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目的探讨免费服药对农村社区精神障碍患者管理的作用。方法通过现况调查、管理系统统计并结合回顾性研究,对平谷区享受免费治疗政策的996名重性精神障碍患者进行调查,填写自制测查表。结果免费治疗1年后,患者的取药距离和时间较免费前明显缩短(t=14.906,15.870;P<0.001);纳入社区管理的人数明显增加(χ2=203.28,P=0.000);服药依从性、复发情况、滋事、肇事肇祸及自杀行为均要显著或极显著差异(χ2=8.284,54.347,16.804,3.965,12.657;P<0.05)。结论免费服药治疗能够吸引患者纳入到社区管理,促进患者坚持服药,减少肇事肇祸、自杀等情况的发生。
Objective To explore the role of free medication in the management of rural community mental disorders. Methods Based on the status quo survey, management system statistics and retrospective study, 996 patients with severe mental disorders who enjoyed free treatment in Pinggu District were surveyed, and self-made questionnaires were filled in. Results After 1 year of free treatment, the taking distance and time of patients were significantly shortened (t = 14.906, 15.870; P <0.001); the number of community-based management significantly increased (χ2 = 203.28, P = 0.000) Sex, relapse, trouble, accident and suicide were significant or very significant differences (χ2 = 8.284,54.347,16.804,3.965,12.657; P <0.05). Conclusions Free medication can attract patients to community management, promote patient persistence in medication, and reduce the incidence of accidents and suicide.