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題 名 | 基隆長庚醫院精神科照會之現況:臨床特徵分析=The Present Status of Psychiatric Consultation in Chang Gung Memorial Hospital, Keelung: A Report of Clinical Characteristics |
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作 者 | 陳景彥; 葉頌壽; | 書刊名 | 長庚醫學 |
卷 期 | 19:4 1996.12[民85.12] |
頁 次 | 頁331-336 |
分類號 | 415.952 |
關鍵詞 | 照會-聯商精神醫學; 生理-心理-社會模式; 返診追踪服從性; Consultation-liaison psychiatry; Biopsychosocial model; Compliance to follow-up; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:在綜合醫院的病人中,常常有精神問題或心理困擾需要照會精神科,而根據以前的研究報告,在綜合醫院中有13-61%的病人有情感疾病,而15-33%有認知功能障礙,而內科的住院病人有明顯的精神疾病,主要以憂鬱、焦慮症及器質性腦症候群為主。本研究的目的,即在了解基隆長庚醫院精神科照會的現況,作為未來本科發展照會精神醫學的參考。 方法:本研究是以83年1月至12月基隆長庚醫院精神科接受其他科病房照會的全部個案為研究對象,為一回溯性及描述性研究,資料分析以百分比為主。 結果:結果顯示平均照會率為0.71%,腎臟科所佔比例最高(19.6%),乃因自殺中毒個案較多。照會科別以內科最多,婦產科最少,而照會理由以自殺企圖、意念及評估最多,佔33.14%。精神科診斷以器質性精神疾患(34.36%)及情感性(22.70%)為主,與精神刺激物質有關的病患佔25.15%,原照會科在精神科建議藥物的執行上,以經診斷為精神病者最高(89.47%),而焦慮性疾患只達50%,對於自殺個案,原照會科醫師多能配合執行藥物治療,佔84.09%。 結論:本研究與國內其他醫院研究結果差不多,沒有太大差異。婦產科照會率低,可能是其住院病人以產婦為主,住院時間短,較少出現或察覺情緒及精神障礙;而自殺及精神病症患者,各科照會較多,可能因其他醫師對這些問題,希望由專科醫師處理。本研究可做為將來照會研究的參考,而自殺問題、酒癮及毒藥物濫用問題,更成為未來綜合醫院中常見且必須面對處理的重要課題。 |
英文摘要 | One hundred and sixty three inpatients (84 males and 79 females) were referred for psychiatric consultation through the year of 1994. The referal rate (0.71%) was considerably low when compared with the rates (0.72-2.05%) reported by other hospitals in Taiwan. Most of the referrals were the patients of internal medicine (64.78%), especially the nephrology department. And the most common psychiatric diagnoses were organic mental syndrome. The primary reason of referals was suicidal attempt (evaluation of suicidal risk) (33.14%). In a general hospital, psychoactive substance use disorders and induced mental disorders tended to be an most usual task of psychiatric consultation. The rate of execution of suggested medication was 72.68%. Most psychotic patients and nearly overall suicidal patients had higher rate of executionof pharmacotherapy. The rate of follow-up compliance was 39.58%. The development of consultation-liaison psychiatry is in the initial stage in our hospital. The results of our study could provide reference in clinical practice and stimulate further investigation. |
本系統中英文摘要資訊取自各篇刊載內容。