Масякин А.В., Костюк Г.П. ГБУЗ «Психиатрическая клиническая больница №1 им. Н.А. Алексеева Департамента здравоохранения города Москвы», Москва, Россия 117152, Москва, Загородное шоссе, 2 В статье освещены основные пути повышения эффективности организации психиатрической помощи, по данным зарубежной литературы и отечественных авторов. Изложены основные направления развития психиатрической помощи и возможности их реализации. Рассмотрены основополагающие документы Всемирной организации здравоохранения, определяющие важнейшие векторы развития европейской психиатрии. Ключевые слова: психиатрическая помощь; общественно-ориентированная психиатрия; современные направления развития. Контакты: Антон Валерьевич Масякин; masyakinanton@yandex.ru Для ссылки: Масякин АВ, Костюк ГП. Возможные пути повышения эффективности психиатрической помощи. Неврология, нейропсихиатрия, психосоматика. 2018;10(2):109-113. Possible ways to improve the efficiency of mental health care Masyakin A.V., Kostyuk G.P. N.A. Alekseev The paper highlights the main ways to increase the efficiency of mental health care according to the data available in foreign and Russian literature. It sets forth the main directions for development of mental health care and the possibilities of their implementation. The basic documents of the World Health Organization, which define the most important vectors of the development of European psychiatry, are considered. Keywords: mental health care; socially oriented psychiatry; modern directions in development. Contact: Anton Valeryevich Masyakin; masyakinanton@yandex.ru For reference: Masyakin AV, Kostyuk GP. Possible ways to improve the efficiency of mental health care. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, neuropsychiatry, psychosomatics. 2018;10(2):109-113.
Р езюме Цель исследования-проанализировать показатели смертности в России и в регионах в 2013 и 2017 гг. от отдельных причин класса болезней системы кровообращения (БСК), нервных и психических расстройств, на изменение которых могли повлиять подходы к установлению первоначальной причины смерти (ППС). Материал и методы. Использованы данные Росстата о численности населения, числе умерших по причинам смерти на основе «Краткой номенклатуры причин смерти» Росcтата. В анализ включены следующие коды МКБ-10: I25.
The urgency of the problem is caused by the high prevalence of anxiety-depressive disorders in patients with somatic pathology, including tuberculosis. The aim of the study was to study the level of anxiety and depression among patients with pulmonary tuberculosis undergoing treatment in a hospital setting, taking into account the clinical form of pulmonary tuberculosis, age and gender parameters. Screening testing of 500 patients undergoing inpatient treatment for pulmonary tuberculosis was carried out using the HADS scale. The sample consisted of 274 female and 226 male patients aged 18 to 72 years. The study showed the presence of anxiety and/or depression of varying severity on the HADS scale in almost half of the respondents (42.4 %). Approximately 30 % of patients with anxiety symptoms were also diagnosed with probable depression. The prevalence of concomitant depression and anxiety among tuberculosis patients was especially high among patients with an infiltrative form of pathology. The highest rates of anxiety and depression were detected in female and young patients. The study showed that tuberculosis clinics need to develop recommendations for screening, diagnosis and treatment of anxiety and depressive disorders in tuberculosis patients.
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