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上海奉城镇社区在册精神障碍患者现况分析

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目的:掌握上海奉城镇社区在册精神障碍患者流行病学特征,为进一步开展社区防治工作提供依据.方法:对 2022 年 12 月 31 日前登记在册的 375 例精神障碍患者进行分析,患者中男性 163 例,女性 212 例,平均年龄为(58.24±13.29)岁.结果:在册 375例精神障碍患者中,精神分裂症占 42.9%,精神发育迟滞占 40.3%,双相障碍占 5.1%,分裂情感性障碍占 0.3%,其他精神障碍 11.4%.精神障碍在时间(近 5年)、地区、人群的分布上差异均有统计学意义(均P<0.05);3 种严重精神障碍在文化程度、婚姻状况的分布上差异均有统计学意义(均P<0.05).结论:上海奉城镇社区老年人精神障碍患病率较高.精神分裂症和精神发育迟滞患者是社区严重精神障碍的主要类型;精神分裂症者中初中及以上文化程度占比最高(60.9%).精神发育迟滞者中文盲半文盲的占比最高(76.2%).应早发现、早诊断、早治疗,加强主动式社区干预,促进患者康复.
Analysis of registered mental disorder patients in the community in Fengcheng Community of Shanghai
Objective:To understand the epidemiological characteristics of registered mental disorder patients in Fengcheng Community,Shanghai and provide a basis for further community prevention and treatment work.Methods:Three hundred and seventy-five patients with mental disorders registered before December 31,2022 were analyzed,among them there were 163 males and 212 females,and the average age was(58.24±13.29)years old.Results:Among 375 registered patients with mental disorders,42.9%were schizophrenics,40.3%were mental retardation,5.1%were bipolar disorder,0.3%were schizoaffective disorder,and 11.4%were other mental disorders.There were statistically significant differences in the distribution of time(in the past 5 years),region,and population(P<0.05);there were statistically significant differences in the distribution of education level and marital status among the three main mental disorders(P<0.05).Conclusion:Prevalence rate of mental disorders in the elderly in the Fengcheng Community,Shanghai is high.Schizophrenia and mental retardation are the main types of severe mental disorders in the community;education level of junior high school or above in schizophrenics accounted for the highest proportion(60.9%).Illiterate and semi illiterate in mental retardation accounted for the highest proportion(76.2%),early detection,diagnose,and treatment should be carried out to strengthen proactive community intervention to promote patients'recovery.

mental disorderepidemiological featurecommunityanalysis

蔡丹华、焦艳红、李瑞平、褚庆水、陆悄

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上海市奉贤区奉城镇社区卫生服务中心预防保健科,上海 201411

精神障碍 流行病学特征 社区 分析

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(4)