293例精神残疾15年后重新评定结果分析

目的探讨精神病残疾人重新评定的特点。方法收集了293例用国家统一的残疾标准和检查方法进行残疾等级重新评定。结果15年后重新评定本组残疾人,发现死亡率为3.22%,两次评定的诊断误诊率为0.71%,有35.48%的残疾人伴发1种以上的其他躯体性疾病,两次评定残疾等级变化差异有统计学意义(P0.01),说明残疾程度有加重趋势。结论加强残疾康复的同时,还应重视患者躯体疾病的防治,并建议精神病残疾等级评定工作,应设立初评和重新评定。

Analysis on the Re-evaluation Results in 293 Cases of Psychiatric Disabilities after 15 Years

Objective To explore and discuss the re-evaluated characteristics in psychiatric disablilities. Methods Two hundred and ninty-three cases were collected with the national uniform standard of disabilities and the examination method to re-evaluate the disabled degree. Results The disabilities in this group were re-evaluated after 15 years. It was found that the mortality of whom was 3. 22% and the misdiagnostic rate of evaluation in two times of diagnosis was 0.71%. The disabilities complicated with other physical diseases in 35. 48% of them. The difference between the changes of the disabled degree in two times of evaluation had statistically significance（p〈0.01）. It showed that the disabled degree had the tendency of aggrevation. Conclusion In addition to strengthen the rehabilitation of the disabled, the prevention and treatment of patients＇ physical diseases should be attached importance. It is suggested that the primary evaluation and re-evaluation should be established for the psychiatric disabled degree.