综合医院非心理专科患者心理障碍早期识别及对策  

Early recognition and coping strategy of psychological disorder in non-psychological department in general hospital

作　　者：毛家亮[1] 何奔[1] 

机构地区：[1]上海交通大学医学院附属仁济医院,200127

出　　处：《中华诊断学电子杂志》2015年第2期60-64,共5页Chinese Journal of Diagnostics(Electronic Edition)

摘　　要：心理障碍正成为影响人类健康的主要疾病,综合医院也正成为心理障碍诊治的主要战场,但如何早期识别综合医院患者存在的心理障碍,对非心理专科医生是巨大的挑战。在综合医院心理障碍患者的早期表现主要是躯体化症状,面对这种状态,综合医院非心理专科医生普遍存在无所适从,在临床上造成心理障碍的漏诊误治屡见不鲜。对此,虽然业界也有不断的呼吁要重视和加强相关改进措施,但经过数年努力,问题并没有得到根本解决。所以,观念地突破和方法地创新是扭转这一状态的关键所在。笔者对综合医院特别是非心理专科心理障碍患者的现状、遇到的困难以及如何早期识别综合医院患者存在的心理障碍进行阐述,提出了一些较新的观点和方法,希望有所启示。Psychological disorder is becoming the main diseases affecting human health, and the general hospital is also become the main battlefield of diagnosis and treatment of mental disorder,but how to identify early psychological disorder of general hospital patients is a huge challenge to the psychological non-specialists. General hospital patients with psychological disorders mainly manifest into somatization symptoms.This often causes non-psychological specialists to misdiagnose in the general hospital.To this, the industry has been called on constantly to attach importance to and strengthen the relevant improvement measures,but after years of effort, the problem has not been fundamentally solved. Therefore, an innovative method is the key to reverse this state.In this paper,the author combined the long-term clinical results and clinical experience of diagnosis and treatment, to explain the present situation of the psychological disorder in non-psychological department, difficulties and how to identify early psychological barriers that exist in the general hospital patients.The author puts forward some new ideas and methods in hopes to bring enlightenment to the non-psychological specialists.

关 键 词：医院 综合 心理生理性障碍 早期识别 

分 类 号：R749[医药卫生—神经病学与精神病学]