连云港市康复医院医保住院精神病患者的现状分析

Analysis of Hospitalized Psychiatric Patients in Lianyungang Convalescent Hospital Medical Insurance Status

目的:了解本院职工医保住院精神病患者的临床特点,分析应对策略。方法:用自编调查表对本院2013年7月22日住院状态的93例精神病患者进行调查分析。结果:本院职工医保住院精神病患者占多数,为41.9%;男性高于女性,差异有统计学意义(P<0.05);精神分裂症为主(92.5%);入院前曾多次住院治疗;目前病程长、年龄大、多伴有躯体疾病、需要多种精神病药物及改善躯体疾病的药物联合治疗、呈衰退状态而无自伤、伤人及有自伤、伤人危险的患者居多。结论:职工医保长期住院的精神病患者,应对照精神卫生法,加强医患沟通,更新理念,回归社区康复。

Objective：To investigate the clinical features of mental patients in our hospital worker medical insurance and analyze the coping strategies.Method：93 mental patients on the state of July 22,2013 were investigated and analyzed with our own questionnaire.Result：Our hospital psychiatric patients with hospital worker medical insurance accounted for the majority of（41.9%）. Male was also higher than female,the difference was statistically significant （P〈0.05）. Schizophrenia patients were the main（92.5%）. Before admission the patients were hospitalized several times. So far they had the long course and they were older,too. Most of the patients had somatic diseases,so they must have the needs of a variety of psychiatric drugs and improving drug somatic disease treatment. It was a recession without self injury,wounding and the most dangerous patients had themselves harm or hurt others.Conclusion：The mental patients with hospital worker medical insurance are to return to the community rehabilitation,for long-term hospitalization. We will strengthen the doctor-patient communication and update the concept,on mental health law.