2016年重庆市严重精神障碍患者管理治疗信息分析

Information analysis for management and treatment in patients with severe mental disorders in Chongqing in 2016

目的分析2016年重庆市各区县社区严重精神障碍患者的管理治疗信息,为重庆市各级政府部门有针对性地出台救治救助政策及如何实施严重精神障碍防治工作提供基础信息。方法分析截至2016年底重庆市各区县开展严重精神障碍患者管理治疗工作情况,国家信息管理系统中在册患者一般人口学特征、社区随访管理以及居家服药情况等。结果截至2016年12月31日,重庆市38个区县、万盛经济开发区和两江新区所辖乡镇(街道)均使用国家严重精神障碍信息系统,系统覆盖率100%,信息系统注册用户1 271名;全市在册患者128 971例,报告患病率4. 31‰;在管患者121 402例,管理率94. 13%;规范管理患者103 099例,规范管理率79. 94%;服药患者62 086例,服药率51. 14%,规律服药患者39 078例,规律服药率32. 19%。结论重庆市所有区县均开展了严重精神障碍患者居家随访和治疗等管理服务,工作效果较好,部分区县尚有差距,仍需进一步加强患者报告发现、规范管理和服药治疗等方面工作。

Objective To analyze the managenlent and treatment information for patients with severe mental disorders in Chongqing counties in 2016, in order to provide a reference for government to make policy and deliver mental health services. Methods Analyzing the situation of management and treatment for patients with severe mental disorders in Chongqing counties by the end of 2016, through the data of demographic characteristics, eomnmnity follow-up managenlent and medications taken at home from National hfformation System for Psychosis. Results By the end of 2016, the National Information System for Psychosis covered 40 counties in Chongqing, accounting for 100% of the total countylevel administrative area with about 1 271 registered users in the system. 128 971 patients were registered, and registered rate was 4.31%o in the whole city. 121 402 patients received follow-up service in the community by primary health care staff, and the management rate was 94.13%. In addition, 103 099 patients received regular follow-up visit, and the proportion was 79.94%. 62 086 patients were reported by taking antipsyehotie drugs, with the medication-taking rate 51.14%. However, 39 078 patients took drugs regularly, and the rate was about 32.19% . Conclusion All counties have carried out community follow-up and treatment management services for patients with severe mental disorders in Chongqing, with good work effects. Some counties still have to enhance their works in patients reporting, regular management, medication taking and treatment.