某三级甲等综合医院住院患者精神科会诊3年资料分析

Analysis of data from consultation-liaison psychiatry service for the inpatients in a tertiary general hospital

目的:了解某三级甲等综合医院精神/心理服务需求的特点。方法:汇总某三甲综合医院2006年7月1日-2009年6月30日期间所有经心理医学科会诊的患者共2082例次,分析会诊率、会诊科室、会诊原因、精神科诊断及随诊情况。结果:3年来会诊率由1.01%升至1.48%,随诊率为15.77%。重症监护病房会诊率最高(4.77%),特需科室随诊比例最高(27.04%)。占1%以上的邀请会诊原因有10类,其中"目前情绪症状"最多,占28.4%。精神科诊断以"神经症性、应激性障碍及焦虑状态"为主,占44.2%,诊断为躯体形式障碍及医学不能解释的症状(Medical Unexplained symptoms,MUS)的患者随诊比例最高,达26.6%。结论:综合医院对精神/心理服务的需求全面,精神专科应提供全面深入、特点突出的会诊联络服务。

Objective：To explore the characteristics of the need for psychiatry and psychological service of the inpatients in a tertiary general hospital Methods：In three years（2006-07-01~2009-06-30）,2082 referrals to the department of psychological medicine in a tertiary general hospital were enrolled The data was analyzed,including rate of consultation,referral department,reasons of referral,psychiatric diagnosis and those who were referred more than once Results：The annual rate of consultation was increasing from 1 01% to 1 48% in the 3 years 15 77% of the patients were followed after the first consultation The department with the highest rate of consultation was Intensive Care Unit（ICU）（4 77%）,and the department with the most patients being followed was the special medical service department（27 04%） In the variety of reasons for referral,the dominating one was ＂current emotional symptoms＂（28 4%） The major psychiatric diagnose category was ＂neurosis,stress disorder and anxious state＂（44 2%） Those were diagnosed as somatiform disorder or medical unexplained symptoms（MUS）had the most proportion（26 2%）got followed Conclusion：There is vast and characteristic need for psychiatry and psychological service in general hospital,and the service should be profound and overall,and matching the characters.