四川精神卫生2025，Vol.38Issue(6)：528-533,6.DOI:10.11886/scjsws20240605001
宁夏回族自治区严重精神障碍患者管理治疗现状及其区域特征分析
Analysis on the current status of management and treatment of patients with severe mental disorders and their regional characteristics in Ningxia Hui Autonomous Region
摘要
Abstract
Background Severe mental disorders are characterized by high recurrence rate,high disability rate,high rates of harmful incidents,and low treatment-seeking rate,with affected patients demonstrating increased frequencies of dangerous behaviors.Ningxia Hui Autonomous Region has implemented community management for patients with severe mental disorders across the region since 2004,while the current status and regional characteristics of the managed patients remain unclear.Objective To analyze the current status of management and treatment of patients with severe mental disorders in Ningxia Hui Autonomous Region,and to explore their regional distribution characteristics,so as to provide references for optimizing regional prevention and control strategies.Methods Patients with severe mental disorders diagnosed and registered in the Severe Mental Disorder Management Information Platform of Ningxia Hui Autonomous Region from August 1,2011 to December 31,2021 were selected.Patients'basic information,management indicators,and treatment metrics were extracted from the platform,followed by descriptive statistical analysis of the corresponding data.Results As of December 31,2021,the permanent resident population of Ningxia Hui Autonomous Region was 6 946 540,with 29 787 registered patients with severe mental disorders.The majority of the patients were female(50.25%),aged 18-59 years(79.01%),with educational level of junior high school or below(84.63%),married(52.87%),farmers(56.01%),and diagnosed with schizophrenia(55.91%),while ethnic minority patients accounted for a relatively high proportion(31.35%).In 2021,the reported prevalence rate of severe mental disorders in Ningxia Hui Autonomous Region was 0.43%,with standardized management and regular medication adherence rates at 90.39%and 66.34%,respectively.The standardized management rate in 8 counties/districts(36.36%)was lower than the average level of Ningxia Hui Autonomous Region,while 10 counties/districts(45.45%)showed below-average medication adherence rates,of which 6 counties/districts(60.00%)were located in the south-central region.Conclusion Patients with severe mental disorders in Ningxia Hui Autonomous Region are predominantly young and middle-aged adults with low level of education,and those in the central-southern region demonstrate lower medication adherence.关键词
严重精神障碍/基本公共卫生服务/社区管理Key words
Severe mental disorders/Basic public health services/Community management分类
医药卫生引用本文复制引用
江洪,徐学兵,黄玮,徐超,刘媛,周永玲,田蕾,杨霞,张学晖,吕彩霞..宁夏回族自治区严重精神障碍患者管理治疗现状及其区域特征分析[J].四川精神卫生,2025,38(6):528-533,6.基金项目
宁夏回族自治区重点研发计划项目(项目名称:宁夏精神心理患病率调查分析及防治研究,项目编号:2023BEG02029)[Funded by Key Research and Development Program Project of Ningxia Hui Autonomous Region(number,2023BEG02029)] （项目名称:宁夏精神心理患病率调查分析及防治研究,项目编号:2023BEG02029）
