| Severe mental illness is a kind of mental illness which mental activity serious damagedleads to their health or objective reality can not completely identified, or can not controltheir own behavior.Patients due to brain dysfunction cause cognitive, emotion, will, andbehavior disorders with varying degrees of mental activity, manifested as hallucinations,delusions, thought disorder, behavioral disorders, and serious damage to social life.Include-ing schizophrenia, schizo-affective disorder, paranoid psychosis, bipolar disorder, epilepsyinduced mental disorders, mental retardation associated with mental disorders and otherdiseases.Mental illness is a chronic disease,which is a group of unknown etiology, low curerate, high recurrence rate and morbidity diseases.In the case of the general lack of globalmental health resources, We should pay attention to rural public mental health problems andconcerns.[Objective]Thought rural mental patient’s guardian do questionnaire survey in qianjiangdistrict,understanding the inputting rate of rural patients with severe mental health files, thepresent status of health education and follow-up visit as well as Guardian’s mental healthknowledge’s grasping, to show the local severe psychiatric patients in public health serviceutilization and analyze factors that affect the mental patients public health service use.Byway of interviewing the village doctor, CDC staffs, further evidence the actual situation thatthe guardian through the questionnaire reflect,put forward to improve the present situationof rural public health services utilization of mental illness countermeasures and suggestionswhich hoping to improve the mental health situation of the mentally ill in rural areas, andpromote the physical and psychological rehabilitation of patients, maintenance of peace andsocial stability of the family.[Methods]Adopting document analysis to knowing the mental health of the domestic andforeign situation, the level of development of community mental health and to takeeffective measures to improve the level of mental health and some of the deficiencies.Reading the domestic published laws and regulations on mental health in recent years, thenconducting appropriate questionnaire and agency personnel interview outline for research- ing.The research questionnaire survey conducted on200patients with severe mental illnessguardian and29medical personnel in Qianjiang District，1CDC leader who is in charge ofmental health and12village doctors for interviews. Collected questionnaires, finishedinterviews and analysis data.The method used in the process of conducting were theinvestigation questionnaire, insider interviews and the health statistical methods used in theanalysis.[Results]Based on the questionnaire and interviews and statistical analysis, conclusions areas follows（:1）Qianjiang District has not established a psychiatric hospital and large generalhospital does not too, mental health care resources are scarce.Mental health public healthservices have been carried out, health records archiving rate of84.4%,70.4%free medicalexamination, family follow-up of92.2%and health education amounted to70.5%.（2）Toanalysis of public health services utilization of factors found：Guardian age and cure burdenof consciously endurance Factors Affecting the Ability of guardianship, the greater the age,the heavier the burden of consciously cure, care is weaker;Patients received health check-upwith the relevant of guardians’ career and family income level, unit staff and relativelyhigh income people don’t want to attend physical examination;Guardian’s cultural level andfamily monthly income were influence factors for follow-up, and with the improvement ofeducational level and income increase, the guardians were more willing to participate infollow-up.（3）Guardian of mental health knowledge average score of52.8points, Medicalstaff’s questionnaire average score of33.1points. Rural mental patients and health servicepersonnel’s lack the knowledge of mental health.(4)Health services do not have theknowledge and skills training mechanism, the work often requires multi-sectoral, thepractical work interdepartmental coordination and not closely linked.[Conclusions]According to the problems existing in the reality, put forward suggestions toimproving the mental health status of the mental patients in rural areas and promote thepatients physical and mental rehabilitation: The study found that mental health of the publichealth project carry out comprehensively, but patient’s actual profit is smaller.According tothe actual financial situation,we should pay attention to the actual needs of the masses,,gradually realize the mental patient’s public health services.Guardians and health services staff knowledge of mental health awareness is generally low status of mental healthknowledge as one of the performance evaluation index change negative disease patients andtheir families concept of treatment recommendations;As the guardian and health servicespersonnel aware of knowledge about mental health are generally lower in status, putforward making the awareness of knowledge about mental health as one of performanceevaluation index, change patients and their families negative view of diseasetreatment;Trying a combination ways of community education and self-management, tohelp patients develop good habits and early resumption of health;For multi-sectoralcooperation unsatisfactory reality,we should strengthen cooperation between the variousdepartments, innovative mental health collaborative management mode;For psychiatricpatients will eventually have to return to society,the public generally have some prejudiceagainst mental illness patients, it should reduce the public stigma and discrimination, tohelp the mentally ill social regression.[Innovation and inadequate]Innovations: Domestic research on mental patients focusedon the screening of patients and the treatment and management of patient in the hospital,and the study is more in city’s or community’s psychiatric patients, few studies in ruralpsychiatric patients. The study is more rarely about rural psychiatric patients who enjoy therural public health services, the paper on mental patients in public health services research,to understand the reality of patients receiving services to explore the influencing factors inpatients receiving services, hoping to improve the patient’s mental health status of ruralhelpful.Inadequacies: the small sample size in this study, because more special investigationgroup of patients receiving public health services. Research can not investigate the use ofthe patient himself, only to side reactions by investigating guardians, guardians and treatpatients’ preferences attitude will have an impact on the results, research has somelimitations. |
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