| 2014—2019年成都市在管严重精神障碍患者死亡现状及减寿分析 |
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| 引用本文： | 胡萱怡,郭易,代光智,欧阳艾莅,秦小荣,刘元元,刘祥.2014—2019年成都市在管严重精神障碍患者死亡现状及减寿分析[J].现代预防医学,2021,0(5):930-934. |
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| 作者姓名： | 胡萱怡 郭易 代光智 欧阳艾莅 秦小荣 刘元元 刘祥 |
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| 作者单位： | 1.成都市第四人民医院，四川 610036；2.四川大学华西公共卫生学院/华西第四医院 流行病与卫生统计学系；3. 四川大学华西公共卫生学院/华西第四医院 健康与社会行为系 |
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| 摘 要： | 目的 分析2014—2019年四川省成都市纳入“国家严重精神障碍信息系统”（以下简称“系统”）管理的严重精神障碍（以下简称“重精”）患者的死亡现状、死亡原因及寿命损失，为重精患者安全管控、预防早死等工作提供科学依据。 方法 提取“系统”中重精死亡患者的性别、精神疾病诊断、死亡原因等信息，利用Excel 2019及SPSS 21.0软件进行数据处理，并利用潜在减寿年数、平均减寿年数、潜在减寿率分析寿命损失。结果 2014—2019年间成都市在管重精死亡患者共有7829例，其中精神分裂症患者较多，占67.14%；主要死因为躯体疾病，占68.37%；癫痫所致精神障碍的平均减寿年数最高，偏执性精神病潜在减寿率最高，分别为33.68年和738.73%；对不同人口社会学特征重精患者死亡平均年龄进行差异性检验，结果显示不同特征的患者死亡年龄差异均有统计学意义。结论 成都市在管重精患者死亡风险及寿命损失明显高于一般人群，其中偏执性精神病导致的疾病负担最为严重，需进一步加强重精患者的随访管理工作，提高患者就诊及服药依从情况，降低死亡风险，提高健康寿命。
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| 关 键 词： | 严重精神障碍 死亡 减寿分析 |
Analysis of mortality and life loss in patients with severe mental disorders managed in Chengdu, 2014—2019 |
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| HU Xuan-yi,GUO Yi,DAI Guang-zhi,OU YANG Ai-li,QIN Xiao-rong,LIU Yuan-yuan,LIU Xiang.Analysis of mortality and life loss in patients with severe mental disorders managed in Chengdu, 2014—2019[J].Modern Preventive Medicine,2021,0(5):930-934. |
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| Authors: | HU Xuan-yi GUO Yi DAI Guang-zhi OU YANG Ai-li QIN Xiao-rong LIU Yuan-yuan LIU Xiang |
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| Affiliation: | *The Fourth People’s Hospital of Chengdu, Chengdu, Sichuan 610036, China |
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| Abstract: | To analyze mortality, cause of death and life loss of patients managed in National Information Collecting System of Severe Mental Disorders in Chengdu City, Sichuan Province, from 2014 to 2019, so as to provide effective strategy for the prevention of severe mental disorders.Methods Some information in the system was explored, Excel 2019 and SPSS 21.0 were used for data processing and analysis. Results There were 7 829 deaths. Most of them were schizophrenia. The main cause of death was physical disease. The highest average years of life loss was caused by epilepsy with mental disorders and the highest potential years of life loss rate was caused by paranoid psychosis. The difference of age-at-death between patients with different characteristics was tested and the differences were significant. Conclusion The mortality risk of patients with severe mental disorders is higher than the general population. The disease burden of paranoid psychosis has been hit the hardest. Therefore, we should strengthen the detection and monitoring of patients with severe mental disorders, improve their medicine-taking compliance, and reduce the risk of dying early. |
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| Keywords: | Severe mental disorders Mortality Analysis of life loss |
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