宁夏固原市2011-2015年严重精神障碍患者管理信息分析

Management and Services for Psychosis in Guyuan from 2011 to 2015

目的分析宁夏固原市严重精神障碍患者的流行病学特征,为完善精神障碍防治措施提供参考。方法采用描述性分析方法对2011至2015年期间固原市严重精神障碍信息系统中确诊并纳入管理患者的一般资料、管理和治疗情况进行统计分析。结果宁夏固原市在档严重精神障碍患者3892例,建册率3.12‰;患者管理率85.5%,规范管理率77.1%;服药率30.2%,规律服药率26.4%;疾病构成上以精神分裂症为主,占67.03%;女性精神分裂症建册率高于男性(P<0.01),汉族的精神分裂症和严重精神障碍建册率均高于回族(P<0.01);15~55岁严重精神障碍患者占79.31%,且不同年龄组的精神分裂症和严重精神障碍建册率差异均有统计学意义(P<0.01),乡村精神分裂症和严重精神障碍建册率高于城镇(P<0.01)。结论固原市严重精神障碍患者的管理治疗工作仍需改进,其防治应以青壮年及精神分裂症为主。

Objective To analyze the data of management and services for patients with psychosis in Guyuan,and to provide a reference for improving policy of service delivery. Methods Descriptive method was used to analyze the general information and management,treatment situation of the patients with psychosis using the data from 2011 to 2015 obtained from ＂National Information System for Psychosis＂. Results A total of 3892 patients with psychosis was registered in the management system in Guyuan by the end of year 2015,with a registered prevalence 3.12‰,patients＇ management rate 85.5% and regular management rate 77.1%. Of the total patients sample,30.2% took anti-psychosis medication,and 26.4% took medication regularly.Schizophrenia accounted for 67.03% of the total diagnosis. The female had a higher prevalence of schizophrenia than the male had（P〈0.01）while he Han ethnicities had higher prevalence both of psychosis and schizophrenia than Hui ethnicities had（P〈0.01）;79.31% of the total patients aged from 15 to 55 years old,and the prevalence increased with the age（P〈0.01）. The prevalence of psychosis in rural area was significantly higher than that in urban areas（P〈0.01）. Conclusion The quality of treatment and management of patients with psychosis in Guyuan is lower than the national average level. Much attention should be paid to young and middle aged group with schizophrenia.