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对一家三级医疗中心在新冠疫情期间使用远程精神病学服务的患者临床资料进行回顾性病历审查。

A retrospective chart review of clinical profile of patients utilizing telepsychiatry services during COVID-19 pandemic at a tertiary care centre.

作者信息

Raidurg Kalyani A, Wadgaonkar Gaurav P, Panse Smita N, Santre Manjeet S, More Jyoti B, Karad Arvind V

机构信息

Department of Psychiatry, PCMC's PGI YCM Hospital, Pimpri, Pune, Maharashtra, India.

出版信息

Ind Psychiatry J. 2023 Jan-Jun;32(1):37-42. doi: 10.4103/ipj.ipj_241_21. Epub 2023 Jan 4.

DOI:10.4103/ipj.ipj_241_21
PMID:37274569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10236674/
Abstract

BACKGROUND

Telepsychiatry as a vehicle for delivering mental health services became evident due to outburst of mental health issues during coronavirus disease 2019 (COVID-19) pandemic and it was found useful in providing mental health care while maintaining social distancing norms and lockdown guidelines.

AIM

To study clinical profile and sociodemographic profile of patients utilizing telepsychiatry services during COVID-19 pandemic.

MATERIALS AND METHODS

Total 70 old follow-up and 42 new patients were consulted on telepsychiatry, as per Indian Telepsychiatry Operational Guidelines 2020 given by NIMHANS, during 1 and 2 wave of COVID-19 pandemic from June 2020 to May 2021. Sociodemographic and clinical data was extracted from all patients who utilized our telepsychiatry services in a semi-structured proforma for retrospective analysis using frequency tables.

RESULTS

A total of 102 patients benefitted from our telepsychiatry services. Out of which, 66.7% were adults between 21 and 40 years, with slight female preponderance (55.9%) and majority (78.4%) participants living in urban areas. About 70.6% were graduates with 41.2% participants belonging to either private or public service. One-third of the participants were IT professionals. Around 59.8% participants had past history of psychiatric illness and 40.2% had new onset illness. The diagnostic distribution included depressive disorder (28.4%), anxiety disorder (26.4%), psychotic disorder (21.6%) and obsessive compulsive disorder (9.8%) and others (13.8).

CONCLUSION

Telepsychiatry has emerged as an important consultation modality in this COVID-19 pandemic. Its future use seems promising, which will require mental health practitioners to develop their skills while interacting digitally, conducting assessments, and therapy.

摘要

背景

在2019年冠状病毒病(COVID-19)大流行期间,由于心理健康问题的爆发,远程精神病学作为提供心理健康服务的一种手段变得明显,并且发现它在保持社交距离规范和封锁指南的同时提供心理健康护理方面很有用。

目的

研究在COVID-19大流行期间使用远程精神病学服务的患者的临床特征和社会人口学特征。

材料与方法

根据NIMHANS发布的《2020年印度远程精神病学操作指南》,在2020年6月至2021年5月的COVID-19大流行的第1波和第2波期间,通过远程精神病学对总共70名旧随访患者和42名新患者进行了咨询。从所有使用我们远程精神病学服务的患者中,以半结构化表格形式提取社会人口学和临床数据,使用频率表进行回顾性分析。

结果

共有102名患者受益于我们的远程精神病学服务。其中,66.7%为21至40岁的成年人,女性略占优势(55.9%),大多数(78.4%)参与者居住在城市地区。约70.6%为毕业生,41.2%的参与者属于私营或公共服务部门。三分之一的参与者是信息技术专业人员。约59.8%的参与者有精神疾病既往史,40.2%有新发疾病。诊断分布包括抑郁症(28.4%)、焦虑症(26.4%)、精神障碍(21.6%)、强迫症(9.8%)和其他(13.8%)。

结论

在这次COVID-19大流行中,远程精神病学已成为一种重要的咨询方式。它未来的使用似乎很有前景,这将要求心理健康从业者在数字互动、进行评估和治疗时提高他们的技能。

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