留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

三级查房的会诊联络精神医学服务实现综合医院住院患者共病精神障碍的住院治疗

曹锦亚 段艳平 魏镜

曹锦亚, 段艳平, 魏镜. 三级查房的会诊联络精神医学服务实现综合医院住院患者共病精神障碍的住院治疗[J]. 协和医学杂志, 2023, 14(1): 18-21. doi: 10.12290/xhyxzz.2022-0578
引用本文: 曹锦亚, 段艳平, 魏镜. 三级查房的会诊联络精神医学服务实现综合医院住院患者共病精神障碍的住院治疗[J]. 协和医学杂志, 2023, 14(1): 18-21. doi: 10.12290/xhyxzz.2022-0578
CAO Jinya, DUAN Yanping, WEI Jing. Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 18-21. doi: 10.12290/xhyxzz.2022-0578
Citation: CAO Jinya, DUAN Yanping, WEI Jing. Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 18-21. doi: 10.12290/xhyxzz.2022-0578

三级查房的会诊联络精神医学服务实现综合医院住院患者共病精神障碍的住院治疗

doi: 10.12290/xhyxzz.2022-0578
基金项目: 

首都卫生发展科研专项 2022-2-4012

详细信息
    通讯作者:

    魏镜, E-mail: weijing@pumch.cn

  • 中图分类号: R749

Resident-attending-professor Rounds of Consultation-liaison Psychiatry Service to Provide the Hospitalized Care of Psychiatric Comorbidities of General Hospital Inpatients

Funds: 

