综合医院内联络精神病学会诊科室及病种分布特征:154例分析(英文)

Departments applying for consultation-liaison psychiatry and distribution of diagnosed different psychiatric diseases in general hospitals:Analysis of 154 cases

背景:在综合医院临床专科存在着越来越多的精神心理问题,需要在医院内进行联络会诊。目的:在综合医院中,通过开展精神心理的联络会诊,加强非精神科临床医师对精神医学疾病的认识。设计:病例分析。单位:广东医学院附属医院心理科。对象:选择广东医学院附属医院2003-04/2004-04心理科会诊,不同性别、年龄与文化程度的住院患者154例。方法:统计会诊例数,对154例患者进行申请精神心理科会诊的科室分布和精神障碍病种的分布情况的调查。主要观察指标:①申请精神心理科会诊的科室分布。②精神障碍病种的分布情况。结果:纳入患者154例,均进入结果分析,无脱落者。①申请精神心理科会诊的科室分布:申请会诊的科室中,内科占首位57例(37.0%),其次是急诊科26例(16.8%),传染科17例(11.0%)和神经内科13例(8.4%)。②精神障碍病种的分布情况:会诊诊断最多见的是脑器质性神经症性障碍(31.1%)、精神障碍(25.3%)和躯体疾病所致的精神障碍(13.6%)。结论:在综合医院临床各科均存在精神医学问题。在综合医院中,加强开展联络精神病学会诊是必要的。

BACKGROUND： More and more psychiatric problems require liaison consultation in specific clinical departments of general hospital. OBJECTIVE： To enhance the recognition of physicians in non-psychiatric departments on psychiatric illness by carrying on psychiatric liaison consultation in general hospital. DESIGN： Case analysis. SETTING： Department of Psychology in the affiliated hospital to Guangdong Medical College. PARTICIPANTS： Totally 154 inpatients for the consultation in Department of Psychology were selected in the Affiliated Hospital of Guangdong Medical College from April 2003 to April 2004, of either sex and different age and educational backgrounds. METHODS： It was to investigate the distributions of departments and diseases with consuhation-liaison psychiatry （CLP） in general hospital in 154 cases based on statistics, MAIN OUTCOME MEASURES： （1） Distribution of departments with CLP. （2） Distribution of psychiatric illness. RESULTS： Totally 154 cases were employed and were all in result analysis, no drepped-out case. （1） Distribution of departments with CLP： Of the departments applying for consultation, the department of internal medicine occupies the top, 57 cases （37.0%） involved, followed by department of emergency, with 26 cases （16.8%）, department of infection, with 17 cases （11.0%） and neurology, with 13 cases （8.4%）. （2） Distribution of psychiatric illness： The most common diseases in consultation were neurotic disorders due to brain disease （31.1%）, psychiatric disorder （25.3%） and psychiatric disorder due to body disease （13.6%）. CONCLUSION： Psychiatric problem happens in every clinical department of general hospital. It is necessary to enhance liaison psychiatric consultation in general hospital.