Department of Psychiatry, University of Nairobi, Nairobi, Kenya.
Ann Gen Psychiatry. 2009 Jan 14;8:1. doi: 10.1186/1744-859X-8-1.
The possibility that a significant proportion of the patients attending a general health facility may have a mental disorder means that psychiatric conditions must be recognised and managed appropriately. This study sought to determine the prevalence of common psychiatric disorders in adult (aged 18 years and over) inpatients and outpatients seen in public, private and faith-based general hospitals, health centres and specialised clinics and units of general hospitals.
This was a descriptive cross-sectional study conducted in 10 health facilities. All the patients in psychiatric wards and clinics were excluded. Stratified and systematic sampling methods were used. Informed consent was obtained from all study participants. Data were collected over a 4-week period in November 2005 using various psychiatric instruments for adults. Descriptive statistics were generated using SPSS V. 11.5.
A total of 2,770 male and female inpatients and outpatients participated in the study. In all, 42% of the subjects had symptoms of mild and severe depression. Only 114 (4.1%) subjects had a file or working diagnosis of a psychiatric condition, which included bipolar mood disorder, schizophrenia, psychosis and depression.
The 4.1% clinician detection rate for mental disorders means that most psychiatric disorders in general medical facilities remain undiagnosed and thus, unmanaged. This calls for improved diagnostic practices in general medical facilities in Kenya and in other similar countries.
相当一部分到综合医疗机构就诊的患者可能患有精神障碍，这意味着必须识别和适当处理精神疾病。本研究旨在确定在公立、私立和宗教综合医院、保健中心和专门诊所及综合医院各科室就诊的成年（18 岁及以上）住院患者和门诊患者中常见精神障碍的患病率。
这是一项在 10 家卫生机构开展的描述性横断面研究。所有精神科病房和诊所的患者均被排除在外。采用分层和系统抽样方法。所有研究参与者均获得了知情同意。2005 年 11 月，使用成人用各种精神科量表，在 4 周时间内收集数据。采用 SPSS V. 11.5 生成描述性统计数据。
共有 2770 名男女住院患者和门诊患者参加了这项研究。所有患者中，有 42%的人出现轻至重度抑郁症状。仅有 114 名（4.1%）患者的档案或工作诊断为精神疾病，包括双相情感障碍、精神分裂症、精神病和抑郁症。
精神科医生检出率为 4.1%，这意味着综合医疗机构中的大多数精神障碍仍未得到诊断，因此也未得到治疗。这需要在肯尼亚和其他类似国家的综合医疗机构中改进诊断实践。
