对86例流浪精神病患者出院1年后电话随访研究

Research on Telephone Follow-up Conducted on 86 Wandering Psychopaths Discharged from Hospital for a Year

目的：调查86例流浪精神病患者出院1年后的生活及康复情况。方法：以2007年期间在中山市第三人民医院住院治疗好转后由家属接出院的86例精神病患者为对象，用自编的调查表及社会功能评定量表对其进行为期1年的电话随访调查。结果：住院流浪精神病患者家属接出院后返回农村者62．8％，出院后不知去向者23．3％，家庭经济情况较差的79．0％，间断治疗者29．1％，不再接受治疗的26．7％，无家属照顾生活的16．3％，无所事事的57．0％，肇事肇祸行为1级以上的31．4％，精神症状仍明显存在或加重的70．1％，社会支持较低。结论：流浪精神病患者出院后去向不明者多，生活状况较差，无工作者多，坚持治疗者少，获得社会支持少，康复情况不理想。

Objective：To investigate the life and rehabilitation conditions of 86 wandering psychopaths discharged from hospital one year later. Methods：targeting at 86 psychopaths who were treated in the Third People＇s Hospital of Zhongshan and picked up by their families after recovery in 2007 ; carrying out one - year telephone follow - up survey with self - designed questionnaire and social rating scale. Results： 62.8% of the hospitalized wandering psychopaths returned to the countryside after they were picked up by their families, 23.3% of them were nowhere to be found, 79% were impoverished, 29% were discontinuously treated, 26.7% no longer received treatment, 16.3% were not cared for, 57% were idle, 31% caused trouble or accidents, 70.1% still had mental symptoms or aggravated symptoms. Therefore, they won little support of the public. Conclusions： A majority of psychopaths are nowhere to be found after discharged from hospital. Their living standards are relatively poor and most of them are jobless. Few psychopaths adhere to treatment. They win little support from the public. Rehabilitation conditions are not so ideal.