Fritzsche Kurt, Schäfer Inna, Wirsching Michael, Leonhart Rainer
Abteilung für Psychosomatische Medizin und Psychotherapie, Freiburg.
Z Psychosom Med Psychother. 2012;58(2):142-57. doi: 10.13109/zptm.2012.58.2.142.
The present study investigates the psycho-social stress, the treatment procedures and the treatment outcomes of stressed patients in the hospital from the perspective of the hospital doctors.
Physicians from all disciplines who had completed the course "Psychosomatic Basic Care" as part of their specialist training documented selected treatment cases.
2,028 documented treatment cases of 367 physicians were evaluated. Anxiety, depression and family problems were the most common causes of psychosocial stress. In over 40 % of the cases no information was found on the medical history. Diagnostic and therapeutic conversations took place with almost half the patients (45%). From the vantage point of the physicians patients receiving diagnostic and therapeutic conversations achieved significantly more positive scores with respect to outcome variables than patients without these measures. Collegial counseling was desired for more than half of the patients and took place mainly among the ward team. There were few significant differences in the views of surgical and nonsurgical physicians.
Psychosomatic basic care in general hospitals is possible, albeit with some limitations. Patients undergoing psychosocial interventions have better treatment outcomes. Therefore, extending training to 80 hours for all medical disciplines seems reasonable.
本研究从医院医生的角度调查医院中应激患者的心理社会压力、治疗程序及治疗结果。
所有完成了作为专科培训一部分的“心身基础护理”课程的各学科医生记录选定的治疗病例。
对367名医生记录的2028例治疗病例进行了评估。焦虑、抑郁和家庭问题是心理社会压力最常见的原因。超过40%的病例未发现病史信息。几乎一半的患者（45%）进行了诊断和治疗谈话。从医生的角度来看，接受诊断和治疗谈话的患者在结果变量方面的得分明显高于未采取这些措施的患者。超过一半的患者希望获得同事间的咨询，咨询主要在病房团队中进行。外科医生和非外科医生的观点几乎没有显著差异。
综合医院的心身基础护理是可行的，尽管存在一些限制。接受心理社会干预的患者治疗结果更好。因此，将所有医学学科的培训延长至80小时似乎是合理的。
