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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.
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.
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.
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.

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

基金项目: 

首都医学发展科研基金( 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)

  • 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实现对综合医院住院患者共病精神障碍的规范化治疗。
  • [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 GeneralHospital 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 AssociatedWith Underrecognition of Psychiatric Comorbidity in a Medical and Surgical InpatientSetting[J]. Qual Manag Health Ca,2011,20:98-102.
    [4] Jansen L, van Schijndel M, van Waarde J, et al. Health-economic outcomes in hospital patientswith medical-psychiatric comorbidity: A systematic review and meta-analysis[J]. PLos One,2018,13:e0194029.
    [5] Pederson JL, Warkentin LM, Majumdar SR, et al. Depressive symptoms are associated withhigher rates of readmission or mortality after medical hospitalization: A systematic review andmeta-analysis[J]. J Hosp Med, 2016,11:373-380.
    [6] Lanvin V, Vulser H, Vinant V, et al. Early liaison psychiatry consultations and general hospitalreadmission: A retrospective cohort study[J]. Gen Hosp Psychiat,2022,77:29-36.
    [7] Vulser H, Vinant V, Chatellier G, et al. Associations between early consultation-liaison psychiatryintervention 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 mortalityand suicide among those with chronic respiratory diseases, cardiovascular diseases, and diabetesin Sweden: A nationwide matched cohort study of over 1 million patients and their unaffectedsiblings[J]. PLos Med,2022,19:e1003864.
    [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.
    [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.
    [11] Balestrieri M, Bisoffi G, Tansella M, et al. Identification of depression by medical and surgicalgeneral hospital physicians[J].Gen Hosp Psychiat,2002,24:4-11.
    [12] Topitz A, Benda N, Saumer G, et al. Prävalenz und Erkennen der Depression an nichtpsychiatrischen Krankenhausabteilungen[J]. Neuropsychiatrie,2015,29:63-70.
    [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.
    [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-LiaisonPsychiatry? -a systemic review[J]. BMC Psychiatry,2016;16:390.
    [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.
    [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.
    [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.
    [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.
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出版历程
  • 收稿日期:  2022-10-07
  • 修回日期:  2022-12-09
  • 网络出版日期:  2022-12-27

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