学术论文

      重性精神疾病患者免费投药及随访82例情况分析

      Analysis of drug free for patients with severe mental illness and follow -up of 82 cases

      摘要:
      目的:对重性精神疾病患者免费投药及随访情况进行分析,为进一步开展全师免费投药提供依据。方法对符合救助条件的82例重性精神疾病患者免费投药,并随访2年,于入组前及随访2年后进行社会功能评定(SDSS)、依从性评定、复发率比较。结果依从性比较,入组前完全依从33例,部分依从27例,不依从22例;随访2年后完全依从52例,部分依从21例,不依从9例,差异有统计学意义(u=3.34,P<0.01)。社会功能比较:社会性退缩:入组前(1.32±0.75)分,随访2年后(0.96±0.34)分,差异有统计学意义(t=3.93,P<0.001);家庭内活动:入组前(1.44±0.69)分,随访2年后(0.87±0.31)分,差异有统计学意义(t=6.78,P<0.001);个人自理:入组前(1.29±0.68)分,随访2年后(0.95±0.62)分,差异有统计学意义(t=3.33,P<0.001);对外界兴趣:入组前(1.23±0.63)分,随访2年后(0.97±0.41)分,差异有统计学意义(t=3.05,P<0.025);总分:入组前(15.42±7.23)分,随访2年后(9.56±6.89)分,差异有统计学意义(t=5.28,P<0.001)。复发率比较:入组前2年复发33例(40.2%),随访后2年复发15例(18.3%),差异有统计学意义(χ2=10.64,P<0.001)。结论对重性精神疾病患者免费投药并实施随访可以提高社会功能,降低复发率,提高依从性。
      Abstract:
      Objective Toanalyzedrugfreeforpatientswithseverementalillnessandfollow-upof82cases, inordertoprovidebasisforthedivisionoffreedelivery.Methods 82severementalillnesspatientswhowereincon-formity with the conditions of rescue,were given free drug and followed up for 2 years.Before the admission and fol-lowed up for 2 years,the social function evaluation(SDSS)and compliance were evaluated,the recurrence rate was compared.Results Comparisonofcompliance:beforetheadmission,thecompletecompliancein33cases,thepartial compliance in 27 cases,22 cases of non-compliance;After 2 years follow-up,the complete compliance in 52 cases, the partial compliance in 21 cases,9 cases of non-compliance.The difference was statistically significant(u=3.34, P<0.01).Comparison of social function:social withdrawal:before the admission (1.32 ±0.75)points,after 2 years follow-up (0.96 ±0.34)points,the difference was statistically significant(t=3.93,P<0.001 );Family activities:before the admission (1.44 ±0.69)points,after 2 years follow-up (0.87 ±0.31)points,the difference was statisti-cally significant (t=6.78,P<0.001);Personal care:before the admission (1.29 ±0.68)points,after 2 years follow-up (0.95 ±0.62)points,the difference was statistically significant(t=3.33,P<0.001);Interest in the outside world:before the admission (1.23 ±0.63)points,after 2 years follow-up (0.97 ±0.41)points,the difference was statistically significant(t=3.05,P<0.025);The total score:before the admission (15.42 ±7.23)points,after 2 years follow-up (9.56 ±6.89)points,the difference was statistically significant(t=5.28,P<0.001).Compari-son of the recurrence rate:2 years before the admission,the recurrence in 33 cases (40.2%),after 2 years follow-up the recurrence in 15 cases(18.3%),the difference was statistically significant (χ2 =10.64,P<0.001).Conclusion Drug free for patients with severe mental illness and follow-up can improve the social function and the implementation&nbsp;of free administration of patients with severe mental illness,and reduce the recurrence rate and improve compliance.
      作者: 马新莲 [1] 王玲花 [2] 王彩丽 [1] 李艳 [1] 赵敏强 [2] 王自强 [2]
      Author: Ma Xinlian [1] Wang Linghua [2] Wang Caili [1] Li Yan [1] Zhao Minqiang [2] Wang Ziqiang [2]
      作者单位: 新疆生产建设兵团第六师十三户医院精神科, 新疆维吾尔自治区米泉,831401 太原市精神病医院心理科, 山西省太原,030045
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日