摘要
目的:评价社区干预对社区人群精神疾病防治的效果。方法:于1998-07/2003-06对佛山市祖庙街社区进行5年有关精神疾病的社区卫生服务,开展人群健康教育,并对精神病患者采取针对性的药物、心理、工疗、护理等综合性社区干预与康复措施,通过对比分析干预前后社区人群精神病的发病、死亡状况和精神病患者的健康状况评价社区干预的作用。结果:以干预前5年为参照,发现实施干预后社区人群发生精神病的相对危险度下降为0.66,95%CI为(0.45～0.98)(P<0.05);社区人群死于精神病的相对危险度下降为0.65,95%CI为0.42～1.00(P<0.05)。康复措施的落实率由干预前的63.1%上升到干预后的100%;患者病情控制率由干预前的88.1%,上升为干预后的94.3%;全劳动力和半劳动力的比例由12.8%上升为32.9%;干预后患者的生活质量显著高于干预前的水平(t=3.22～9.18,P<0.01)。结论:社区干预能显著降低人群的精神病发病和死亡危险度,改善精神疾病患者的健康状况和生活质量。
AIM:To evaluate the effect of community intervention on psychosis prevention in a community. METHODS:From July 1998 to June 2003,a five year community sanitation service was carried out correlated with mental illness in Zumiao community in Foshan,including mental health education, pharmacotherapy,psychotherapy,labour treatment and nursing.The incidence rate,death status, and health status of patients with psychosis in a community were analyzed before and after intervention to assay the effect of intervention. RESULTS:As compared with the status 5 years before intervention,the relative risk(RR) of incidence was decreased to 0.66 with 95%CI(0.45-0.98)(P< 0.05) after intervention;and the RR of death was decreased to 0.65 with 95%CI(0.42-1.00)(P< 0.05).The rate of implement was increased from 63.1%before intervention to 100%after intervention.The control ratio of illness was increased from 88.1%to 94.3%.The patients' working capability as a ratio of full to half working capability was increased from 12.8%to 32.9%.The quality of life was remarkably higher than that before intervention(t=3.22-9.18,P< 0.01).CONCLUSION:The community intervention can significantly reduce the risk of occurrence and death of mental disorders in population,and improve the health status and quality of life of psychosis patients.
出处
《中国临床康复》
CSCD
2004年第21期4190-4191,共2页
Chinese Journal of Clinical Rehabilitation
基金
广东省医学科研项目(B2001110)(A1998236)
广州市软科学研究项目(1999-R-004-01)~~
