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沙特阿拉伯一家教学医院住院儿童及青少年精神科转诊情况调查。

Survey of inpatients child and adolescent psychiatric referrals in a teaching hospital in Saudi Arabia.

作者信息

Al-Haidar Fatima A

机构信息

Division of Psychiatry #55, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. Tel. +966 (1) 4671717. Fax. +966 (1) 4672571. E-mail:

出版信息

Neurosciences (Riyadh). 2003 Jan;8(1):43-5.

PMID:23648985
Abstract

OBJECTIVE

To answer the question of which specialties utilize the service of child and adolescent liaison psychiatry and what are the problems that are likely to bring a child or an adolescent to the attention of psychiatry.

METHODS

The case records of all inpatient children and adolescents younger than 18 years, who were referred to the psychiatric team at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia over a period of 6 years between July 1992 and July 1998, were retrospectively reviewed in regard to sociodemographic data, referring specialties and reason for referral.

RESULTS

Seven percent of referred patients were younger than 18 years. Most were Saudi nationals. Females outnumbered males. Most of the referrals were by the neurologists, endocrinologists and gastroenterologists. The most common reasons for referral were behavioral disturbances and absence of physical findings that could explain the complaint.

CONCLUSION

Low utilization of child and adolescent liaison psychiatry, reflecting the ability of pediatricians and physicians to recognize psychiatrically disturbed children and adolescents compared to adults, may explain the small number of referrals.

摘要

目的

回答哪些专科会利用儿童和青少年联络精神病学服务,以及哪些问题可能会引起精神病学对儿童或青少年的关注。

方法

回顾性分析了1992年7月至1998年7月期间在沙特阿拉伯利雅得哈立德国王大学医院精神科团队就诊的所有18岁以下住院儿童和青少年的病例记录,内容包括社会人口统计学数据、转诊专科和转诊原因。

结果

转诊患者中有7%年龄小于18岁。大多数是沙特国民。女性多于男性。大多数转诊来自神经科医生、内分泌科医生和胃肠科医生。最常见的转诊原因是行为障碍以及缺乏能够解释症状的体格检查结果。

结论

儿童和青少年联络精神病学的利用率较低,这反映出与成人相比,儿科医生和内科医生识别患有精神障碍的儿童和青少年的能力,这可能解释了转诊人数较少的原因。

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