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社区重性精神障碍患者死亡病例现状的相关因素分析

Analysis of related factors of death cases status in patients with severe mental disorders in community

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【作者】 张跃坤黄芹赵丽琼王延军王忠张超罗诚

【Author】 Zhang Yuekun;Huang Qin;Zhao Liqiong;Wang Yanjun;Wang Zhong;Zhang Chao;Luo Cheng;Yunnan Province Psychiatric Hospital;

【机构】 云南省精神病医院

【摘要】 目的:探讨社区重性精神障碍患者死亡病例现状的相关影响因素。方法:收集死亡重性精神障碍患者180例,采用自制定式调查问卷及《死因报告卡》进行相关信息分析。结果:180例死亡重性精神障碍患者中,死亡与病程差异有统计学意义(P<0.05);死前未服药与服药比较,差异有统计学意义(P<0.05);无监护与有监护比较,差异有统计学意义(P<0.05);死亡病种中,前3位是精神分裂症、中-重度精神发育迟滞、癫痫所致精神障碍,差异有统计学意义(P<0.05)。结论:大力普及精神卫生知识,急性期住院规范治疗,恢复期坚持服药,巩固疗效,建立完善的社会、家庭支持系统,加强监护,是减少社区重性精神障碍患者死亡的重要措施。

【Abstract】 Objective:To explore the related influencing factors of death cases status in patients with severe mental disorders in community.Methods:180 cases of death patients with severe mental disorders were selected.The relevant informations were analyze by self made questionnaire and "death report card".Results:In 180 cases of death patients with severe mental disorders,and there were significant differences between death and duration(P<0.05).The not taking medicine and taking medicine were compared before death,and there was significant difference(P<0.05).The no guardianship and guardianship were compared,and there was significant difference(P<0.05).In the death diseases,the first 3 were schizophrenia,moderate to severe mental retardation,mental disorders due to epilepsy,and there was significant difference(P<0.05).Conclusion:Vigorously popularizing mental health knowledge,standardized treatment of acute hospitalization,medication adherence to consolidate curative effect in recovery period,establishing a sound social and family support system,strengthening the monitoring,are the important measures to reduce the death of patients with severe mental disorders in community.

【关键词】 社区重性精神障碍死亡相关因素
【Key words】 CommunitySevere mental disordersDeathRelated factors
  • 【文献出处】 中国社区医师 ,Chinese Community Doctors , 编辑部邮箱 ,2017年12期
  • 【分类号】R749
  • 【被引频次】1
  • 【下载频次】60
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