【摘要】：目的:本研究通過分析2006年第二次全國殘疾人抽樣調(diào)查和2007-2013年全國殘疾人監(jiān)測(cè)研究數(shù)據(jù),描述歷年有精神殘疾者接受治療和康復(fù)的情況,并通過縱向比較歷年治療康復(fù)率,總結(jié)精神殘疾人接受治療康復(fù)的變化趨勢(shì)。方法:2007-2013年全國殘疾人監(jiān)測(cè)研究是在2006年第二次全國殘疾人抽樣調(diào)查的基礎(chǔ)上進(jìn)行的每年一次的追蹤調(diào)查。2006年第二次全國殘疾人抽樣調(diào)查在全國734個(gè)縣抽取有代表性的樣本2 526 145人,首先通過篩查發(fā)現(xiàn)疑似殘疾人,然后由精神科醫(yī)生依據(jù)ICD-10和WHO DAS II標(biāo)準(zhǔn),將患精神障礙持續(xù)一年以上未痊愈,存在認(rèn)知、情感和行為障礙,影響其日常生活和社會(huì)參與,WHO DAS II得分≥52分者,診斷為精神殘疾。自2007至2013年,全國殘疾人監(jiān)測(cè)研究每年在第二次全國殘疾人抽樣調(diào)查的734個(gè)樣本縣中每個(gè)縣抽取1~2個(gè)調(diào)查小區(qū),通過入戶填寫問卷的方式調(diào)查生活在小區(qū)中殘疾人的生活、治療康復(fù)、教育、就業(yè)等方面的狀況及變化情況。結(jié)果:分析發(fā)現(xiàn)有精神殘疾者接受治療康復(fù)率大幅上升,自2007至2013年,≤17歲有精神殘疾的兒童接受治療訓(xùn)練率從23.5%上升至43.9%,≥18歲有精神殘疾者接受治療率從49.5%上升至66.9%,接受康復(fù)率從21.8%上升至58.7%。但是,關(guān)于治療康復(fù)效果,歷年調(diào)查中認(rèn)為效果"一般"的有精神殘疾者均遠(yuǎn)遠(yuǎn)多于認(rèn)為效果"好"或者"較好"者。并且≥18歲有精神殘疾者治療康復(fù)的形式多為藥物治療、心理治療以及日間照料與托養(yǎng);參加工療、農(nóng)療和職業(yè)勞動(dòng)技能訓(xùn)練者相對(duì)較少。結(jié)論:從2007到2013年的幾年里,我們國家精神殘疾治療康復(fù)服務(wù)的覆蓋率大幅提高。未來在繼續(xù)增加治療康復(fù)服務(wù)覆蓋率的同時(shí),需關(guān)注如何提高治療康復(fù)質(zhì)量。
[Abstract]:Objective: by analyzing the data from the second National sample Survey of Persons with Disabilities in 2006 and the National Monitoring study on Persons with Disabilities from 2007 to 2013, this study describes the treatment and rehabilitation of persons with mental disabilities in previous years, and compares the rates of treatment and rehabilitation of persons with mental disabilities in the past years vertically. To summarize the changing trend of mental disability receiving treatment and rehabilitation. Methods the national disability monitoring study from 2007 to 2013 was an annual tracking survey based on the second national disability sample survey in 2006. The second national disability sample survey in 2006 was representative in 734 counties The sex sample was 2 526 145, First, the suspected disabled were found through screening, and then the psychiatrist, according to ICD-10 and WHO DAS II standards, continued to suffer from mental disorders for more than one year, with cognitive, emotional and behavioral disorders. Those whose daily life and social participation were affected or whose DAS II scores were 鈮，

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