Klinik für Neurologie, Klinikum Traunstein - Kliniken Südostbayern, Traunstein, Germany.
Neurologische Klinik, kbo-Inn-Salzach-Klinikum, Wasserburg am Inn, Germany.
Palliat Med. 2020 May;34(5):680-683. doi: 10.1177/0269216319901241. Epub 2020 Feb 17.
The significance of palliative care consultation in psychiatry is unclear.
Analysis of the introduction of palliative care consultation in a large psychiatric hospital.
Continue without offering, survey the need for or offer palliative care consultation, and analyse its introduction.
Palliative care consultation was established and details including patient age, department, diagnosis, main problem, solution and discharge were analysed during the first 2 years.
Two consultations in the first year and 18 consultations in the second year were requested (18 geriatric, 2 addiction, 0 general, clinical social and forensic psychiatry) involving two domains: delirium associated with dementia or another condition (75%) and mental illness (e.g. alcoholic psycho-syndrome, psychosis, suicidal tendency, schizophrenia, depression) and cancer (25%). Recommendations of consultations were realized in 95%.
Implementation of palliative care consultation in psychiatry is one possible method of how to introduce palliative care in a field of medicine with lack of palliative care.
Future research should focus on reasons for reservations about palliative care in psychiatry, include more patients with severe persistent mental illness and assess the value of palliative care consultation in resolving this problem.
姑息治疗咨询在精神病学中的意义尚不清楚。
对大型精神病医院姑息治疗咨询引入的分析。
继续不提供、调查姑息治疗咨询的需求或提供姑息治疗咨询，并分析其引入。
姑息治疗咨询已经建立，在头两年分析了包括患者年龄、科室、诊断、主要问题、解决方案和出院等详细信息。
第一年有两次咨询，第二年有 18 次咨询（18 例老年、2 例成瘾、0 例普通、临床社会和法医精神病学），涉及两个领域：与痴呆或其他疾病相关的谵妄（75%）和精神疾病（如酒精性精神综合征、精神病、自杀倾向、精神分裂症、抑郁症）和癌症（25%）。咨询建议的实现率为 95%。
姑息治疗咨询在精神病学中的实施是在缺乏姑息治疗的医学领域引入姑息治疗的一种可能方法。
未来的研究应集中在精神病学中对姑息治疗的保留意见的原因上，包括更多患有严重持续性精神疾病的患者，并评估姑息治疗咨询在解决这一问题方面的价值。
