Glasgow Liaison Psychiatry Service, Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK.
Scott Med J. 2011 Aug;56(3):125-9. doi: 10.1258/smj.2011.011108.
This study aimed to describe the demographic and clinical characteristics of consecutive referrals to a liaison psychiatry outpatient clinic, based within a National Health Service (NHS) general hospital. All outpatient referrals to the service between January 2005 and January 2008 were subjected to retrospective completion of a proforma for post hoc data collection. Data relating to characteristics of the referral, patients, diagnosis, and nature and extent of contact were extracted for scrutiny. The majority (60.2%) of referrals to the service came from physicians based within the general hospital. Where conveyed, depression (26.7%) was the most commonly cited reason for referral. Diagnoses of both mood (affective) disorders (32.9%) and neurotic, stress-related and somatoform disorders (54.7%) were common. Cognitive behaviour therapy (56.1%) was the most commonly used intervention followed by pharmacological therapy (25.4%). In conclusion, the study provides a description of the nature of the work encountered in a liaison psychiatry setting and demonstrates the extent of services provided for medical specialties within the general hospital.
本研究旨在描述连续转介至隶属国民保健署(NHS)综合医院的联络精神科门诊的患者的人口统计学和临床特征。2005 年 1 月至 2008 年 1 月期间,该服务的所有门诊转介患者均接受了回顾性补充事后数据收集表格的填写。提取了与转诊、患者、诊断以及联系的性质和程度相关的数据进行审查。该服务的大多数(60.2%)转诊来自综合医院内的医生。转介的最常见原因是抑郁(26.7%)。心境(情感)障碍(32.9%)和神经症、应激相关和躯体形式障碍(54.7%)的诊断较为常见。认知行为疗法(56.1%)是最常用的干预措施,其次是药物治疗(25.4%)。总之,本研究描述了联络精神科环境中遇到的工作性质,并展示了综合医院内为各医学专科提供的服务范围。