乌干达一家地区转诊医院中身体疾病患者的精神疾病发病率
Psychiatric morbidity among physically ill patients in a Ugandan Regional Referral Hospital.
作者信息
Rukundo Z G, Musisi S, Nakasujja N
机构信息
Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.
出版信息
Afr Health Sci. 2013 Mar;13(1):87-93. doi: 10.4314/ahs.v13i1.13.
BACKGROUND
Mental illness is a global health burden that remains poorly understood even by health care providers. It is important to get insight of the prevalence, clinical features and management of psychiatric morbidity in general practice in Uganda as it affects treatment outcome.
OBJECTIVE
To determine the prevalence, types and associations of psychiatric morbidity as seen among adult in-patients on medical and surgical wards of Mbarara Regional Referral hospital as a prototype Ugandan regional referral hospital.
METHODS
This was a cross sectional descriptive study. Psychiatric diagnosis was arrived at by administering the Mini International Neuropsychiatric Interview (MINI) as the diagnostic instrument.
RESULTS
Of the 258 participants in this study, 109 (42%) met criteria for at least one DSM IV psychiatric diagnosis. Only 6% of all the psychiatrically diagnosed patients were recognized by their treating doctors as having mental illness.
CONCLUSION
The psychiatric disorders on the general medical and surgical wards are highly prevalent and not recognized by staff on these wards despite their common occurrence. There is need for sensitisation of staff on recognition and management of psychiatric disorders in physical illness.
背景
精神疾病是一项全球性的健康负担，即便医疗服务提供者对此也了解甚少。了解乌干达全科医疗中精神疾病的患病率、临床特征及管理情况很重要，因为这会影响治疗效果。
目的
以乌干达地区转诊医院姆巴拉拉地区转诊医院为例，确定该医院内科和外科成年住院患者中精神疾病的患病率、类型及关联情况。
方法
这是一项横断面描述性研究。采用迷你国际神经精神访谈量表（MINI）作为诊断工具来进行精神疾病诊断。
结果
本研究的258名参与者中，109名（42%）符合至少一项《精神疾病诊断与统计手册》第四版（DSM-IV）精神疾病诊断标准。在所有被诊断患有精神疾病的患者中，只有6%被其主治医生认定患有精神疾病。
结论
在内科和外科病房中，精神疾病非常普遍，尽管经常出现，但这些病房的工作人员并未识别出来。有必要提高工作人员对躯体疾病中精神疾病的识别和管理能力。
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