Varner R V, Hollister L E
Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School, USA.
Psychiatr Serv. 1999 Jun;50(6):825-7. doi: 10.1176/ps.50.6.825.
Fifty-three inpatient units in Texas and Massachusetts--15 free-standing psychiatric hospitals and 38 units of general hospitals--responded to a survey to determine current practice in conducting pelvic and rectal examinations of psychiatric patients. Pelvic examinations were never done at 15 of the facilities (28 percent), and rectal examinations were never done at 12 (23 percent). The other facilities did these examinations selectively based on patients' clinical history. Because selective use of these examinations is consistent with recommendations of the American Psychiatric Association and because hospitals that conduct examination selectively have received approval by the Joint Commission on Accreditation of Healthcare Organizations, it appears that selective rather than routine pelvic and rectal examinations are now considered reasonable practice.
得克萨斯州和马萨诸塞州的53个住院部——15家独立精神病医院和38家综合医院的科室——参与了一项调查，以确定对精神病患者进行盆腔和直肠检查的当前做法。15家机构（28%）从未进行过盆腔检查，12家机构（23%）从未进行过直肠检查。其他机构根据患者的临床病史选择性地进行这些检查。由于选择性地进行这些检查符合美国精神病学协会的建议，而且选择性进行检查的医院已获得医疗保健组织认证联合委员会的批准，因此现在看来，选择性而非常规的盆腔和直肠检查被认为是合理的做法。
