High relapse rate of schizophrenia has become the focus of World Health. Due to the characteristics of the disease, schizophrenia is a chronic recurrent persistent disease, the disease easily repeated. Each may lead to relapse in patients with permanent brain damage, impaired cognitive function, a further decline in social function; for the families of patients, relapse of the disease means that the deterioration of their loved ones and a series of mandatory in-patient treatment, must assume a greater the financial burden and emotional pressure; for medical workers, the treatment of recurrence will increase the difficulty and, ultimately, the prognosis is not ideal. Therefore effective in preventing relapse of schizophrenia has become an urgent need to solve.
June 17 in organizing the "ADHES China found that" the whole country to start the meeting, the Chinese Medical Association chairman of psychiatry credits will be announced the launch of Professor Zhou Dongfeng schizophrenic patients for risk factors for relapse and hospitalization investigation. Professor Zhou also introduced: "the treatment of patients with schizophrenia or in part from the non-compliance leading to relapse and re-hospitalization in patients with the most important factor. Today is the attempt to start the investigation of multiple factors of non-compliance found in the importance of different factors the extent of the effect of better treatment for active exploration. "
Lead to frequent recurrence of mental illness is one of the root causes of medication in patients with poor compliance. The so-called compliance refers to the degree of patient compliance with doctor's advice. Professor He Yanling today, so read at the first national survey of schizophrenia outpatients compliance results: "At present, the treatment of patients with schizophrenia is still far from satisfactory compliance, at least about 3 in patients with schizophrenia into compliance issue. patients, family groups, 30% of the respondents admitted that the course of treatment has its own drug, by drug or refuse medication; investigation group from the number of doctors is even more pessimistic, doctors believe that patients themselves are the drug , by drugs or refuse medication, and a quarter of the patients had forgotten medication.
The findings of the outpatients also confirmed that there are still 38% of patients worried about side effects of drug withdrawal, 20% of patients with physical handicaps as a result of drug treatment.
Schizophrenia treatment to improve compliance and help patients return to society a long-term drug therapy in patients with schizophrenia may make the treatment of loss of confidence. Frequent leakage of drugs will inevitably lead to disease recurrence, and even had deteriorated once again hospitalized. When patients relapse after several times, each cycle of the disease will be needed to restore a longer period of time, the effect of antipsychotics will also be reduced, over time, gradually increase the difficulty of treatment.
Compliance with drug treatment of schizophrenia is the key to the success of one of the factors, so through various efforts to improve patient compliance is very important for the treatment of schizophrenia.
The experts agreed that: "The development and application of new drugs is to improve the treatment compliance of the most effective way." With the new type of atypical neuroleptic drugs have come out better in terms of curative effects, but also to improve the traditional drug prone to the stiffness, slow movement, trembling, drooling, such as adverse reactions, but the patient's compliance has not been clear improvement. Research has demonstrated that oral administration of atypical antipsychotics in the treatment of 18-month interruption of 75%.
Means in the treatment of atypical neuroleptic drugs has been a long-acting injection for doctors, patients with new solutions. The new long-acting injection "Hengde" adopted "Medisorb microspheres technology" to make active pharmaceutical ingredients break down in the body, stable and sustainable, continuing to play a pharmacodynamics two weeks, and completely decomposed into water and carbon dioxide metabolism in vitro sent, relatively safe. As a new generation of long-acting antipsychotics, "EVER" to ensure stable and sustainable delivery of drugs that can effectively improve the patient's medication compliance, protection of vulnerable patients with recurrence of the impact from the effect of interruption; "Hengde" so that doctors can more easy to monitor the progress of the disease, and patients and medical team to promote regular contacts. A new generation of long-acting injection injection "Ever", for example, and application is an important milestone in the treatment of schizophrenia.
On the other hand, new treatment modalities to help patients and their families are also in the course of treatment to be more support and encouragement of community mental illness treatment modalities for patients with schizophrenia to provide a comprehensive and thoughtful services, referral of patients with periodic reminders to help patients have a more independent and free life, enhance self-confidence and self-esteem, and eventually return to society, in order to create the value of the family and society.
"We have no reason to because they feel does not match the real world and blame them, because they feel is very real to them, we have no reason not to help them, because they can not distinguish between the self." To help patients through the treatment, restore social functions return to the spirit of community has become a new therapeutic target specialists.
