Barrimi M, Elghazouani F, Aarab C, Tliji A, Rharrabti S, Lahlou F, Rammouz I, Aalouane R
Service de psychiatrie, faculté de médecine et de pharmacie, université sidi Mohamed Ben Abdellah, hôpital Ibn Al Hassan, CHU Hassan II, Ain Kadouss, Fès 30060, Maroc.
Service de psychiatrie, faculté de médecine et de pharmacie, université sidi Mohamed Ben Abdellah, hôpital Ibn Al Hassan, CHU Hassan II, Ain Kadouss, Fès 30060, Maroc.
Encephale. 2014 Oct;40(5):373-9. doi: 10.1016/j.encep.2013.03.010. Epub 2013 Oct 2.
Liaison psychiatry is a discipline caring for psychiatric disorders in patients of general hospitals. It involves clinical, educational, and research aspects. The liaison psychiatry supports patients hospitalized for full-time in medical and surgical departments, patients admitted in day-hospital and patients treated in the emergency department. In this transversal study, we assessed the liaison psychiatry impact that is still in development stage in Morocco. This study lasted 24 months, and was conducted at the University Hospital in Fez, Morocco.
The goal of this work was to evaluate the prevalence of psychiatric disorders managed by liaison psychiatry, identify those requiring medical and surgical departments of such psychiatric support, and classify the motivations involved in their needs.
This transversal study was initiated in January 2010 and has lasted 24 months. The study recruited 180 patients requiring psychiatric consultation from different medical and surgical departments at the University Hospital in Fes, Morocco. The psychiatric assessment was based on a psychiatric interview using the MINI. The data were collected by a certified psychiatrist using a questionnaire containing 24 items. After initial psychiatric assessment, the follow-up was proposed to the patient in the psychiatric department.
During this study, 22 medical and surgical departments of our University Hospital had requested a psychiatric assessment for their patients. Most demands were respectively emitted by the Department of Dermatology (16%) and Nephrology (11%). The most common motivations for psychiatric consultations were respectively psychomotor agitation (17%) and an evaluation of suicide attempts (17%). Depressive and psychotic disorders were the most diagnosed disorders with 47% and 11% respectively. The psychiatric support was based on pharmacological treatment in 60% of cases. Finally, the outcome was favourable in 80% of followed cases.
Hospitalized patients in different medical and surgical departments of the University Hospital of Fez have demonstrated a high prevalence of psychiatric disorders. This constitutes a very strong motivation to setup a department of liaison psychiatry. This would allow a better psychiatric support and follow-up of patients.
联络精神病学是一门关注综合医院患者精神疾病的学科。它涉及临床、教育和研究等方面。联络精神病学为内科和外科住院的全职患者、日间医院收治的患者以及急诊科治疗的患者提供支持。在这项横向研究中，我们评估了仍处于发展阶段的摩洛哥联络精神病学的影响。本研究持续了24个月，在摩洛哥非斯的大学医院进行。
这项工作的目标是评估由联络精神病学管理的精神疾病的患病率，确定那些需要内科和外科提供此类精神支持的患者，并对其需求背后的动机进行分类。
这项横向研究于2010年1月启动，持续了24个月。该研究招募了180名来自摩洛哥非斯大学医院不同内科和外科需要精神科会诊的患者。精神评估基于使用MINI进行的精神科访谈。数据由一名经过认证的精神科医生使用包含24个项目的问卷收集。在初步精神评估后，建议患者到精神科进行随访。
在本研究期间，我们大学医院的22个内科和外科科室为其患者申请了精神评估。大多数申请分别来自皮肤科（16%）和肾内科（11%）。精神科会诊最常见的动机分别是精神运动性激越（17%）和自杀未遂评估（17%）。抑郁障碍和精神障碍是诊断最多的疾病，分别为47%和11%。60%的病例中精神支持基于药物治疗。最后，80%的随访病例结果良好。
非斯大学医院不同内科和外科的住院患者显示出精神疾病的高患病率。这构成了设立联络精神科的强烈动机。这将使患者能得到更好的精神支持和随访。
