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[大学疼痛诊所患者的联络精神科护理方面]

[Aspects of liaison psychiatry care of patients in a university pain clinic].

作者信息

Brinkers M, Pfau G, Schneemilch C

机构信息

Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Magdeburg A.ö.R., Leipziger Str. 44, 39120, Magdeburg, Deutschland.

出版信息

Schmerz. 2018 Apr;32(2):115-120. doi: 10.1007/s00482-018-0267-9.

Abstract

BACKGROUND

Owing to a rise of psychosomatic comorbidities, the treatment of psychological disorders, which may negatively impact prognosis and therapy, is increasingly becoming a focus of attention for pain outpatient clinics.

AIM

This study investigates and discusses the advantages of liaison psychiatric care in a university pain clinic.

METHODS

In this retrospective study, we investigated all patients who presented to an anaesthesiologically led pain clinic between January and June 2014. The psychiatric history was taken by the liaison psychiatrist of the pain clinic.

RESULTS

In the period investigated, 485 patients were treated as outpatients. A psychiatric diagnosis was present 351 patients (72.4%). The distribution of the diagnoses was comparable with that of a consultation service. Adaptation and affective disorders dominated. The patients were preferentially treated with new generation antidepressants.

CONCLUSION

The constant presence of a liaison psychiatrist allows for timely, specialised care of pain patients in terms of a multimodal therapeutic approach.

摘要

背景

由于身心共病的增加,可能对预后和治疗产生负面影响的心理障碍的治疗日益成为疼痛门诊关注的焦点。

目的

本研究调查并讨论联络精神科护理在大学疼痛诊所中的优势。

方法

在这项回顾性研究中,我们调查了2014年1月至6月期间到麻醉科主导的疼痛诊所就诊的所有患者。疼痛诊所的联络精神科医生获取了患者的精神病史。

结果

在调查期间,485名患者接受了门诊治疗。351名患者(72.4%)有精神科诊断。诊断分布与咨询服务的分布相当。适应障碍和情感障碍占主导。患者优先使用新一代抗抑郁药进行治疗。

结论

联络精神科医生的持续存在使得能够在多模式治疗方法方面对疼痛患者进行及时、专业的护理。

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