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住院流浪精神障碍患者临床特点及流行病学特征分析

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目的:了解流浪精神障碍患者临床特点及流行病学特点.方法:苏州市广济医院2021 年10 月至2022 年10 月住院治疗的564 例流浪精神障碍患者作为研究对象,使用自编的调查表和《国际疾病分类》(ICD-10)诊断并分析.结果:住院流浪精神障碍患者年龄主要集中在18~40 岁(82.26%),男性(73.04%)明显多于女性(26.95%).患者主要由公安机关接警后送入我院治疗,经治疗待病情稳定后主要由救助站、派出所、家属接走.诊断以精神分裂症最多(46.98%),其次为急性短暂性精神障碍(27.65%).根据国家严重精神障碍危险性评估标准,以危险性3 级患者最多(28.01%).结论:流浪精神障碍患者以男性青年为主,以精神分裂症、急性短暂性精神障碍为主,对社会有一定危害性,有关部门应加强管理.
Analysis of clinical characteristics and epidemiological characteristics of hospitalized homeless mental disorder patients
Objective:To explore the clinical and epidemiological characteristics of vagrant psychiatric disorders.Method:Using the self-made questionnaires and the standards for international classification of diseases(ICD-10)to study the 564 vagrant psychiatric disorders hospitalized in Suzhou Guangji Hospital from October 2021 to October 2022.Results:The age of hospitalized vagrant psychiatric disorders mainly ranges from 18 to 40(82.26%),and males(73.04%)is significantly more than females(26.95%).These patients were mainly sent to our hospital for treatment by the public security organ after receiving the report.These disor-ders were mainly picked up by the rescue station,police station and family members in stable sondition after treatment.The number of schizophrenics diagnosed by doctors is the most(46.98%)followed by acute transi-ent psychiatric disorder(27.65%).The patients with risk level3(28.01%)is the most according to the na-tional risk assessment criteria for severe psychiatric disorders.Conclusion:Patients with vagrant psychiatric disorders are mainly male youth,mainly schizophrenia and acute transient mental disorders,which is harmful to society.So relevant departments should strengthen management.

vagrantspsychiatric disorderclinical characteristicsepidemiology

何洪珍、聂榕春、蒋凯、徐美

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364300 福建省龙岩市武平县医院精神科

福建省龙岩市第三医院精神科

苏州市广济医院精神科

流浪者 精神障碍 临床特点 流行病学

苏州市"科教兴卫"青年科技项目

KJXW2021054

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(2)
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