Polozhiĭ B S, Potapkin I A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(9):67-71.
Mass clinico-epidemiological screening of workers of senior ages (of 45 years of age and over) was carried out at one of the large industrial enterprises. As a result of the new data were obtained on the genuine prevalence and clinico-dynamic structure of neuropsychic disorders revealed in the test group of the capable population. The authors identified risk factors of the development of the indicated diseases, defined the characteristic features of social and work adaptation of the patients during work and their needs in different types of psychiatric assistance; elaborated the principles of the prophylaxis and early diagnosis of neuropsychic disorders in the senior age group of industrial workers as well as those of rehabilitation of such patients under the conditions where the treatment is brought nearer to the production site or carried out within the system of the general medical network rather than under the conditions of a dispensary. The programs of the primary and secondary prophylaxis tried and implemented at one of the large industrial enterprises of Tomsk on the basis of the Center for Mental Health Care made it possible to minimize temporary disability caused by neuropsychic disorders among the senior age workers, to raise the patients' output per man-hour and work quality, to decrease the number of patients' dismissals from the enterprise.
在一家大型工业企业对老年工人（45岁及以上）进行了大规模临床流行病学筛查。通过此次筛查，获得了关于有劳动能力人群测试组中所揭示的神经精神障碍真实患病率和临床动态结构的新数据。作者确定了上述疾病发展的风险因素，明确了患者在工作期间社会和工作适应的特征以及他们对不同类型精神科援助的需求；阐述了工业老年工人神经精神障碍的预防和早期诊断原则，以及在治疗更靠近生产现场或在普通医疗网络系统内而非在诊疗所条件下对这类患者进行康复的原则。基于心理健康护理中心，在托木斯克的一家大型工业企业尝试并实施了一级和二级预防方案，这使得老年工人中因神经精神障碍导致的临时残疾减至最少，提高了患者的人均工时产出和工作质量，减少了企业中患者的解雇人数。
