2019—2021年兰州市严重精神障碍患者管理治疗状况分析

Analysis of the Current Status of Management and Treatment of Patients with Severe Mental Disorders in Lanzhou from2019 to 2021

目的:分析2019—2021年兰州市严重精神障碍患者管理治疗状况,为兰州市制定防治措施及精神卫生政策提供科学依据。方法:提取甘肃省严重精神障碍信息系统中2019—2021年兰州市严重精神障碍患者相关数据,并用Excel 2007进行统计分析。结果:甘肃省精神卫生监测信息系统显示2019—2021年兰州市在册严重精神障碍患者为11 310例、11 914例、12 295例,报告患病率为3.03‰、 3.19‰、 3.42‰,规范管理率为73.48%、 76.16%、 80.21%,患者面访率为72.25%、79.04%、81.53%,患者规律服药率为32.74%、43.76%、52.05%。结论:2019—2021年兰州市严重精神障碍患者报告患病率、规范管理率、患者面访率以及患者规律服药率均有提高,但报告患病率水平和患者规律服药率水平仍低于国家要求。严重精神障碍患者和家属的病耻感是导致报告患病率与规范管理率偏低的主要原因,而精神卫生资源分布的不均衡性导致远郊患者规律服药率偏低。

OBJECTIVE To understand the current situation of management and treatment of patients with severe mental disorders in Lanzhou in recent three years,and to provide scientific basis for the formulation of prevention and treatment measures and mental health policies.METHODS The relevant data of patients with severe mental disorders in Gansu Province severe mental disorders information System were extracted and analyzed statistically by Excel.RESULTS The mental health monitoring information system of Gansu showed that registered severe mental disorders in Lanzhou were 11310 cases(2019),11914 cases(2020)and 12295 cases(2021),respectively,and the three-year reported prevalence showed 3.03‰(2019),3.19‰(2020)and 3.42‰(2021),with an upward trend.The three-year standard management rate showed an increasing trend,which were 73.48%(2019),76.16%(2020)and 80.21%(2021),respectively.Three years of patient interview rate showed an increasing trend,which were 72.25%,79.04%,81.53%.The rate of regular medication in three years showed an increasing trend,which were 32.74%,43.76%and 52.05%,respectively,except for the standard management rate and interview rate,other indicators were lower than the national requirements.CONCLUSION In the past three years,the management ability of patients with severe mental disorders in Lanzhou showed an upward trend,but the reported prevalence rate and the regular medication rate of patients were still some distance from the national requirements.The stigma of patients with severe mental disorders and their families is the main reason for the low reported prevalence and standardized management rate,and the uneven distribution of mental health resources leads to the low regular medication rate of patients in the outer suburbs.