CAJ | 학술논문

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。
목적：탐색중성정신병치료수방관리신모식,건립방치궤제화망락,제고치료성공솔,제고환자급기가속적생활질량,강저환자위험행위발생솔,촉진사회적은정화화해。방법：선택대리시위시점,대할구내상주거민진행정신질병선색조사,근거선색신식입호조사,대부합ICD-10、CCMD-3표준학진적중성정신질병환자진행건당립잡관리,병록입전국중성정신질병치료관리망락계통,경위험행위평고,대유3급이상위험행위적빈곤환자,입조면비주원치료、면비복약관리。결과：선색조사획득유정신이상신식2 828조,초사부합중성정신질병적진단표준자1 856례,경평고유3급이상위험행위자185례。부합입조면비복약73례、부합입조면비주원치료45례。결론：실시중성정신질병치료수방관리항목장유효감소증상복발,감소위험행위적발생,구유중요적사회경제효익。
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.