西岗区重性精神病社区化管理模式的研究

Community- based Management Model in Treating Patients With Severe Mental Illnesses in Xigang District of Dalian City

目的探讨西岗区社区化管理治疗对重性精神病患者危险性和病情稳定性的影响。方法对大连市西岗区501名重性精神病患者进行随访、免费诊治、体检等居家社区化管理治疗,比较管理前后患者危险性及病情稳定性的变化。结果501名重性精神疾病患者接受1年的社区化管理治疗后危险性评估3级下降0.60%,0级上升10.78%,病情稳定患者上升4.79%,不稳定下降3.59%。结论通过对重性精神病患者开展居家社区化规范管理治疗,让精神病患者在社区接受到专业的诊疗服务和免费给药治疗,能降低患者的危险性。

Objective To explore the effect of community - based management and treatment model on risk and illness state of the patients with severe mental illnesses. Methods illnesses were collected from Xigang district of Dalian and they were and treatments and the physical examination. The risk and stability Altogether 501 patients with severe mental conducted follow - up visits, free diagnosis of the disease before and after the commu- nity -based management were compared. Results One year later, the proportion of patients with risk level 3 decreased by 0. 60% and the proportion of patients with level 0 increased by 10. 78%. The proportion of pa- tients with stable illness state increased by 4.79% and the proportion of unstable ones decreased by 3.59%. Conclusion With community -based standard management treatment, the patients with severe illness could re- ceive professional diagnosis and free drug, which could minor the risk of the patients.