J4 ›› 2011, Vol. 10 ›› Issue (8): 27-29.

• 基础医学 • 上一篇    下一篇

大理州开展重性精神疾病治疗管理模式初探

目的:探索重性精神病治疗随访管理新模式,建立防治机制和网络,提高治疗成功率,提高患者及其家属的生活质量,降
低患者危险行为发生率,促进社会的稳定和和谐。方法:选择大理市为试点,对辖区内常住居民进行精神疾病线索调查,根据线索信息入户调查,对符合ICD-10、CCMD-3 标准确诊的重性精神疾病患者进行建档立卡管理,并录入全国重性精神疾病治疗管理网络系统,经危险行为评估,对有3 级以上危险行为的贫困患者,入组免费住院治疗、免费服药管理。结果:线索调查获得有精神异常信息2 828 条,初筛符合重性精神疾病的诊断标准者1 856例,经评估有3 级以上危险行为者185 例。符合入组免费服药73 例、符合入组免费住院治疗45 例。结论:实施重性精神疾病治疗随访管理项目将有效减少症状复发,减少危险行为的发生,具有重要的社会经济效益。   

  1. 1.大理州疾病控制与预防中心,云南大理 671000;2.大理州第二人民医院,云南大理 671000;
    3.大理市疾病控制与预防中心,云南大理 671000
  • 收稿日期:2011-03-03 修回日期:2011-06-22 出版日期:2011-08-15 发布日期:2011-08-15
  • 作者简介:施照云,副主任医师,主要从事精神疾病防控研究.

Management Model for Severe Mental Disorders Treatment in Dali Prefecture

  1. 1.Center for Disease Control and Prevention of Dali, Dali,Yunnan 671000, China;2.Second People's Hospital of Dali, Dali, Yunnan 671000, China; 3. Center for Disease Control and Prevention of Dali City, Dali, Yunnan 671000, China
  • Received:2011-03-03 Revised:2011-06-22 Online:2011-08-15 Published:2011-08-15

摘要:

目的:探索重性精神病治疗随访管理新模式,建立防治机制和网络,提高治疗成功率,提高患者及其家属的生活质量,降
低患者危险行为发生率,促进社会的稳定和和谐。方法:选择大理市为试点,对辖区内常住居民进行精神疾病线索调查,根据线索信息入户调查,对符合ICD-10、CCMD-3 标准确诊的重性精神疾病患者进行建档立卡管理,并录入全国重性精神疾病治疗管理网络系统,经危险行为评估,对有3 级以上危险行为的贫困患者,入组免费住院治疗、免费服药管理。结果:线索调查获得有精神异常信息2 828 条,初筛符合重性精神疾病的诊断标准者1 856例,经评估有3 级以上危险行为者185 例。符合入组免费服药73 例、符合入组免费住院治疗45 例。结论:实施重性精神疾病治疗随访管理项目将有效减少症状复发,减少危险行为的发生,具有重要的社会经济效益。

关键词: 重性精神疾病, 治疗, 随访管理, 模式

Abstract:

Objective: To explore a new follow-up style management model in severe mental disorders treatment, establish control
mechanisms and networks, improve cure rate and life quality of the patients and their families, reduce the incidences of risk behavior and promote social stability and harmony. Methods: Firstly we investigated mental illnesses on permanent residents in Dali City, then we went on a further survey according to the above clues. The data that met the diagnosed standard (ICD-10 and CCMD-3)were enrolled into the national severe mental disorders management network system. For those impoverished patients with third-class and the above risk behaviors were hospitalized and managed in group and were offerred both free treatment and drug after their dangerous behavior were assessed. Results: 2 828 pieces of mental anomaly information were obtained in the clue survey, and 1 856 cases with severe mental disorders met the diagnosis standards after preliminary screening. 185 cases had third -class and the above risk behaviors after the assessment, and 73 cases were enrolled for free drug, 45 cases were hospitalized for free. Conclusion: The new
follow-up management model was worthy promoting for social and economical benefit.

Key words: severe mental disorder, treatment, follow-up management, model

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