:2021159)。

摘　　要：目的对2016年-2020年成都市严重精神障碍患者管理治疗情况进行分析,以期为相关部门制定决策及完善精神卫生服务体系提供参考。方法提取2016年1月1日-2020年12月31日成都市22个区(市)县国家严重精神障碍信息系统相关数据,对严重精神障碍患者的报告患病率、管理率、规范管理率、服药率、规律服药率以及病情稳定率等指标进行逐年分析。结果截至2020年底,成都市登记在册的严重精神障碍患者共71899例,报告患病率为0.34%,规范管理率为95.53%,规律服药率为72.50%。2016年-2020年,除报告患病率(χ^(2)=269.566,P<0.01)之外,管理率(χ^(2)=384.030,P<0.01)、规范管理率(χ^(2)=309.742,P<0.01)、服药率(χ^(2)=414.252,P<0.01)、规律服药率(χ^(2)=316.172,P<0.01)和病情稳定率(χ^(2)=288.335,P<0.01)均有随年度增加而增高的线性趋势。结论2016年-2020年,成都市严重精神障碍患者的管理率、治疗率和规律服药率等均逐年升高,在提高报告患病率的同时,应加强对患者的管理和随访,提高规律服药率以维持患者病情稳定。Objective To analyze the management and treatment for patients with severe mental disorders in Chengdu from 2016 to 2020,in order to provide references for the relevant authorities to formulate policies and improving the mental health service system.Methods Data relating to 22 districts(cities)and counties in Chengdu from January 1,2016 to December 31,2020 were extracted from the National Information System for Severe Mental Disorders.Indicators such as reported prevalence rate,management rate,standardized management rate,medication rate,regular medication rate and stable condition rate of patients with severe mental disorders were analyzed on a yearly basis.Results By the end of 2020,there were 71899 registered cases of severe mental disorders in Chengdu,with a reported prevalence rate of 0.34%,a standardized management rate of 95.53%,and a regular medication rate of 72.50%.From 2016 to 2020,except the reported prevalence rate(χ^(2)=269.566,P<0.01),management rate(χ^(2)=384.030,P<0.01),standardized management rate(χ^(2)=309.742,P<0.01),medication rate(χ^(2)=414.252,P<0.01),regular medication rate(χ^(2)=316.172,P<0.01)and stable condition rate(χ^(2)=288.335,P<0.01)had linear trends of increasing with the annual increase.Conclusion From 2016 to 2020,the management rate,treatment rate and regular medication rate of patients with severe mental disorders have been increased year by year in Chengdu.Nevertheless,the increase in reported prevalence rate should be accompanied by strengthened management and follow-up to increase the regular medication rate to maintain the stability of patients′conditions.

关 键 词：严重精神障碍 社区精神卫生服务 服药依从性 信息系统 

分 类 号：R749[医药卫生—神经病学与精神病学]