Kết quả chăm sóc, điều trị bệnh nhân tâm thần phân liệt điều trị nội trú tại Viện Sức khỏe tâm thần, Bệnh viện Bạch Mai năm 2020

Kết quả chăm sóc, điều trị bệnh nhân tâm thần phân liệt điều trị nội trú tại Viện Sức khỏe tâm thần, Bệnh viện Bạch Mai năm 2020 - 2021

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Tác giả: Nguyễn Hồng Bảo Ngọc Bùi, Thị Nga Hoàng, Thị Hương Lê, Thị Nghĩa Nguyễn, Thị Tình Nguyễn, Thị Hà An Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 616.898 +Schizophrenia

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 212-215

Bộ sưu tập: Metadata

ID: 498718

Thêm vào giỏ

Bệnh tâm thần phân liệt là bệnh loạn thần nặng, căn nguyên chưa rõ ràng. Biểu hiện lâm sàng của bệnh đa dạng với nhiều nhóm triệu chứng khác nhau. Bệnh tiến triển mạn tính, bệnh nhân dần dần sa sút, mất khả năng lao động, sinh hoạt và trở thành gánh nặng cho gia đình và xã hội. Mục tiêu nghiên cứu: Mô tả đặc điểm lâm sàng ở bệnh nhân tâm thần phân liệt điều trị nội trú tại Viện Sức khoẻ Tâm thần - Bệnh viện Bạch Mai. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang 153 bệnh nhân tâm thần phân liệt được chẩn đoán theo tiêu chuẩn ICD - 10, điều trị nội trú tại Viện Sức khoẻ Tâm thần - Bệnh viện Bạch Mai từ tháng 1/2021 đến tháng 10/2021. Kết quả: Tâm thần phân liệt gặp ở nam và nữ với tỷ lệ tương đương nhau, tuổi trung bình của nhóm bệnh nhân nghiên cứu là 32,71±10,82. Thể bệnh hay gặp nhất là Paranoid (90,1%), thời gian bị bệnh từ 5 - 10 năm chiếm tỷ lệ cao nhất (29,4%), đa phần các bệnh nhân tuân thủ điều trị một phần (56,2%). Các bệnh nhân có rối loạn nhiều mặt trong hoạt động tâm thần, trong đó 66,7% bệnh nhân có ảo giác, 80,4% bệnh nhân có hoang tưởng, 69,9% bệnh nhân lo lắng, căng thẳng. Có tới 68% bệnh nhân chán ăn/ăn kém và 54,9% bệnh nhân ngủ ít hơn 2h/đêm. Kết quả chăm sóc, điều trị thuyên giảm một phần chiếm tỷ lệ cao nhất với 66%. Kết luận: Tâm thần phân liệt gặp ở nam và nữ tương đương nhau, thể bệnh hay gặp nhất là Paranoid với thời gian bị bệnh từ 5 - 10 năm, đa phần các bệnh nhân tuân thủ điều trị một phần. Các bệnh nhân có rối loạn nhiều mặt trong hoạt động tâm thần trong đó hoang tưởng, ảo giác chiếm tỷ lệ rất cao. Kết quả chăm sóc, điều trị thường là thuyên giảm một phầnSchizophrenia is a severe psychotic illness with etiology is unclear. Clinical manifestations of the disease are diverse with several symptom domains. It is a chronic disease. Patients with schizophrenia gradually deteriorates, lose their ability to work and live, and become a burden to their family and society. Research objective: To describe clinical characteristics of schizophrenic inpatients who were treated in the National Institute of Mental Health - Bach Mai Hospital. Subjects and methods: A cross-sectional descriptive study of 153 inpatients with schizophrenia diagnosed according to ICD-10 criteria at the National Institute of Mental Health - Bach Mai Hospital from January 2021 to October 2021. Results: Schizophrenia was found in men and women at the same rate, the average age of the study group was 32.71±10.82. The most common type of disease was paranoid schizophrenia (90.1%), the disease duration from 5 to 10 years accounts for the highest rate (29.4%), most of the patients partially adhere to the treatment (56.2). %). The patients had multifaceted disorders in mental activity, of which 66.7% had hallucinations, 80.4% of patients had delusions, 69.9% of patients had anxiety and stress. Up to 68% of patients poor appetite and 54.9% of patients sleep less than 2 hours/night. Results of partial remission treatment accounted for the highest rate with 66%. Conclusion: Schizophrenia is equally common in men and women, the most common form of the disease is paranoid schizophrenia with a disease duration of 5-10 years, most of the patients partially adhere to treatment. Patients with multi-faceted disorders in mental activities in which delusions and hallucinations account for a very high rate. The outcome of care and treatment is usually partial remission.

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