| 九江市贫困家庭重性精神疾病筛查诊断分析 |
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| 引用本文： | 吴洪军,丁跃庆,蔡金水,陈诚,钟婠婠,王和宝. 九江市贫困家庭重性精神疾病筛查诊断分析[J]. 现代预防医学, 2015, 0(20): 3706-3709 |
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| 作者姓名： | 吴洪军 丁跃庆 蔡金水 陈诚 钟婠婠 王和宝 |
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| 作者单位： | 九江市第五人民医院精神科，江西 九江 332000 |
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| 摘 要： | 摘要:目的 了解九江市贫困家庭重性精神疾病（除精神发育迟滞）状况。方法 通过县、乡、村基层精防医务人员使用《贫困家庭重性精神病人线索调查问题清单》（行为异常人员线索调查问题清单）对具有九江市常住户口、参加城镇居民基本医疗保险和新型农村合作医疗的贫困家庭重性精神病患者进行线索调查。对《贫困家庭重性精神病人线索调查问题清单》阳性患者由市级定点医院组织中高级精神科医师进行现场确诊。结果 诊断符合贫困家庭免费救治范围重性精神疾病患者9315例，以精神分裂症患者为主（占87.9%）。问题清单以第5、3、8条排在前列，言谈举止异常为常见筛查表现。有3.2%～18.8%的患者存在伤人、毁物等严重行为障碍。九江市贫困家庭5种重性精神疾病筛查诊断病例占贫困人口的2.1%，占重性精神疾病（除精神发育迟滞）的19.3%，较总体患病率差异有统计学意义（P＜0.01）。结论 贫困家庭重性精神疾病较明显，《贫困家庭重性精神病人线索调查问题清单》能有效地发现重性精神疾病患者，对以精神分裂症为主的贫困家庭重性精神疾病应加强防治。
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| 关 键 词： | 关键词:重性精神疾病 贫困家庭 筛查诊断 |
Screening and diagnosis of major psychosis patients from poor families in Jiujiang city |
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| WU Hong-jun,DING Yue-qing,CAI Jin-shui,CHEN Cheng,ZHONG Wan-wan,WANG He-bao. Screening and diagnosis of major psychosis patients from poor families in Jiujiang city[J]. Modern Preventive Medicine, 2015, 0(20): 3706-3709 |
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| Authors: | WU Hong-jun DING Yue-qing CAI Jin-shui CHEN Cheng ZHONG Wan-wan WANG He-bao |
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| Affiliation: | Department of psychiatry, the fifth people's hospital of Jiujiang, Jiujiang Jiangxi 332000, China |
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| Abstract: | Abstract: Objective The aim of this study was to explore the situation of major psychosis patients (in addition to mental retardation) from poor families in Jiujiang. Methods The poor family of major psychosis clue survey list was used to investigate all the poor families in Jiujiang, including permanent residents and participants in basic medical insurance or the new rural cooperative medical insurance. Results A total of 9315 patients from the poor families were diagnosed as major psychosis. The most common diagnosis was schizophrenia (87.9%). Item 5, 3 and 8 of the survey list were the most frequently reported positive items. 3.2%-18.8% of the patients were reported with a history of aggressive or violence behavior. These five kinds of serious mental illness accounted for 2.1% of the poor population and 19.3% of severe mental illness (in addition to the mental retardation) (P<0.01). Conclusion Major psychosis patients were one of the important factors for the poor families. The list was an effectively tool used to identify the major psychosis patients. The prevention and treatment of the schizophrenia patients was a public health priority to help the poor families. |
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| Keywords: | Keywords: Major psychosis patients Poor families Screening Diagnosis |
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