综合医院住院患者会诊联络精神病科探讨.docVIP

综合医院住院患者会诊联络精神病科的研究 　　[摘要] 目的 分析综合性医院住院患者精神科会诊临床特点。 方法 选取2012年1月～2013年1月我院精神卫生科会诊的所有住院患者共188例，对患者的一般资料、会诊科室、会诊率、会诊原因、会诊后诊断及处理情况进行分析。 结果 我院精神卫生科年会诊率0.38%。会诊患者平均年龄（58.84±20.05）岁。骨科和神经内科分别是手术科室和非手术科室会诊次数最多的科室。言行紊乱、睡眠障碍和既往重性精神障碍病史是请求会诊的主要原因。会诊后精神科主要诊断为认知障碍（22.9%）、器质性精神障碍（12.8%）、神经症（11.7%）、情感性精神障碍（10.1%）、精神分裂症及其他精神障碍（9.0%），90%会诊患者接受了精神科药物治疗联合心理干预。 结论 目前综合医院住院患者对精神科会诊的潜在需求很大，但精神卫生科年会诊率仍低，需提高非精神科医生对常见精神障碍的识别率和处理能力，精神专科也应提供全面、高效、特点突出的会诊联络服务 [关键词] 综合性医院；会诊-联络；住院患者；精神病科 [中图分类号] R749.4 [文献标识码] B [文章编号] 1673-9701（2015）30-0061-04 Analysis of consultation-liaison psychiatry service for the inpatients in a general hospital WENG Xiaojuan1 CHEN Lixian2 RAO Gaofeng3 1.Department of Psychiatry， the First People’s Hospital of Wenling， Wenling 317500，China； 2.Department of Psychiatry，the Second People’s Hospital of Yuhuan，Yuhuan 317605，China； 3.Department of Rehabitilitation，the First People’s Hospital of Wenling，Wenling 317500，China [Abstract] Objective To investigate the clinical characteristics of consultation-liaison psychiatry（CLP） in a general hospital. Methods Totally 188 inpatients were enrolled from January 2012 to January 2013. The data were analyzed， including demographic characteristics， rate of consultation， referral department division， reasons for referral， psychiatric diagnosis and treatment. Results The annual rate of psychiatric consultation was 0.38%. The average age was（58.84±20.05）years old. The departments with higher rate of CLP service were orthopedics and neurology. The principal reasons for psychiatric referral were psychotic episode，sleep disorder and psychiatric history. Cognitive disorders（22.9%）， psychiatric disorder due to body disease（12.8%），neuroses（11.7%），affective disorder（10.1%），schizophrenia and other mental disorder（9.0%） were the major psychiatric diagnoses. Ninety percent of patients received psychiatry drugs and together with mental intervention. Conclusion The potential demand for CLP was huge in general hospitalThe annual rate