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[综合医院急诊科的危机干预]

[Crisis intervention in the emergency service of a general hospital].

作者信息

Corten P, Pelc I

机构信息

Laboratoire de Psychologie, Université Libre de Bruxelles.

出版信息

Acta Psychiatr Belg. 1989;89(5-6):373-84.

PMID:2577947
Abstract

Two general hospitals of Brussels tapped, in 1977, 47% of all the emergency ambulance traffic. More than 50,000 patients were examined there in one year. A randomized sample of 12,000 records were analyzed. From this file, 1707 psychosocial cases were carried out. The study will follow the progression of the patients during this crisis situation. Statistic tests pinpoint that the most determining variable is the symptoms. Seven symptoms cover more than 95% of the interventions. These symptoms are: alcoholism, suicide attempts, abnormal behavior, psychologic complaints, somatic complaints, violence, drug-addiction. Statistical analysis reveals that the two most important variables to draws crisis interventions at the emergency room were the time used by patient and the frequency of call of the psychiatrist. Other variables used to draw up the progression of the patients were: way of arrival, diagnosis and final destination.

摘要

1977年,布鲁塞尔的两家综合医院接收了47%的紧急救护车运送的患者。一年内,有超过5万名患者在那里接受检查。对12000份记录的随机样本进行了分析。从这些档案中,挑选出了1707例社会心理病例。该研究将跟踪患者在这种危机情况下的病情发展。统计测试指出,最具决定性的变量是症状。七种症状涵盖了超过95%的干预措施。这些症状是:酗酒、自杀未遂、异常行为、心理主诉、躯体主诉、暴力、药物成瘾。统计分析表明,在急诊室引发危机干预的两个最重要变量是患者就诊时间和精神科医生的呼叫频率。用于描绘患者病情发展的其他变量包括:到达方式、诊断和最终目的地。

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