长期住院精神病患者躯体健康状况调查

Survey of physical health statuses for psychiatric patients of long-term hospitalization

目的:了解目前住院患者躯体健康状况实际现状,为防治躯体疾病工作提供依据。方法:采用自编《住院精神病患者躯体健康状况调查表》,于2012年4月2日对所有在本院住院的593例精神病患者进行摸底调查,并分析相关因素。结果:593例住院精神病患者中,合并躯体疾病有363例(占总人数的61.21%),其中合并一种疾病者205人(占34.57%),合并两种以上疾病的患者158人(占43.52%),无躯体疾病者230人(占38.79%)。前10位的疾病分别是:高血压、心律失常、糖尿病、高血脂、胆结石、慢性胃炎、肾病、前列腺增生、痛风、脑梗死等。年龄与合并躯体疾病有关,41～60岁发生率最高,而与服用经典和非经典抗精神病药物关系不大。结论:本组患者合并躯体疾病的比例高于社区和其它同类医院,提示精神病专科医院中患者的躯体健康状况不容忽视,需加强诊疗水平的培训和制定相应的防治措施。

Objective： To understand actual physical health statuses of inpatients and provide a basis for prevention and cure works of physical diseases.Methods： On April 2,2012,593 psychiatric inpatients were investigated by self-made questionnaire of physical health statuses for psychiatric patients,and related factors were analyzed.Results： In the 593 cases,there were 363 cases（61.21%） with combined physical diseases,wherein 205 cases（34.57%） with one kind of physical diseases and 158 cases（43.52%） with over two kinds of physical diseases;and there were 230 cases（38.79%） without physical diseases.The top 10 diseases were： hypertension,arrhythmia,diabetes,hyperlipidemia,gallstones,chronic gastritis,kidney disease,hyperplasia of prostate,gout,and cerebral infarction.The age was related with the physical diseases,and the highest incidence was in 41-60 years old;however,the typical and atypical antipsychotic drugs were not related with the physical diseases.Conclusions： The ratio of the physical diseases of the patients in the group is higher than those in communities and other similar hospitals.So,the physical health statuses of the inpatients should not be ignored in the psychiatric hospitals.Moreover,the diagnostic level should be strengthened and the corresponding prevention measures should be established.