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題 名 | 綜合醫院之精神科急會診=Psychiatric Emergency Consultation in a General Hospital |
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作 者 | 蔡世仁; 李鶯喬; 張凱理; 沈楚文; | 書刊名 | 長庚醫學 |
卷 期 | 19:4 1996.12[民85.12] |
頁 次 | 頁337-342 |
分類號 | 415.9511 |
關鍵詞 | 躁動; 譫妄症; 精神科急會診; Agitation; Delirium; Psychiatric emergency consultation; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:綜合醫院住院病患常合併精神問題,有些精神症或行為問題需要立即的精神科會診處理。本研究以綜合醫院精神科急會診個案作回溯性分析。 方法:本研究的個案取自3年期間在臺北榮民總醫院,住院中精神科急會診個案。會診方式分為24小時內完成的「一般會診」及經由電話聯繫負責醫師,於1小時內完成之「急會診」。病歷回顧:包括會診申請原因、會診時間、精神病史、精神科診斷、處理方式及預後,並與精神科非急會診及國外研究比較。 結果:三年內共計88次急會診,佔精神科會診的2.3%。這些患者男性居多,平均年齡為55.3歲。會診原因最常見為躁動不安,其他如精神症、干擾行為也常見;精神科主要診斷為譫妄症,佔58.0%,與非急會診比較有顯著偏高;處理方式最常見為藥物;經過處理有八成以上得到改善。但有15位在住院中死亡,且平均住院天數遠較全院平均住院天數長。 結論:本研究精神科會診率接近國外文獻回顧報告會診率中間值,但急會診率較少。精神科急會診病患有其特性,主要診斷為譫妄症,經過處理大多能改善,此制度的設置有其重要性,並值得進一步研究。 |
英文摘要 | Inpatients in general hospital often presented with psychological problems and some of them need emergent psychiatric interventions. However, there have been little attention on the psychiatric emergency consultation. The purpose of this paper is to review the psychiatric emergency service in a general hospital over 3-year period. During this period, there were 88 psychiatric emergency consultations that represented 2.3% of all psychiatric consultation. The emergency group showed no difference in sex and age, but received more diagnoses of delirium (58.0%) than the other referrals. About one fourth of these patients and psychiatric history. Stated requests for "agitation and irritability", "psychiatric symptoms" and "uncooperation" with treatment" were the most frequent reasons. Sixty-five percent of the patients receive recommendations of medication treatment. Among them, neuroleptics and anxiolytics were most common used. About one half of the patients needed further medical tests. After psychiatric interventions, most of the patients got improved within 2 days but 15 patients died during hospitalization. These findings indicated that psychiatric emergency consulation though the request rate is low. When making diagnoses in emergency consultation, past psychiatric history is important and organic mental disorders should be ruled out first. After psychiatric interventions, most of the psychiatric emergency could be improved. It suggested that the setting of psychiatric emergency consultaiton could improve the quality of patient care in a general hospital. |
本系統中英文摘要資訊取自各篇刊載內容。