住院精神病人短期出院临床分析

The Clinical Analysis of Psychosis Leaving Hospital in a Short Time

目的了解住院精神病人短期出院的原因,寻求解决办法。方法用访谈调查法询问家属早期出院的原因,并采用回顾调查方法分层对住院精神病人短期出院的病历资料进行分析。结果短期出院患者农村已婚妇女占多数,文化偏低,多为第一次住院,男女发生率无差异。诊断首位是精神分裂症,部分患者入、出院诊断有变化,治疗单一用药占62.50%,使用频度最高的药物是利培酮占22.32%。出院原因以经济困难最多占25.00%,其次是封闭管理病人相互干扰,怕影响病人占17.86%。结论短期出院原因多种多样,家属心理取决定性的作用,其次医院环境和管理老化,缺乏对患者及家属健康教育是造成短期出院的主要原因,必须加以重视,尽快改进才能使病人安心住院。

Objective To research the reasons of psychosis leaving hospital in a short time and find out the solutions, Methods Interviewed the relatives the reasons of psychosis going out of hospital ahead of time, and reviewed the case histories of the psychosis who went out early from hospital, then analyzed the data. Results The married women were major among the patients who went out of hospital early. They had low culture level and most of them were the first in hospital. There was no difference between male and female. The diagnosis of the first place was the schizophrenia. The diagnosis was different between in and out of hospital. The rate of using single medicine was 62. 5% percent. The most usage of medicine was Rispcrdal, which was 22.32% percent. The reasons of going out of hospital early mostly were of poor economic, which was 25. 00% percent. The second was because of the closed management, which was 17.86 percent. The relatives were afraid of interference of each other. Conclusions There were all kinds of reasons of going out of hospital. The relatives＇ psychology was decisive. The minor were the environment of hospital and old management. The main reasons of going out of hospital ahead of time were lack of health education to patients and relatives. We should emphasize it and improve it soon, then can make patients he in hospital patiently.