Status quo of comprehensive management service for community prevention and treatment of patients with severe mental impairment in a certain district
10.3969/j.issn.1006-2483.2025.06.028
- VernacularTitle:某区严重精神障碍患者社区防治综合管理服务现状分析
- Author:
Jie ZHU
1
;
Jie WU
2
;
Nanping ZHANG
1
;
Ning QIAN
1
Author Information
1. Department of Social Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China
2. Department of Chronic Diseases, Nanjing Municipal Center for Disease Control and Prevention, Nanjing Medical University, Nanjing, Jiangsu 210003, China
- Publication Type:Journal Article
- Keywords:
Severe mental impairment;
Community prevention and control;
Integrated Management;
Intervention measures
- From:
Journal of Public Health and Preventive Medicine
2025;36(6):123-126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze thestatus quo of comprehensive management services for community prevention and treatment of patients with severe mental impairment (SMI). Methods The clinical data of 630 patients with SMI in the hospital from January 2021 to December 2023 were retrospectively analyzed. The types of disease, demographic characteristics, assistance to registered patients, management and treatment of patients were analyzed by descriptive statistics. Chi-square test and chi-square segmentation were used for statistical inference. Results Among the 630 SMI patients, the ratio of male to female was 1:1.23, and patients were mainly distributed in 18-65 years old, more patients were with education level of primary school and junior high school, they were mainly farmers (21.90%) and laid-off or unemployed people (32.38%). Patients without family history accounted for 72.38% (456/630) and non-poor patients accounted for70.48% (444/630).The main types of SMI were schizophrenia (65.71%) and bipolar disorder (18.10%).The guardianship subsidy subjects accounted for89.52%,nearly 40.95% of the patients received the mental disability certificate, 82.86% of the patients were served by the care and assistance group, and 49.52% of the patients participated in community rehabilitation. The management rates of SMI patients in 2021, 2022, and 2023 were 97.14%, 99.05%, and 98.10% respectively. The standardized management rates were 96.19%, 96.19% and 97.14%, and the medication rates were 86.67%, 88.57% and 85.71%, and the regular medication rates were 79.05%, 81.90% and 80.95% respectively. Conclusion The prevention and treatment of schizophrenia-based serious mental illness has become an important task in this district. The overall management status of SMI is good, with a stable rate of management and standardized management of patients, but there is still a need to strengthen the management of the medication rate and the regularity of the medication rate of patients with serious mental illness, and at the same time, there is a need to intensify the publicity efforts on mental health and to increase the awareness of the prevention of the disease.
