Department of Adolescent Mental Health, Mental Hospital, Xi'an International Medical Center, Hospital of Northwest University, Xi'an, China.
Xi'an Physical Education University, Xi'an, China.
Int J Psychiatry Med. 2023 Jul;58(4):391-402. doi: 10.1177/00912174231161912. Epub 2023 Mar 7.
To describe the characteristics of a consultation-liaison psychiatry (CLP) service at a general hospital in China, compare the literature on CLP in other hospitals in China and abroad, and identify reasons for the differences.
The medical records of all inpatients who received liaison consultations in the first year of the establishment of Xi'an International Medical Center Hospital were reviewed. Demographic data, specific department, number of consultations, reasons for consultation, outcome of consultation, and follow-up information on patients was collected.
A total of 630 patients were enrolled during the first year of the hospital's opening, of which 45.2% were male and 54.8% were female. A total of 89.2% of non-psychiatric departments requested a psychosomatic consultation. The percentage of middle-aged and elderly patients was 75.6%, of whom 61.6% were aged 45 to 74 years. The internal medicine department requested the highest number of consultations (48.2%), including those from respiratory medicine (12.1%), neurology (12.1%), gastroenterology (12.1%), and cardiology (12.1%). Among surgical patients, orthopedic patients (6.5%) comprised the majority of consults. The main reasons for requesting a psychosomatic consultation were depressive symptoms (139 cases, 22.8%), anxiety symptoms (137 cases, 22.5%), sleep problems (111 cases, 18.2%), and hallucinations, delusions, or behavioral problems (68 cases, 11.2%), accounting for a total of 74.6% of consultations (455/630).
A significant gap exists between the level of CLP services in China and developed regions in Europe and the United States, mainly due to low psychiatric consultation rates and poor quality CLP services.
描述中国一家综合医院联络精神病学（CLP）服务的特点，比较国内外其他医院 CLP 的文献，并确定差异的原因。
回顾西安国际医学中心医院成立第一年接受联络会诊的所有住院患者的病历。收集患者的人口统计学数据、具体科室、会诊次数、会诊原因、会诊结果以及患者的随访信息。
在医院开业的第一年共纳入 630 名患者，其中 45.2%为男性，54.8%为女性。共有 89.2%的非精神科科室要求进行身心医学咨询。中年和老年患者的比例为 75.6%，其中 61.6%年龄在 45 至 74 岁之间。内科要求的会诊数量最多（48.2%），包括呼吸内科（12.1%）、神经内科（12.1%）、消化内科（12.1%）和心内科（12.1%）。在外科患者中，骨科患者（6.5%）构成了大部分会诊。要求进行身心医学咨询的主要原因是抑郁症状（139 例，22.8%）、焦虑症状（137 例，22.5%）、睡眠问题（111 例，18.2%）和幻觉、妄想或行为问题（68 例，11.2%），占总会诊数的 74.6%（455/630）。
中国的 CLP 服务水平与欧美发达国家存在显著差距，主要原因是精神科会诊率低和 CLP 服务质量差。
