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題 名 | 綜合醫院精神科照會現況之臨床分析=A Clinical Investigation of Psychiatric Consulation in a General Hospital |
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作 者 | 李鶯喬; 張凱理; 臧汝芬; 馬景野; 湯元皓; | 書刊名 | 醫學研究 |
卷 期 | 17:4 1997.01[民86.01] |
頁 次 | 頁214-223 |
分類號 | 415.9511 |
關鍵詞 | 綜合醫院; 精神科照會; General hospital; Psychiatric consultation; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇報告蒐集某綜合醫院共五個月期間,照會精神科之549位(592人次)個案資料作分析,以探討精神科轉介形態之現況。結果發現當時期間總照會率2.19%,男:女比例為1.6:1,年齡分佈以60至69歲及70至79歲為最多,男性平均年齡顯著高於女性。不同科、部間照會率最高者依序為毒物科(45.57%)、復健醫學部(12.5%)、呼吸治療科(6.78%)、家庭醫學科(6.19%)及神經內科(5.84%)。精神科診斷分佈最高者依序為:器質性精神障礙症(35.6%)、適應障礙症(14.9%)及情感症(13.5%)。某些診斷有顯著男、女流行率差異:癡呆症、譫妄症及藥物濫用相關症中,男多於女;重鬱症、雙極症及焦慮症中,女多於男。主要照會理由最多者依序為:要求作鑑別診斷(28.6%)、干擾行為(16.6%)、情緒反應(15.3%)、及自殺(12.6%)。患者出院後三個月內之精神科門診追蹝率為26.0%。 |
英文摘要 | 549 hospitalized inpatients at a general hospital had been interviewed by psychiatric consultation team members through psychiatric consultation servi ce within a five-month interval. Totally 592 times (549 cases) of psychiatric consultation was requested. The referral pattern was investigateed. Consultation rate was 2.19 %. Male to female ratio was 1.6:1. The highest proportion in total sample were 60-69 years old and 70-79 years old cases. The mean age of male cases was significantly higher than that of female cases. The highest proportion in female sample were 30-39 and 40-49 years old. The highest consultaion rate in various sections were as follows: Toxicology section (45.57%), Rehabilitation department (12.5%), Respiratory therapy section (6.78%), Family medicine section (6.19%) and Neurology section (5.84%). The highest proportion in the psychiatric diagnostic distributions were organic mental disorders (35.6%), adujstmental disorders (14.9%) and Mood disorders (13.5%). There existed significant sex difference on the prevalence rate in some psychiatric diagnosis:In dementia and delirium, as well as in substance related disorder, it showed male cases significantly predominant than female cases; while in major depression, bipolar disorder and anxiety disorder, it showed female cases significantly predominant than male cases. The most common main reasons for referral were as follows: Asking for differential diagnosis (28.6%); atric OPD follow up three months after discharge was 26.0%. |
本系統中英文摘要資訊取自各篇刊載內容。