Shyangwa P M, Joshi D, Sherchan S, Thapa K B
Department of Psychiatry, B.P. Koirala Institute of Health Sciences, (BPKIHS), Dharan, Nepal.
Nepal Med Coll J. 2009 Jun;11(2):118-22.
This cross-sectional hospital-based study investigated the prevalence and pattern of psychiatric morbidity among 151 physically ill psychiatric-referred cases admitted various departments in BPKIHS. Consecutive referral cases were initially worked up by junior residents and diagnosis/differential diagnosis was made by consultant according to ICD-10 diagnostic guidelines. Of total 151; M: 77 (50.9%) and F: 74 (49.1); Majority 38 (25.1%) of subjects were young with age 15-24 yrs and 95 (62.9%) were from plains. About 21.8% referrals came from internal medicine followed by emergency department, 9 (5.9%). The highest number of cases 48 (31.7%) had neuropsychiatric illnesses and 17.0% had some medical complications resulted from suicide act. Among psychiatric co morbidity, dissociative/conversion disorders were the commonest 26 (17.2%) followed by alcohol use-related disorders 25 (16.5%) and depressive disorder 20 (13.2%). To conclude, the co-occurrence of medical and psychological/psychiatric conditions is common, which demands timely identification and early interventions in order to reduce morbidity and mortality.
这项基于医院的横断面研究调查了在BPKIHS各科室收治的151例身体疾病伴精神问题转诊病例中精神疾病的患病率和模式。连续转诊病例最初由低年资住院医师进行检查，顾问医生根据ICD - 10诊断指南做出诊断/鉴别诊断。在总共151例中，男性77例（50.9%），女性74例（49.1%）；大多数受试者38例（25.1%）为15 - 24岁的年轻人，95例（62.9%）来自平原地区。约21.8%的转诊来自内科，其次是急诊科，有9例（5.9%）。病例数最多的是48例（31.7%）患有神经精神疾病，17.0%有自杀行为导致的一些医学并发症。在精神共病中，分离性/转换障碍最为常见，有26例（17.2%），其次是酒精使用相关障碍25例（16.5%）和抑郁症20例（13.2%）。总之，医学疾病与心理/精神状况的共现很常见，这需要及时识别和早期干预以降低发病率和死亡率。
