Analysis of community management effectiveness about patients with severe mental disorders under the supervision of community doctors
10.3760/cma.j.issn.1674-0815.2015.02.003
- VernacularTitle:社区医生督导下的重性精神障碍患者社区管理效果分析
- Author:
Dongying CHENG
- Publication Type:Journal Article
- Keywords:
Mental disorders;
Community mental health services;
Community doctors
- From:
Chinese Journal of Health Management
2015;(2):98-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of community management mode for patients with severe mental disorders under the supervision of the community physicians. Method From January 1, 2011 to December 31, 2012 for two consecutive years 146 cases with psychiatric disorders who have been living in the same community and the Yinzhou District third hospital community science archiving management of schizophrenia, schizoaffective disorder, paranoid disorder, bipolar disorder, epilepsy induced mental disorders, mental retardation associated with mental disorders were enrolled. Of the 146 cases, 85 were male and 61 were female. Six-level risk assessment was applied for the patients, with four levels of management classification and clinical manifestations. According to the management of patients with grade, an individualized corresponding supervision scheme was made, through regular home follow-up, supervision and monitoring of patients with medication were applied, family members timely found signs of abnormal behavior and disease recurrence, patients were encouraged to participate in the community supervision and collective rehabilitation activities. Through 2 years of management, the compliance rate, symptoms and improvement rate, community rehabilitation activities and the accident rate were compared. Result After management, patient monitoring rate reached 98.7%; compliance rate increased from 58.8% to 69.9%; to participate in community rehabilitation rate increased from 27.7%to 69.9%, accident rate fell from 44.6%to 11.6%. Conclusion Community management mode for patients with severe mental disorders under the supervision of the community physician is helpful to improve the compliance of patients with drugs, active participation in community rehabilitation activities, effectively reduce the recurrence of disease and the accident rate.
