Harsch H H, LeCann A F, Ciaccio S
Psychosomatics. 1989 Summer;30(3):312-7. doi: 10.1016/S0033-3182(89)72278-7.
Approximately 14 medical psychiatry units have opened over the last 15 years due to the recognition of the frequent concurrence of medical and psychiatric illnesses. This article discusses the clinical problems encountered when medical care and psychiatric care are integrated and their impact on medical and nursing staff. Group therapy programs on medical psychiatry units may enhance psychiatric treatment and help maintain a psychiatric focus by both patients and staff, despite the patients' significant medical problems. Medical psychiatric units must adopt an integrative model of care that includes all disciplines involved on the units if they are to meet their goal of providing effective medical and psychiatric care.
在过去15年里，由于认识到内科疾病和精神疾病常常并发，大约有14个医学精神病科单元开设。本文讨论了整合医疗护理和精神科护理时遇到的临床问题，以及这些问题对医护人员的影响。尽管患者存在严重的内科问题，但医学精神病科单元的团体治疗项目可能会加强精神科治疗，并有助于患者和工作人员都保持对精神科治疗的关注。如果医学精神病科单元要实现提供有效医疗和精神科护理的目标，就必须采用一种综合护理模式，其中包括该单元涉及的所有学科。
