社区重性精神病管理评估效果分析

Analysis of Community Heavy Psychosis Management Effect Evaluation

目的探讨对社区重性精神病患者进行社区管理和规范治疗的效果。方法我院于2011—2012年对庐城城乡社区重性精神病患者进行全面排查、规范诊断评估,按照《重性精神病治疗管理规范》对重性精神病患者进行调查、登记造册、规范诊断、社区管理随访、治疗干预等。结果规范治疗率由2011年的21.8%上升为2012年的57.8%;不规范治疗率由2011年的78.2%下降为2012年的42.2%。重性精神病患者危险等级评估比较,差异有统计学意义(χ2=242.28,P<0.001)。2011年度与2012年度家庭功能评估比较,好的由15.3%上升为35.8%;患者生活质量评估好的由11.6%上升为35.6%。2011年度与2012年度家庭功能等级和生活质量等级比较,差异均有统计学意义(χ2值分别为61.65、116.36,P<0.005)。结论规范重性精神病管理对有效提高患者的治疗率、家庭功能、生活质量改善等效果显著。

Objective To analyze community patients with heavy psychosis in community management and standardize the treatment effect.Methods In our hospital from 2011 to 2012 to cottage city urban and rural community patients with heavy psychosis to conduct a comprehensive investigation,normative diagnosis and evaluation,in accordance with the severe mental disease treatment management norms investigation,on patients with heavy psychosis register,the standard diagnosis,follow up,therapeutic interventions such as community management.Results Standardized treatment rate from 2011 in 21.8% to 2012 57.8%;not standardized treatment rate dropped from 2011 in 78.2% to 2012 42.2%.Severe mental patients at risk for disease grade evaluation and comparison,the difference was statistically significant（χ2 = 242.28,P 0.001）.2011 year and 2012 year family function evaluation and comparison,the increased from 15.3% to 35.8%;assessment of quality of life of patients with good increased from 11.6% to 35.6%.2011 year and 2012 year family function level and quality of life level comparied,the differences were statistically significant（χ2 = 61.65,116.36,P 0.005）.Conclusion Specification for heavy psychosis management significantly to effectively improve the rate of cure for patients with,family function,quality of life improvement effect.