三级查房的会诊联络精神医学服务实现综合医院住院患者共病精神障碍的住院治疗

Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients

综合医院各科住院患者中有着很高的精神障碍共病率。精神障碍共病使得患者的临床配合更困难,住院时间更长,临床结局更差,花费更高。然而,精神障碍共病患者常常得不到适当的关注和治疗,可能与复杂共病情形识别不足以及邀请会诊不足有关。因此,本文提出通过三级查房、固定随诊的会诊联络精神医学服务制度,以期实现对综合医院住院患者共病精神障碍的规范化治疗。

There is a high prevalence of psychiatric comorbidity in general hospital inpatients of various physical departments.Psychiatric comorbidity may result in the difficulty in clinical communication,longer hospitalization,worse clinical outcomes and higher costs.However,psychiatric comorbidities are often neglected and left untreated.We believe this phenomenon is caused by complex problems including,but not limited to,insufficient recognition,insufficient invitation for consultation,clinical challenge of complex multiple-comorbidities,and insufficient treatment.To address these problems,we developed consultation-liaison psychiatry system of resident-attending-professor rounds with fixed follow-ups to provide standardized care to general hospital inpatients with psychiatric comorbidity.