摘要
目的:探讨长期住院流浪精神病患者的临床特点。方法:采用自编的调查量表对2010年1月至12月在我院住院时间>1年的125例流浪精神病患者进行调查分析。结果:长期住院流浪精神病患者中男性比例高于女性,多数姓名、年龄、既往史和籍贯不详;滞留在院人数自2005年后逐年增加,至今仍滞留在院107人(其中2005年后入院的人数为104),占85.6%;入院直接原因以脏臭流浪、赤身裸体、伤人毁物、扰乱交通、问话不答为主;存在言语功能障碍者占85.6%、生活自理能力差者占82.4%、智能低下或无法检查者占88%、精神疾病无法确诊者占43.2%;住院后常伴发各种皮肤病、传染病、感染性疾病和躯体疾病,死亡率高。结论:长期住院流浪精神病患者多存在言语功能障碍,难以获得有效信息,诊断和治疗难度大,常合并多种躯体疾病,死亡率高,应引起高度重视和多部门协作救助。
Objective：To explore the clinical features of long-term retention wandering inpatients with mental disorders.Methods：125 long-term retention wandering inpatients with mental disorders（length of stay 〉 1 year） were investigated by self-made questionnaire,the data were analyzed.Results： Most of patients were male,and their name,age,past history and native place were unknown.From 2005,the number of long-term retention in-patients is having been increased year by year.Now 107 patients（85.6%） are still stuck in hospital（Among them,104 inpatients were admitted after 2005）.The reasons of admission were dirty,naked,impulsive behavior and disturbing traffic and silence.85.6% patients had speech function disorders,82.4% patients had lack of self-care abilities.88% patients had low intelligence or cannot acomplish mental inspection.43.2% patients cannot be diagnosed.Most of patients had dermatogic diseases,communicable diseases,infectious diseases or other physical diseases,and their mortality was high.Conclusions： Most of long-term retention wandering inpatients with mental disorders had speech function disorders and lack of medical history and related information.So it is difficult to make final diagnosis and decide treatment schedule.These patients often have physical comorbidities and their mortality is high.Therefore these patients should be aided by multiple government departments.
出处
《中国民康医学》
2011年第11期1414-1416,共3页
Medical Journal of Chinese People’s Health
关键词
流浪精神病患者
长期住院
临床特征
调查
Wandering mental patients； Long-term retention； Clinical features； Survey；
