CAJ | 학술논문

目的：了解基诺族精神与行为障碍流行病学状况，为开展有针对性的健康教育提供依据。方法抽取景洪市基诺族乡基诺族村民4934人，采用《精神现状检查》诊断工具进行调查，采用《国际疾病分类》第10版对线索病例进行诊断分类。结果精神疾病总时点患病率17．35％，终生患病率19．09％。烟草依赖及有害使用时点患病率10．92％，终生患病率11．88％；酒精依赖及有害时点患病率4．11％，终生患病率4．40％；睡眠障碍时点患病率0．53％，终生患病率0．63％；精神分裂症时点患病率0．36％，终生患病率0．43％；精神发育迟滞时点患病率0．28％，终生患病率0．36％；焦虑障碍时点患病率0．24％，终生患病率0．30％；情感障碍时点患病率0．14％，终生患病率0．22％；癫痫终生患病率0．08％。结论基诺族精神疾病谱较广，烟、酒问题仍很突出，罹患精神疾病后主动就医率低，精神卫生知识的普及和心理健康教育工作亟待加强。
목적：료해기낙족정신여행위장애류행병학상황，위개전유침대성적건강교육제공의거。방법추취경홍시기낙족향기낙족촌민4934인，채용《정신현상검사》진단공구진행조사，채용《국제질병분류》제10판대선색병례진행진단분류。결과정신질병총시점환병솔17．35％，종생환병솔19．09％。연초의뢰급유해사용시점환병솔10．92％，종생환병솔11．88％；주정의뢰급유해시점환병솔4．11％，종생환병솔4．40％；수면장애시점환병솔0．53％，종생환병솔0．63％；정신분렬증시점환병솔0．36％，종생환병솔0．43％；정신발육지체시점환병솔0．28％，종생환병솔0．36％；초필장애시점환병솔0．24％，종생환병솔0．30％；정감장애시점환병솔0．14％，종생환병솔0．22％；전간종생환병솔0．08％。결론기낙족정신질병보교엄，연、주문제잉흔돌출，리환정신질병후주동취의솔저，정신위생지식적보급화심리건강교육공작극대가강。
Objective To survey the epidemiological situations of mental and behavior disorders in Jinuo nationality in order to provide basis for developing purposeful health education .Methods Surveys were carried out using the diagnosis instrument of Present State Examination (PSE) among 4 ,934 Jinuo village peoples ,Jinuo tow nship ,Jinghong city ,and clue cases diagnosed and classified according to ICD‐10 .Re‐sults Total point prevalence of mental disorders was 17 .35% and lifetime prevalence 19 .09% .The point prevalence of tobacco dependence and harmful use was 10 .92% and lifetime prevalence 11 .88% ;the point prevalence of alcohol dependence and harmful use was 4 .11% and lifetime prevalence 4 .40% ;the point prevalence of sleep disorders was 0 .53% and lifetime prevalence 0 .63% ;the point prevalence of schizo‐phrenia was 0 .36% and lifetime prevalence 0 .43% ;the point prevalence of mental retardation was 0 .28%and lifetime prevalence 0 .36% ;the point prevalence of anxiety was 0 .24% and lifetime prevalence 0 .30% ;the point prevalence of affective disorders w as 0 .14% and lifetime prevalence 0 .22% ;the lifetime preva‐lence of epilepsy was 0 .08% .Conclusion Mental disorder spectrum of Jinuo nationality is broader ,tobac‐co and alcohol problems are still outstanding ,the rate of initiatively seeking treatment after suffering from psychosis is low ,and the popularity of mental health know ledge and mental health education should be en‐hanced urgently .