CAJ | 학술논문

目的：评估奉贤区贫困精神病患者社区医疗救助政策调整效果。方法：在政策调整前以及调整后12个月，对621例患者和342例患者家属进行调查访谈。结果：与政策调整前相比，政策调整后12个月患者的病情和服药依从性显著改善，药物不良反应发生显著减少(P﹤0.01)；个人生活料理能力、家务劳动能力改善显著差异(P﹤0.01)；但学习能力、生产劳动及工作能力、社会人际交往能力等功能恢复无显著差异(P﹥0.05)。结论：社区医疗救助政策的调整进一步优化了贫困精神病患者的治疗和康复。
목적：평고봉현구빈곤정신병환자사구의료구조정책조정효과。방법：재정책조정전이급조정후12개월，대621례환자화342례환자가속진행조사방담。결과：여정책조정전상비，정책조정후12개월환자적병정화복약의종성현저개선，약물불량반응발생현저감소(P﹤0.01)；개인생활료리능력、가무노동능력개선현저차이(P﹤0.01)；단학습능력、생산노동급공작능력、사회인제교왕능력등공능회복무현저차이(P﹥0.05)。결론：사구의료구조정책적조정진일보우화료빈곤정신병환자적치료화강복。
Objective:To evaluate effects of community medicaid policy adjustment for poor psychotic patients. Methods:621 patients and their 342 relations were interviewed before and 12 months after the policy adjustment. Results:The state of the disease and the medication compliance of the patients were significantly improved 12 months after the policy adjustment, compared with those before the policy adjustment, and the adverse reactions were reduced significantly (P<0. 01). The self-care and housekeeping abilities were improved significantly (P<0. 01);however, there were no obvious changes in the study ability, workforce and social communication skills (P>0. 05). Conclusions:The adjustment of the community medicaid policy further optimizes the treatment and rehabilitation of the psychotic patients.