阜阳市在管严重精神障碍患者现况分析

Analysis on the current situation of patients with severe mental disorders in Fuyang City

目的了解阜阳市在管严重精神障碍患者的管理现状,为研究制定相应防治措施,进一步加强严重精神障碍管理治疗工作提供决策依据。方法从《国家严重精神障碍信息系统》中导出截止2020年12月31日阜阳市在管严重精神障碍患者作为研究对象,对人口学资料进行统计分析。结果截止2020年12月31日,阜阳市登记在管的严重精障碍患者43100例,报告患病率为5.26‰,男女比例为1∶1.13,女性患病率显著高于男性(χ^(2)=5.71,P<0.01);18岁-44岁青壮年占比最高(41.67%);主要以农村患者为主(90.41%);经济贫困患者占54.24%;文化程度以文盲或半文盲为主(36.76%);婚姻状况以已婚患者为主(65.7%);职业分布主要以农民为主(82.84%);疾病分布的构成上主要以精神分裂症患者比例最高(79.64%)。结论阜阳市在管严重精神障碍患者社会地位及经济状况相对较低,应健全当地精神卫生服务体系和网络,壮大精神卫生人才队伍,构建精神疾病患者康复体系,以促进该市精神卫生服务工作的健康可持续发展。

Objective To understand the management status of patients with severe mental disorders in Fuyang City,and to provide decision-making basis for studying and formulating corresponding prevention and treatment measures and further strengthening the management and treatment of severe mental disorders.Methods The patients with severe mental disorders in Fuyang City by December 31,2020 were derived from the National Information System for Severe Mental Disorders as research objects and the demographic data were statistically analyzed.Results As of December 31,2020,there were 43100 patients with severe mental disorders registered in Fuyang City.The reported prevalence rate was 5.26‰,And the ratio of male to female was 1∶1.13,The prevalence rate in women was significantly higher than that in men(χ^(2)=5.71,P<0.01);The proportion of young adults aged 18-44 was the highest(41.67%);Mainly rural patients(90.41%);Patients with economic poverty accounted for 54.24%;The educational level was mainly illiterate or semi illiterate(36.76%);The marital status was mainly married patients(65.7%);The occupation distribution is mainly farmers,accounting for 82.84%;The proportion of patients with schizophrenia was the highest(79.64%).Conclusion The social status and economic status of patients with severe mental disorders in Fuyang City are relatively low.We should improve the mental health service system and network,expand the mental health talent team,and build a mental disorder rehabilitation system to promote the healthy and sustainable development of mental health services in Fuyang City.