会诊-联络精神病学——从理论到临床实践：综合医院的一项观察性研究
Consultation-Liaison Psychiatry-from theory to clinical practice: an observational study in a general hospital.
作者信息
De Giorgio Giuseppina, Quartesan Roberto, Sciarma Tiziana, Giulietti Martina, Piazzoli Angela, Scarponi Laura, Ferrari Silvia, Ferranti Laura, Moretti Patrizia, Piselli Massimiliano
机构信息
Functional Homogeneous Area, Local Health Authority 3, Umbria, Italy.
Section of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy.
出版信息
BMC Res Notes. 2015 Sep 24;8:475. doi: 10.1186/s13104-015-1375-6.
BACKGROUND
To investigate significant association between various clinical and extra-clinical factors brought out the activities of Consultation-Liaison Service.
METHODS
Data from all psychiatric consultations for patients admitted to the Perugia General Hospital and carried out over a 1-year period (from July the 1st 2009 to June the 30th 2010) were collected by a structured clinical report including: socio-demographic features, features of referrals, features of back-referrals. T-test, Mann-Whitney U-test, χ(2)-test and Fischer's were statistically used.
RESULTS
1098 consultations were performed. The consultations carried out the Emergency Unit were excluded from the study. The type and the reasons for the referrals were discussed such as the ICD-10 diagnosis and the liaison interventions too. Significant associations emerged between gender and: social status and occupation (p < 0.05 and p < 0.01 respectively). Clinical sector related with reason for referral (p < 0.01), type of consultation (p < 0.01), liaison investigations (p < 0.01) and long-term treatment plan after hospital discharge (p < 0.01). The ICD-10 psychiatric diagnosis (Schizophrenia, Affective Syndrome and Neurotic-StressSomatoform Syndrome) was associated with social status (p < 0.01), social condition (p < 0.01), consultation type (p < 0.01), advice (p < 0.01) and reason for consultation (p < 0.01).
CONCLUSIONS
The need for better physical and psychological investigation is confirmed in order to promote not only disease remission but overall wellbeing.
背景
调查会诊-联络服务活动中各种临床和临床外因素之间的显著关联。
方法
通过一份结构化临床报告收集了佩鲁贾综合医院收治的患者在1年期间（从2009年7月1日至2010年6月30日）所有精神科会诊的数据，包括：社会人口统计学特征、转诊特征、回诊特征。采用t检验、曼-惠特尼U检验、χ²检验和费舍尔检验进行统计学分析。
结果
共进行了1098次会诊。研究排除了在急诊科进行的会诊。讨论了转诊的类型和原因，以及ICD-10诊断和联络干预措施。性别与社会地位和职业之间出现了显著关联（分别为p < 0.05和p < 0.01）。临床科室与转诊原因（p < 0.01）、会诊类型（p < 0.01）、联络调查（p < 0.01）以及出院后的长期治疗计划（p < 0.01）相关。ICD-10精神科诊断（精神分裂症、情感综合征和神经症-应激-躯体形式综合征）与社会地位（p < 0.01）、社会状况（p < 0.01）、会诊类型（p < 0.01）、建议（p < 0.01）和会诊原因（p < 0.01）相关。
结论
证实了需要进行更好的身体和心理调查，以不仅促进疾病缓解，而且促进整体健康。
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