目的 分析 2021 年山东省严重精神障碍患者管理治疗情况,并与 2018-2020 年比较相关指标的变化.方法 使用描述性分析方法,对截至 2021 年 12 月 31 日山东省严重精神障碍信息系统使用情况以及患者管理、治疗情况等进行分析.结果 截至 2021 年底,全省 16 个市的 143 个区(市、县)使用信息系统.全省在册患者 479673 例,报告患病率为 4.76‰;患者规范管理率为 95.63%;服药率为 96.89%;规律服药率为87.77%;面访率为 97.94%;体检率为 79.64%.2018 年至 2021 年山东省严重精神障碍报告患病率、规范管理率、服药率、规范服药率和面访率均逐年增高.2019 年至 2021 年山东省严重精神障碍体检率逐年升高.结论 2021 年山东省严重精神障碍信息系统登记人数持续增长,患者管理、服药、体检水平有所提高,各地市应针对各地精神卫生服务不足之处出台政策,提高患者治疗质量.
目的:探讨品管圈(QCC)质量管理方法对心理科住院患者晚间熄灯后使用手机时间的影响。方法:对使用智能手机的15～40岁住院患者310例进行目的性抽样，于2017年10月10～23日进行现状调查，用鱼骨图进行原因分析，经真因验证后拟定对策，并干预12 w；于2018年3月19日至4月1日对使用智能手机15～40岁的住院患者298例进行调查，分析干预效果。结果:住院患者晚间熄灯后手机使用时间由活动前每人每天1.62 h下降为活动后每人每天0.53 h晨间患者按时服药率和圈成员综合能力得分高于活动前，差异均有统计学意义( P<0.05)。 结论:运用QCC质量管理方法制定的护理干预措施能有效降低心理科住院患者晚间熄灯后使用手机时间、人数，增加患者晨间按时服药率，利于疾病的快速康复，为其节约时间成本和经济成本。
目的:探讨以院内干预及家庭访视为基础的延续性护理对强迫症患者的影响.方法:将120例强迫症患者随机分为研究组和对照组各60例,对照组住院期间进行精神科常规护理,研究组在精神科常规护理基础上实施以院内干预及家庭访视为基础的延续性护理干预;比较两组干预前后临床症状[采用耶鲁-布朗强迫量表(Y-BOCS)]、自我效能感[采用一般自我效能感量表(GSES)]、生活质量[采用生活质量量表(GQOL-74)].结果:干预后,研究组Y-BOCS评分低于对照组(P<0.05),GSES评分、GQOL-74中心理功能、躯体功能及社会关系评分均高于对照组(P<0.05).结论:延续性护理可显著改善强迫症患者的临床症状,提高其自我效能和生活质量.
Objective To explore the relationship among aggressive behavior and family environment,self-esteem in adolescents. Methods A total of 1 047 adolescents were selected and assessed with Buss-Warren Aggression Questionnaire Revised in China(AQ) ,Family Environment Scale-Chinese Version(FES-CV) and Self-esteem Scale(SES) . According to the results of AQ,all subjects were divided into study group for adolescents with aggressive behavior and control group for adolescents without aggressive behavior. Results It was 10. 70％ for the relevance ratio of aggressive behavior in all subjects and the relevance ratio of aggressive behavior in boys was significantly higher than that in girls(P < 0. 05) . The factor scores of conflict, control of FES-CV in study group were all significantly higher than those in control group(P < 0. 05) ,and the factor scores of cohesion,expressiveness of FES-CV in study group were all significantly lower than those in control group(P < 0. 05) . The total score of SES in study group was significantly lower than that in control group(P < 0. 05) . In study group,all factor scores of AQ were positively correlated with the factor scores of conflict,control of FES-CV(P < 0. 05) and negatively correlated with the factor scores of cohesion,expressiveness of FES-CV(P < 0. 05) . In study group,all factor scores of AQ were negatively correlated with the total score of SES(P < 0. 05) . Conclusion It's serious for the aggressive behavior in adolescents,which is related to their family environment and self-esteem.
