综合医院精神卫生现状、存在问题和对策.pdfVIP

山西医科大学 22．1％(15／68)，处理率40％(6／15)。精神科会诊率很 低(仅为o．6％)，绝大多数精神障碍被漏诊漏治。 综合医院精神卫生服务中存在的弊端：传统生物医学模式 根深蒂固，精神科不受重视；医务人员精神卫生知识和实践技 能缺乏，精神卫生服务意识淡薄：精神科服务形式单一，质量 和效率不高；患者及家属精神卫生知识匮乏，对精神疾病存在 偏见。 在此基础上提出以下建议：各级有关行政领导应提高精神 卫生服务意识，制定相应的规章制度，使精神卫生服务规范化、 系统化；对医务人员进行精神卫生知识培训，提高对精神障碍 的识别和处理能力；精神科医师要积极开展会诊联络工作，增 进和各科医师的合作关系；进行精神卫生的科普宣传，使精神 病学服务内容和方式被人们广泛认可和接受。 【关键词】综合医院；精神卫生服务：精神障碍；识别和处理 生堕垦型查堂 堡!堕笪兰塑 Abstract Through the investigation to out·patients，in—patients and medical professionals in a general hospital，the study try to explore the mental health status of patients and influences，main mental disorders，and the problems in mental health services， which will benefit to provide scientific evidence to programs of mental health services and to enhance clinical practice in general hospital Mental health status of patients：58．4％of out-patients with different degree of mental health problems，and 29．07％and 34．13％ofthe sample with anxiety and depression respectively．By the single-factor and mult—factors analysis，risk factors for mental health status were as follow：being female，being peasant，longer course of physical disease，and with internal medical conditions 59．2％of in-patients with different degree of mental health problems．29．07％．34．1 3％and 6．6％of in-patients with anxiety, depression and brain organic syndrome respectively．Risk factors for mental health status of in—patients were as follow：being female，being retired，longer course of physical disease，with 些堕匡壁查兰—里主竺羔竺!垒!L severe physical diseases，and with internal medical conditions。In out．patients and in·patients，the mental health status of those who with internal medical conditions were the poorest． The detection rate for depression in in—patients was 4．1 2％， the management rate was 25％：the detection rate and the management rate for anxiety were 1 1．9％and 33．3％respectively； the detection fate and the management rate for brain organic syndrome were 22．1％and 40％respectively．Psychiatric consultation rate were only O．6％．and most mental disord