Roca R P, Breakey W R, Fischer P J
Hosp Community Psychiatry. 1987 Jul;38(7):741-5. doi: 10.1176/ps.38.7.741.
Chronic psychiatric patients often fail to receive adequate general medical care. In a study of 42 outpatients in a psychosocial rehabilitation program, 93 percent were found to have at least one problem warranting assessment, treatment, or follow-up. Minor gynecologic disease was the most common problem among women and gross dental disease among men. Only 11 percent of the men's and 26 percent of the women's problems were receiving appropriate care. Seventy-seven percent of the previously unrecognized problems were found just by routine physical examination and hematocrit determination. Medical care for chronic psychiatric patients would improve if psychiatric clinics provided simple medical screening and if therapists were aware of their patients' general health needs.
慢性精神病患者往往得不到足够的综合医疗护理。在一项针对42名参加社会心理康复项目门诊患者的研究中，发现93%的患者至少有一个问题需要评估、治疗或随访。轻度妇科疾病是女性中最常见的问题，而严重牙病是男性中最常见的问题。男性问题中只有11%、女性问题中只有26%得到了适当护理。通过常规体格检查和血细胞比容测定，发现了77%之前未被识别的问题。如果精神科诊所提供简单的医疗筛查，并且治疗师了解患者的总体健康需求，慢性精神病患者的医疗护理将会得到改善。
