CAJ | 학술논문

[目的]分析边远山区严重精神障碍患者3年死亡现状及原因，为保山市提高该类患者社区居家生存质量提供科学依据。[方法]收集保山市社区2011-2013年内266例死亡的严重精神障碍患者信息和死亡原因，结合国家重性精神疾病基本数据收集分析系统进行统计学分析。[结果]2011-2013年，保山市共死亡严重精神障碍患者266例，3年平均死亡率13.8‰，2012年死亡率最高（为17.3‰），60岁及以上、离婚、文盲患者死亡率最高（分别为31.6‰、33.0‰和17.5‰）；躯体疾病死亡率最高（9.8‰），具体死因中脑出血最高（为3.2‰）；不同性别、年龄、民族、文化程度、婚姻状况的患者死亡状况不同。[结论]边远山区严重精神障碍患者死亡率（13.8‰）较普通人群高（6.7‰），以躯体疾病、自杀及意外为主要死亡原因，应加强社区对患者的管理、护理措施，提高该类患者生存质量。
[목적]분석변원산구엄중정신장애환자3년사망현상급원인，위보산시제고해류환자사구거가생존질량제공과학의거。[방법]수집보산시사구2011-2013년내266례사망적엄중정신장애환자신식화사망원인，결합국가중성정신질병기본수거수집분석계통진행통계학분석。[결과]2011-2013년，보산시공사망엄중정신장애환자266례，3년평균사망솔13.8‰，2012년사망솔최고（위17.3‰），60세급이상、리혼、문맹환자사망솔최고（분별위31.6‰、33.0‰화17.5‰）；구체질병사망솔최고（9.8‰），구체사인중뇌출혈최고（위3.2‰）；불동성별、년령、민족、문화정도、혼인상황적환자사망상황불동。[결론]변원산구엄중정신장애환자사망솔（13.8‰）교보통인군고（6.7‰），이구체질병、자살급의외위주요사망원인，응가강사구대환자적관리、호리조시，제고해류환자생존질량。
Objective To provide scientific basis for improving life quality through analyzing death situation and causes in three years of severe mental in remote mountainous areas.Methods Collected 266 cases information death causes of severe mental from 2011 to 2013 in Baoshan. Statistic analysis combined with national severe mental basic data. Results From 2011 to 2013, 266 severe mental was died, 3-years average mortality rate was 13.8‰, the highest of mortality rate was in 2012. The highest of mortality rate in aged 60 above or divorced or illiterate patients( 31.6‰、33.0‰、17.5‰).The mortality rate of physical illness was highest to 9.8‰, 3.2‰ was died in hematencephaion. The death status was different in different sex, age, nationality, education and marital status. Conclusions The mortality rate of severe mental(13.8‰) was higher than normal population(6.7‰) in remote mountainous areas. Main death causes was physical illness, suicide and accidents. So we must strengthen supervision and nursing measures to the patients in community, so as to improve life quality to these patients.