What is schizophrenia schizophrenia (schizophrenia) is a basic change in personality, thinking, emotion and behavior of the split, the spirit of co-ordination of activities and the environment as the main characteristics of a class of the most common mental illness. Schizophrenia is the most common mental illness in a group of mentally ill, the United States six survey areas, the annual incidence rate was 0.43 ‰ ~ 0.69 ‰, 15-year-old more than 0.30 ‰ ~ 1.20 ‰ (Babigian, 1975), China in some areas to 0.09 ‰, in accordance with international pilot survey of schizophrenia (IPSS) data, 18 countries, 20 centers, which lasted more than 20 years to investigate more than 3,000 of the investigation report, the general population in the annual incidence of schizophrenia in the 0.2 ‰ ~ 0.6 ‰, averaging 0.3 ‰ (Shinfuku, 1992 years).
Schizophrenia has so far unknown etiology, occurs in young and middle-aged, multi-in 16 ~ 40 years old, no organic change, as a function of mental illness, the patients are generally unconscious barriers and intelligent, but the attack not only affect my ability to work, and their families and the community also have an impact, should be of concern from all walks of life. A friend who helped her friends home Gulou bell around consultation, through a period of conditioning, many turn for the better.
Schizophrenia more protracted course and development were carried out, such as early detection should be given reasonable treatment, the majority of patients with a more optimistic prognosis, a small number of patients as a result of timely treatment, unreasonable delay in the diagnosis and treatment of waste, so that the slow progress of the disease, treatment and even lost the opportunity to suffer from mental decline, as a mental disability. Shanghai (1978) for 1957 and discharged in 1959 ~ 1200 cases of schizophrenia have been discharged from hospital 20 years of follow-up, there are four types of outcome: are clinical recovery were 25%; marked improvement in the level of 33%; the spirit of the symptoms still exist, since no known, but some of those who work 25%; the situation worse, including a recession were 16%, treatment should be as early as possible in order to good effect.
Overview of mental illness schizophrenia seriously affect people's physical and mental health burden to society, the impact of socio-economic development.
March 8, 2001, Jiang Zemin, general secretary of the World Health Organization Director-General in his letter, Dr Brundtland pointed out the need to "mobilize the whole society, and strive for the reintegration of patients with mental disorders to create a suitable environment."
April 7 the same year, Chinese Vice Premier said: "Mental health is the people's physical and mental health and an integral part of the work of good mental health is not only related to the physical and mental health of millions of people, but also to social stability and people's lives and property safety, and socio-economic development is also important. "
Each year is the October 10 World Mental Health Day, the Ministry of Health in 2002 slogan is: "Mental Health: From the beginning to understand."
We hope that this section you can promote mental health awareness, such as attention to physical health, the importance of mental health, with particular emphasis on the understanding of schizophrenia and understanding of the disease.
How to recognize the early symptoms of schizophrenia?
Recognize the early symptoms of schizophrenia is very important early detection can be treated early. Before the onset of acute disease are hard to find or non-existent early symptoms. Most patients are under no incentive to slow onset, Aberdeen tenant can be found observing and analyzing the general following are some of the early psychiatric symptoms:
Sleep changes: a gradual or sudden and made it difficult to sleep, or sleep is not easy to awaken a deep nightmares all night, or sleep too much.
Emotional changes: emotional turns cold and lost the enthusiasm of the past, do not care for their loved ones, feelings of lack of proper communication and alienating friends around things are not interested in, or small things and lose my temper, inexplicably sad or happy tears, etc. .
Abnormal behavior: behavior became eccentric, mysterious, or difficult to understand, likes solitude, not intended to chase the opposite sex, shameless, himself from laughing, living lazy, fat blank stare blankly,蒙头大睡, wandering out at night and so do not go home .
Sensitive paranoia: to what are very sensitive to some of the surrounding matter and his common link that is against him. If other people in conversation that he is in discussions; others see him occasionally and thinks that it is ill. Some even think that radio, television, newspapers and his content, and see how the wind blows, the attention of other people's every move, and some think that it was vital he did not dare to drink water, eat, sleep, and some of his wife's infidelity that carried out跟踪.
Personality change: the original and lively, cheerful, hospitable people, the phrase has become less silent, sitting alone thinking about the problem may not with people; always clean people become slovenly, lazy life, discipline, relaxation, do not focus concentration; original tread compliance from people who become regular late, leave early, cause absenteeism, sloppy work, indifference to criticism; the original savings through thrift and hard work, and become profligate waste, have been very interested in not interested in such things.
Abnormal language: conversation topic with its small, simple statement, the contents of monotonous speech or the content of the lack of center, said in his speech had nothing to do with the content of conversation, people can not understand, easy to talk or feel ridiculous, or himself, repeat the same content repeatedly.
Divorced from reality, indulge in fantasy, and a "pipe dream."
