湖北在管严重精神障碍患者失访与死亡原因现状分析-湖北残疾人.pdfVIP

湖北省在管严重精神障碍患者失访 与死亡原因现状分析 汤世明 王晓萍 宫璇 王高华 武汉大学人民医院精神卫生中心 （武汉430060） 【摘要】目的：分析2011-2013 年湖北省在管严重精神障碍患者的失访与死 亡情况，减少失访患者危险行为的发生。方法：对在管患者随访数据及失访 （死 亡）患者登记表进行整理，使用SPSS17.0 统计软件进行分析。结果：2013 年比 2012 年失访与死亡患者增加1.17 倍，除其他 （37.3%）和死亡 （13.3%）外，外 出打工、迁居他处、连续3 次失访和走失患者合计49.4%；精神分裂症占失访患 者84.2%；躯体疾病所致死亡患者占53.6%。结论：加强对精神分裂症和躯体疾 病患者的随访，及时流转患者随访信息是预防患者失访和死亡的有效方法。 【关键词】 在管严重精神障碍 失访 死亡 分析 Current status analysis of Network management of death and loss of follow up for severe mental disorder in Hubei province Tang Shiming, Wang Xiaoping, Gong Xuan, Wang Gaohua 【Abstract】Objective:In order to lower high-risk behaviors of patients with severe mental disorder, the status of withdrawing from follow up visits and death of patients with severe mental disorders in Hubei province between 2011 and 2013 are analyzed.Method:Data of patients follow up visits, incompliance to treatment and incidents leading to patientsdeath are recorded and analyzed using SPSS17.0.Result : In comparison to Year 2012, Year 2013 has 17% higher rate in incompliance and death rate.Excluding reasons not otherwise specified (37.3%) and death (13.3% of total population), non-local employment, moving, missing three consecutive follow up visits and becoming missing add up to be 49.4% of all noncomplying samples, in which, 84.2% of all non-complying patients suffer from schoizophrenia, and of all deaths, 53.6% are caused by medical disorders.Conclusion : Monitoring over patients follow up visits regarding to their mental and physical conditions and maintaining the follow up information is an effective way of preventing patients from incompliance and death caused by medical condition. Key Word: Monitored Severe mental disorder, loss of follow up, death, analysis 随着经济社会快速发展，生活节奏加快，竞争加剧，精神障碍总体发病率增 高，疾病负担加重，按照 1993 年中国七地区精神疾病流行病学调查 13.47‰终 生患病率的结果，推算湖北省成人严重精神障碍患者 64.4