综合医院心理科两年会诊转入患者的特征回顾性分析  

Retrospective analysis on features of patients referred to psychological department of a general hospital by consultation in recent two years

作　　者：章瑜[1] 谢健[1] 

机构地区：[1]杭州市第一人民医院心理科,浙江杭州310006

出　　处：《中国现代医生》2016年第15期65-68,共4页China Modern Doctor

基　　金：浙江省杭州市卫生科技项目(2012A006);浙江省医药卫生科技计划项目(2013KYA161)

摘　　要：目的研究综合医院临床心理科会诊联络转入患者的特征。方法回顾性分析我院心理科近两年通过联络会诊转入患者的数据,共收集了68例患者,分析其来源科室分布、转入后的诊断种类、转归情况。结果转入前三位的科室为神经内科、消化科、心内科,分别为22.1%、19.1%、16.2%;最后诊断为前三位的疾病为:焦虑症、抑郁症、躯体疾病所致的精神障碍,分别占20.6%、16.2%、14.7%。治愈48.5%,好转48.5%,最后的总有效率为97.0%。结论转入患者反映了疾病谱的改变和精神卫生事业的发展,说明心理科与其他综合科在转诊患者的合作密切程度,进一步说明了在综合医院设立临床心理科的重要性。Objective To study the features of patients referred to psychological department of a general hospital by consultation and contact. Methods Materials of patients referred to psychological department of a general hospital by consultation in recent two years were reviewed and 68 patients were selected to analyze the distribution of their source departments, diagnostic types after referral, and outcomes. Results The first three major source departments were de- partments of neurology, gastroenterology, and cardiology, accounting for 22.1%, 19.1%, and 16.2%, respectively. The first three major diagnostic types were anxiety, depression, and mental disorder due to physical diseases, accounting for 20.6%, 16.2%, and 14.7%, respectively. The outcomes were 48.5% of complete response, and 48.5% of partial re- sponse, making up an overall response rate of 97.0%. Conclusion Referrals reflect a change in spectrum of disease and development of mental health, indicating a close cooperation between psychological department and other departments, further illustrating the importance of establishment of psychological department in general hospitals.

关 键 词：会诊-联络 综合医院 临床心理科 回顾性分析 

分 类 号：R197.3[医药卫生—卫生事业管理]