Capital Medical Development Research Fund 2022-2-4012

More Information
  • 摘要: 综合医院各科住院患者中有着很高的精神障碍共病率。精神障碍共病使得患者的临床配合更困难,住院时间更长,临床结局更差,花费更高。然而,精神障碍共病患者常常得不到适当的关注和治疗,可能与复杂共病情形识别不足以及邀请会诊不足有关。因此,本文提出通过三级查房、固定随诊的会诊联络精神医学服务制度,以期实现对综合医院住院患者共病精神障碍的规范化治疗。
    作者贡献:曹锦亚负责查阅文献,撰写论文;段艳平提出修改意见;魏镜提出和落实选题设计,负责论文审核。
    利益冲突:所有作者均声明不存在利益冲突
  • [1] 国家卫生健康委, 国家发展改革委, 教育部, 等. 关于印发加强和完善精神专科医疗服务意见的通知[EB/OL]. (2020-10-21)[2022-11-15]. http://www.nhc.gov.cn/yzygj/s3594q/202010/807eb9f57e164abebb866103fb2acbfd.shtml.
    [2] van Niekerk M, Walker J, Hobbs H, et al. The Prevalence of Psychiatric Disorders in General Hospital Inpatients: A Systematic Umbrella Review[J]. J Acad Consult Psychiatry, 2022, 63: 567-578
    [3] Borckardt JJ, Madan A, Barth K, et al. Excess Health Care Service Utilization and Costs Associated With Underrecogni-tion of Psychiatric Comorbidity in a Medical and Surgical Inpatient Setting[J]. Qual Manag Health Ca, 2011, 20: 98-102. doi:  10.1097/QMH.0b013e3182134af0
    [4] Jansen L, van Schijndel M, van Waarde J, et al. Health-economic outcomes in hospital patients with medical-psychiatric comorbidity: A systematic review and meta-analysis[J]. PLos One, 2018, 13: e0194029. doi:  10.1371/journal.pone.0194029
    [5] Pederson JL, Warkentin LM, Majumdar SR, et al. Depres-sive symptoms are associated with higher rates of readmission or mortality after medical hospitalization: A systematic review and meta-analysis[J]. J Hosp Med, 2016, 11: 373-380. doi:  10.1002/jhm.2547
    [6] Lanvin V, Vulser H, Vinant V, et al. Early liaison psychiatry consultations and general hospital readmission: A retrospective cohort study[J]. Gen Hosp Psychiat, 2022, 77: 29-36. doi:  10.1016/j.genhosppsych.2022.03.007
    [7] Vulser H, Vinant V, Chatellier G, et al. Associations between early consultation-liaison psychiatry intervention and subsequent length of stay in general hospital[J]. J Psychosom Res, 2018, 109: 143-144.
    [8] Sariaslan A, Sharpe M, Larsson H, et al. Psychiatric comorbidity and risk of premature mortality and suicide among those with chronic respiratory diseases, cardiovascular diseases, and diabetes in Sweden: A nationwide matched cohort study of over 1 million patients and their unaffected siblings[J]. PLos Med, 2022, 19: e1003864. doi:  10.1371/journal.pmed.1003864
    [9] 史丽丽, 赵晓晖, 姜荣环, 等. 北京市部分综合医院神经内科门诊焦虑、抑郁障碍现况调查[J]. 中国心理卫生杂志, 2009, 23: 616-620. doi:  10.3969/j.issn.1000-6729.2009.09.003
    [10] 郝世胜, 肖玲, 王惠玲, 等. 综合医院非精神科临床医师对抑郁焦虑障碍诊疗服务能力现状调查[J]. 中华行为医学与脑科学杂志, 2015, 24: 1037-1040. doi:  10.3760/cma.j.issn.1674-6554.2015.11.021
    [11] Balestrieri M, Bisoffi G, Tansella M, et al. Identification of depression by medical and surgical general hospital physi-cians[J]. Gen Hosp Psychiat, 2002, 24: 4-11. doi:  10.1016/S0163-8343(01)00176-1
    [12] Topitz A, Benda N, Saumer G, et al. Prävalenz und Erkennen der Depression an nicht-psychiatrischen Krankenhausabteilungen[J]. Neuropsychiatrie, 2015, 29: 63-70. doi:  10.1007/s40211-015-0145-y
    [13] 赵晓晖, 洪霞, 史丽丽, 等. 某三级甲等综合医院住院患者精神科会诊3年资料分析[J]. 中国心理卫生杂志, 2011, 25: 30-34. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201101008.htm
    [14] 谢稚鹃, 郑敏婕, 史欣欣, 等. 2016年度某三级甲等综合医院精神科会诊的心内科住院患者资料分析[J]. 中华精神科杂志, 2018, 51: 163-168.
    [15] Chen KY, Evans R, Larkins S. Why are hospital doctors not referring to Consultation-Liaison Psychiatry?-a systemic review[J]. BMC Psychiatry, 2016, 16: 390. doi:  10.1186/s12888-016-1100-6
    [16] 曹锦亚, 魏镜, 洪霞, 等. 综合医院多元整合精神卫生服务[J]. 协和医学杂志, 2016, 7: 436-438. doi:  10.3969/j.issn.1674-9081.2016.06.007
    [17] 洪霞, 赵晓晖, 曾平, 等. 综合医院老年住院患者联络会诊精神医学服务模式探讨[J]. 中华老年多器官疾病杂志, 2015, 14: 103-107. https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=IPFD&filename=ZHYX201309005326&dbname=IPFD9914
    [18] 魏镜, 史丽丽, 曹锦亚. 将心理健康状态系统评估与干预纳入患者安全管理[J]. 协和医学杂志, 2019, 10: 206-210. doi:  10.3969/j.issn.1674-9081.2019.03.004
    [19] 史丽丽, 魏镜, 洪霞. 专家咨询法建立患者安全管理的心理评估、干预以及心理危急值报告体系[J]. 协和医学杂志, 2021, 12: 359-365. doi:  10.12290/xhyxzz.20190194
  • 加载中
计量
  • 文章访问数:  185
  • HTML全文浏览量:  65
  • PDF下载量:  77
  • 被引次数: 0
出版历程
  • 收稿日期:  2022-10-07
  • 录用日期:  2022-12-09
  • 网络出版日期:  2022-12-26
  • 刊出日期:  2023-01-30

目录

    /

    返回文章
    返回

    【温馨提醒】近日,《协和医学杂志》编辑部接到作者反映,有多名不法人员冒充期刊编辑发送见刊通知,鼓动作者添加微信,从而骗取版面费的行为。特提醒您,本刊与作者联系的方式均为邮件通知或电话,稿件进度通知邮箱为:mjpumch@126.com,编辑部电话为:010-69154261,请提高警惕,谨防上当受骗!如有任何疑问,请致电编辑部核实。谢谢!