Kigamwa A
Department of Psychiatry, College of Health Sciences, University of Nairobi.
East Afr Med J. 1991 May;68(5):383-8.
Psychiatric morbidity among 200 medical in-patients at Kenyatta National Hospital was determined by a two-stage screening procedure, using the Self Reporting Questionnaire (SRQ) and standardized psychiatric interview (SPI). 44 (22%) of the total sample of 200 patients who were interviewed met the pre-established criteria for psychiatric morbidity; of these 59% comprised affective disorders. 4 (9%) of the psychiatric morbidity cases were referred for psychiatric evaluation. Referral seemed to be related to severity of illness and a previous history of psychiatric illness. There was no evidence in the notes that the psychiatric problems had been detected, treated or dealt with in any other way by the medical team in 34 patients out of 44 with psychiatric morbidity. Increase in the mental health input in the training of all health workers with emphasis on recognition and management of some of the commoner psychological problems is recommended.
通过两阶段筛查程序，使用自填问卷（SRQ）和标准化精神科访谈（SPI），确定了肯雅塔国家医院200名内科住院患者的精神疾病发病率。在接受访谈的200名患者的总样本中，有44名（22%）符合预先设定的精神疾病发病标准；其中59%为情感障碍。4例（9%）精神疾病发病病例被转诊进行精神科评估。转诊似乎与疾病严重程度和既往精神疾病史有关。在44例有精神疾病的患者中，有34例的病历中没有证据表明医疗团队以任何其他方式检测、治疗或处理过精神问题。建议在所有卫生工作者的培训中增加心理健康方面的投入，重点是识别和管理一些较常见的心理问题。
