柳江县农村精神疾病防治管理模式的效果分析

ASSESSMENT ON PREVENTION AND THERAPY MANAGEMENT OF PSYCHOSES AMONG RURAL POPULATION IN LIUJIANG COUNTY

目的:评价以医院—社区一体的农村社区重性精神疾病防治康复管理模式的效果。方法:在柳江县项目示范区随机选择实施社区防治康复管理随访的200例精神分裂症患者作为研究组;在未实施防治康复管理社区中随机选择200精神分裂症患者作为对照组,评价社区精神疾病防治康复措施对重性精神疾病患者治疗依从性、病情、社会功能和复发的影响。结果:与项目实施前相比,研究组实施后的规则用药率、显进率和社会参与率逐年提高(P<0.01),并高于对照组同期水平(P<0.01);而复发率低于对照组同期水平(P<0.05)。结论:以医院—社区一体的农村社区重性精神疾病防治康复管理措施有利于提高患者的药物依从性;有利于控制病情、恢复社会功能和防止复发。

Objective：To assess the prevention and therapy management of severe psychoses based on hospital-community propaganda.Methods：A total of 200 cases of schizophrenia as a study group were selected to implement community-based prevention and rehabilitation management and follow-up in Liujiang project demonstration area;while another 200 cases of schizophrenia were selected randomly as a control group without implementing,so as to evaluate the effect of the measures of psychoses prevention and rehabilitation in the community on compliance,condition,social functions,recurrence of the psychoses.Results：Compared to the uncarried project implementation,the rule medication rate,improvement rate and society participation rate of the study group were increased year by year（P〈0.01）,and which was higher than the controls（P〈0.01）but the recurernce rate is lower（P〈0.05） at the same time.Conclusion：The hospital-rural community-based prevention and therapy management model of severe psychoses is advantageous in improving patient＇s medicine compliance,controlling condition,restoring the social function and preventing the recrudescence.