罗定市重性精神病疾病管理效果分析

目的：评估、分析罗定市重性精神疾病管理效果。方法选取罗定市重性精神疾病患者病情不稳定或基本稳定（危险性评估等级1～5级）的精神分裂症患者共125例作为研究对象，在实施重性精神疾病管理治疗工作前和后（3年）分别使用一般状况调查表、危险性评估量表及阳性和阴性综合征量表（ PANSS）、社会功能缺陷筛选量表（ SDSS）进行管理前后对比研究。结果实施管理3年时与管理前比较，125例患者的危险性评估等级下降（P＜0.01），实施前后PANSS、SDSS总分比较均有显著性差异（P＜0.01）。结论重性精神疾病管理治疗工作对控制精神疾病患者危险性行为，减少患者社会功能缺陷，改善患者精神病性症状，促进患者社会康复的效果是明显的，此项工作值得进一步发展和推广。

Analysis about the effect of severe mental illness management

Objective To assess and analyze the effect of severe mental illness management. Methods 125 cases in severe mental illness management whose symptoms were unstablized or equal stablied（the level of risk assessment between 1 to 5） were investigated by using general information questionnaire＇ risk assessment scale＇Positive and Negative Syndrome scale（PANSS）’Social Disability Screening schedule（SDSS）. The data was compared between the baseline and 3 years after implementing of the severe mental illness management work. Results The level of risk assessment decreased（P 〈 0.01） while the total scores of PANSS and SDSS were all improved after implementing severe mental illness management（P〈0.01）. Conclusion Severe mental illness management plays an important role in controling the risk behavior＇decreasing the disorder in social function＇ improving the symptoms＇promoting the reveal of patients with severe mental illness. It deserves further popularization and application.