武汉市新型冠状病毒肺炎住院患者精神科联络会诊特征回顾性分析  

Characteristics of psychiatric contact consultation in inpatients with the COVID-19 in Wuhan:a retrospective analysis

作　　者：张杰[1] 陶炯[2] 李烜[1] 彭红军 尹平[3] 吴逢春[1] 王相兰[2] 郭耀光 刘恩益[1] 钟智勇[2] 李爱凤 翟天一 李学武[4] 冯飞[4] 刘向欣[3] 何红波[1] Zhang Jie;Tao Jiong;Li Xuan;Peng Hongjun;Yin Ping;Wu Fengchun;Wang Xianglan;Guo Yaoguang;Liu Enyi;Zhong Zhiyong;Li Aifeng;Zhai Tianyi;Li Xuewu;Feng Fei;Liu Xiangxin;He Hongbo(Department of Psychosomatic,the Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China;Department of Psychiatry,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Guangdong Provincial People′s Hospital,Guangdong Mental Health Center,Guangzhou 510006,China;Department of Psychiatry,Shenzhen Kangning Hospital,Shenzhen 518020,China)

机构地区：[1]广州医科大学附属脑科医院心身医学科,510370 [2]中山大学附属第三医院精神科,广州510630 [3]广东省人民医院,广东省精神卫生中心,广州510006 [4]深圳市康宁医院精神科,518020

出　　处：《中华精神科杂志》2020年第4期282-286,共5页Chinese Journal of Psychiatry

摘　　要：目的对武汉市新型冠状病毒肺炎(COVID-19)住院患者接受精神科联络会诊的特征进行归纳总结。方法采用回顾性研究的方法,选取广东省援鄂心理医疗队于2020年3月1-7日进行联络会诊的住院患者,共计105例,由参与联络会诊的20名精神科医生收集患者年龄、性别等资料,并记录患者联络会诊的主要原因及精神科处理方案。由会诊医生根据主管医师介绍患者的病情决定是否进入隔离病房面诊患者,会诊后1周内对患者进行回访。采用描述性统计分析方法对数据进行分析。结果来自5所定点医院的105例患者,年龄(58.3±18.9)岁,62.9%(66/105)为女性患者,其中102例(97.1%)为医生进入隔离病房进行面诊的患者。105例患者会诊主要原因为焦虑65例(61.9%),抑郁27例(25.7%),失眠6例(5.7%),兴奋6例(5.7%)及幻觉妄想1例(1%)。其中77例(73.3%)患者接受相应心理治疗,1例(1.0%)接受了精神科药物治疗,27例(25.7%)联合心理治疗和精神科药物治疗。回访的结果显示102例(97.1%)患者精神心理症状减轻。结论在COVID-19疫情的救治中,被感染患者焦虑抑郁等精神心理症状较多见,精神科联络会诊的需求量较大;精神卫生专科医生尽早介入患者的诊疗,对患者康复具有较为积极的意义。Objective This article summarized the characteristics of inpatients with the COVID-19 by psychiatric contact consultation in Wuhan.Method This was a retrospective study.A total of 105 patients consulted by the Guangdong psychological medical team from March 1,2020 to March 7,2020 were selected.Data were collected by 20 psychiatrists responsible for the contact consultation,including age,gender,the main reasons for the contact consultation and the psychiatric treatment plan.The consultant doctor decided whether to enter the isolation ward according to the patient′s condition introduced by the attending physician,and whom were followed up within a week.Descriptive statistical analysis was used to analyze the data.Results There were 105 patients from 5 designated hospitals,aged(58.3±18.9)years,62.9%(66/105)were females,and 102(97.1%)were consulted face-to-face in the isolated ward.Main reasons for consultation were anxiety(65,61.9%),depression(27,25.7%),insomnia(6,5.7%),agitation(6,5.7%),and illusion(1,1%).Seventy-seven of those patients(73.3%)received individualized psychotherapy,1(1.0%)was prescribed with psychiatric medication,and 27(25.7%)were treated with both measures.Follow-up showed that psychological symptoms relieved in 102 cases(97.1%).Conclusion Psychosocial symptoms such as anxiety and depression are common in infected patients,and thereby psychiatric contact and consultation is in great demand in the treatment of COVID-19.Early intervention of mental health professionals in the diagnosis and treatment of patients plays a positive role in the recovery of them.

关 键 词：住院病人 新型冠状病毒肺炎 转诊和会诊 

分 类 号：R563.1[医药卫生—呼吸系统] R749[医药卫生—内科学]