Wolsing Sofie Krogh, Hjorth Peter, Løkke Anders, Hilberg Ole, Frølund Jannie Christina
Department of Medicine, Vejle Hospital, A Part of Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Nord J Psychiatry. 2024 Oct;78(7):583-590. doi: 10.1080/08039488.2024.2373251. Epub 2024 Jul 22.
People with mental illness often experience more physical health problems, compared to the general population. Therefore, we conducted medical consultations to hospitalized psychiatric patients. The purpose of our study was to investigate experiences of medical consultations from a patient perspective.
We conducted 17 qualitative, semi-structured interviews with hospitalized psychiatric patients who received a medical consultation in the period of February to May 2023. The interviews were analyzed using Braun and Clarke's thematic analysis.
Patients perceived the medical consultation as important in bridging the gap between psychiatric and somatic treatment. The consultation created a sense of security, with patients emphasizing the importance of acknowledgment by the medical doctor. However, some patients were affected by their state of mind and their psychiatric treatment, resulting in memory impairment, which prevented fully utilization of the medical consultation. The support from psychiatric staff proved crucial for patients in initiating somatic interventions.The results are presented in the two overarching themes: (1) Experiences of a medical consultation in a psychiatric setting and (2) communication and support as influential factors for benefits of the medical consultation.
Our interview study reveals that hospitalized psychiatric patients experience a medical consultation as an important initiative. The relationship between the patient and the medical doctor, the patient's state of mind, and the support of the psychiatric staff play significant roles. Incorporating these factors in the medical consultation enables a beneficial outcome that can improve the health of people with mental illness.
与普通人群相比，患有精神疾病的人往往有更多的身体健康问题。因此，我们对住院精神科患者进行了医疗会诊。我们研究的目的是从患者的角度调查医疗会诊的经历。
我们对2023年2月至5月期间接受医疗会诊的住院精神科患者进行了17次定性的、半结构化访谈。访谈采用布劳恩和克拉克的主题分析法进行分析。
患者认为医疗会诊对于弥合精神科治疗和躯体治疗之间的差距很重要。会诊营造了一种安全感，患者强调医生认可的重要性。然而，一些患者受到其精神状态和精神科治疗的影响，导致记忆受损，这妨碍了他们充分利用医疗会诊。精神科工作人员的支持对患者启动躯体干预措施至关重要。结果呈现为两个总体主题：（1）精神科环境中医疗会诊的经历；（2）沟通和支持作为影响医疗会诊益处的因素。
我们的访谈研究表明，住院精神科患者将医疗会诊视为一项重要举措。患者与医生的关系、患者的精神状态以及精神科工作人员的支持起着重要作用。在医疗会诊中纳入这些因素能够产生有益的结果，从而改善精神疾病患者的健康状况。
