综合医院精神能力的精神科评估：一个重要的教学机会。
Psychiatric evaluation of mental capacity in the general hospital: a significant teaching opportunity.
机构信息
Columbia University College of Physicians and Surgeons, New York, NY, USA.
出版信息
Psychosomatics. 2009 Sep-Oct;50(5):468-73. doi: 10.1176/appi.psy.50.5.468.
BACKGROUND
Requests for evaluation of mental capacity in general hospitals have increased in frequency.
OBJECTIVE
The authors sought to determine the interventions required to respond adequately and assess the initiating circumstances.
METHOD
Questionnaires completed by psychiatric consultants were analyzed, and chart reviews were completed.
RESULTS
Capacity evaluation alone resolved 32% of the requests; 31% required an evaluation plus additional interventions; 37% did not require a capacity evaluation. Patients threatening to leave against advice, and/or refusing treatments or procedures represented 64% of requests. Consultants successfully resolved 88% of such cases.
CONCLUSION
A mental capacity evaluation alone was insufficient to resolve two-thirds of problems eliciting requests. Consultation-liaison psychiatrists can use these evaluations as teaching opportunities.
背景
综合医院对心理能力评估的需求日益增加。
目的
作者旨在确定充分应对这些需求所需的干预措施，并评估其启动情况。
方法
对精神科顾问填写的调查问卷进行分析，并完成病历回顾。
结果
仅进行能力评估即可解决 32%的请求；31%需要评估加额外干预；37%不需要能力评估。威胁不听劝告擅自离院和/或拒绝治疗或手术的患者占请求的 64%。顾问成功解决了此类案例的 88%。
结论
仅进行心理能力评估不足以解决引发这些请求的三分之二的问题。联络会诊精神科医生可以将这些评估作为教学机会。
Zotero 插件