摘要
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.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2011年第1期30-34,共5页
Chinese Mental Health Journal
关键词
综合医院
会诊联络精神病学
现状分析
general hospital
consultation-liaison psychiatry
status analysis