提高宜昌市严重精神障碍在册患者服药率的方法探讨.docxVIP

2019年9月第31

2019年9月

第31半月卷刊第17摇期摇摇摇摇

中国民康医学

2019

MedicalJournalofChinesePeoples31HealthSemimonthly

No.17

Vol.

揖精神卫生铱

提高宜昌市严重精神障碍在册患者服药率的方法探讨

彭洪兴

（宜昌市精神卫生中心宜昌市优抚医院，湖北宜昌443005）

【摘要】目的：探讨提高宜昌市严重精神障碍在册患者服药率的方法。方法：成立问题解决小组，采取头脑风暴法分析严重精神障碍患者服药率低的原因，并采取加强健康宣教、调整药量或更换药物、提高医疗保障比例及完善精防体系建设等措施。结果：措施推行半年后调查结果显示，宜昌市严重精神障碍在册患者服药率提高到56.27%，提高了5.13%，提升幅度为10.03%；其中兴山县效果最明显

，整改后从19.62%提升为28.86%，提高了9.24%，提升幅度为49.09%。结论：推行加强健康宣教、调整药量或更换药物、提高医疗保障比例及完善精防体系建设等有助于提高严重精神障碍在册患者服药率。

【关键词】严重精神障碍患者；服药率；精防体系；健康教育

doi:10.3969/j.issn.1672-0369.2019.17.033

中图分类号:R749 文献标识码:B 文章编号:1672-0369（2019）17-0076-03

Discussiononmethodsforincreasingmedicine-takingrateofregisteredpatientswithseverementaldisordersinYichangcity

PENGHongxing

(YichangCityMentalHealthCenter[YichangSpecialCareHospital],Yichang443005Hubei,China)

【Abstract】Objective:Toexploremethodforincreasingmedicine-takingrateofregisteredpatientswithseverementaldisordersinYichangcity.

Methods:Aproblemsolvinggroupwassetuptoanalyzethecausesoflowmedicine-takingrateinthepatientswithseverementaldisorders

bybrainstorming.Further,somemeasuresweretaken,suchasstrengtheninghealtheducation,adjustingdrugdosageorreplacingdrugs,increasingtheproportionofmedicalsecurityandimprovingtheconstructionofmentalillnesspreventionandResults:ratmentHalfasystemyearafter.

theimplementationofthemeasures,themedicine-takingrateoftheregisteredpatientswithseverementaldisordersinYichangcitywasimprovedto56.27%withanincreaseof5.13%andanincreasingamplitudeof10.03%of.Amongthese,Xingshancountyhadthemostobviouseffect,andmedicine-takingratewasimprovedfrom19.62%to28.86%withtheincreaseof9.24andtheincreasingConclusions:famplitudeThe49.09%.

followingmeasurecanimprovethemedicine-takingrateoftheregisteredpatientswithseverementaldisorders,includingstrengtheningh