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精神科医生和初级医务人员对自我中毒患者的评估。

Assessment of self-poisoning patients by psychiatrists and junior medical staff.

作者信息

Black D, Creed F

机构信息

Department of Psychiatry, University of Manchester.

出版信息

J R Soc Med. 1988 Feb;81(2):97-9. doi: 10.1177/014107688808100216.

Abstract

Case notes of patients admitted to hospital or seen in the casualty department following an overdose were assessed in a standardized way. The medical records were deficient in several important areas, especially for those patients seen in casualty and not referred to a psychiatrist. If only selected patients were to be assessed by psychiatrists, closer monitoring of the psychiatric assessments and management initiated by junior medical staff would be required. Although the poor records may reflect lack of motivation as much as lack of education, there was no significant relationship between the doctors' attitudes towards self-poisoning patients in general and the standard of their assessments.

摘要

对因服药过量入院或在急诊科就诊的患者病历进行了标准化评估。病历在几个重要方面存在不足,尤其是对于那些在急诊科就诊但未转诊给精神科医生的患者。如果仅让精神科医生对部分患者进行评估,那么就需要加强对初级医务人员开展的精神科评估和管理的监测。尽管记录不佳可能既反映了缺乏积极性,也反映了缺乏培训,但医生对一般自我中毒患者的态度与他们的评估标准之间没有显著关系。

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本文引用的文献

1
Attitudes of house-physicians towards self-poisoning patients.住院医师对自我中毒患者的态度。
Med Educ. 1981 Sep;15(5):340-5. doi: 10.1111/j.1365-2923.1981.tb02500.x.
3
After the suicide attempt.在自杀未遂之后。
Lancet. 1980 Oct 18;2(8199):867-8. doi: 10.1016/s0140-6736(80)90222-6.
4
Patients who take overdoses.服用过量药物的患者。
Br Med J (Clin Res Ed). 1985 May 4;290(6478):1297-8. doi: 10.1136/bmj.290.6478.1297.
6
Attitudes towards self-poisoning.对自我中毒的态度。
Br Med J. 1975 May 24;2(5968):426-9. doi: 10.1136/bmj.2.5968.426.
7
Trainees' competence in psychiatric case writing.实习生撰写精神科病例的能力。
Br J Psychiatry. 1976 Aug;129:167-72. doi: 10.1192/bjp.129.2.167.
8
Psychological evaluation in cases of self-poisoning.自我中毒病例的心理评估。
Br Med J. 1978 Feb 11;1(6109):362. doi: 10.1136/bmj.1.6109.362.

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