Ranganathan Pranesh Ram, Ramasamy Sureshkumar
Dept. of Psychiatry, Swamy Vivekanandha Medical College Hospital and Research Institute, Tiruchengode, Namakkal, Tamil Nadu, India.
Dept. of Psychiatry, PSG Institute of Medical Sciences and Research Hospital, Coimbatore, Tamil Nadu, India.
Indian J Psychol Med. 2025 Feb 12:02537176241310942. doi: 10.1177/02537176241310942.
Considering the importance of clinical rating scales in psychiatric evaluation and their academic relevance, this study assessed the extent to which they were utilized in a tertiary care teaching hospital during patients' hospital stays.
We did a consecutive sampling of patients' records and retrieved data from medical records of the patients admitted with the diagnoses of schizophrenia, bipolar affective disorder (BPAD), and depressive disorder in the psychiatry wards. Data regarding the use of clinical rating scales (Brief Psychiatric Rating Scale (BPRS), Young Mania Rating Scale (YMRS), or Hamilton Depression Rating Scale (HDRS)) each week was collected and analyzed accordingly.
Out of 50 case records retrieved, the majority (60%) were male. The sample mean age was 37.76 ± 12.78 years. Forty percent of the sample records had schizophrenia, 38% had BPAD-mania, and 22% had depressive disorders. The sample had an average inpatient hospital stay of 17.68 ± 8.25 days. At baseline, only 54% were administered respective clinical rating scales. At the end of the first week, 42% were assessed using clinical rating scales. At the end of the second and third weeks, only 35.9.1% and 13.3% of patients were monitored by rating scales, and the utilization rate declined further, with a downward slump in subsequent weeks.
Utilization of clinical rating scales was found to be low in our tertiary care teaching hospital. Postgraduate trainees need more exposure and formal training in applying psychiatric rating scales for better patient care.
鉴于临床评定量表在精神病学评估中的重要性及其学术相关性，本研究评估了在一家三级护理教学医院中，患者住院期间这些量表的使用程度。
我们对患者记录进行连续抽样，并从精神科病房收治的诊断为精神分裂症、双相情感障碍（BPAD）和抑郁症的患者病历中检索数据。每周收集并分析有关临床评定量表（简明精神病评定量表（BPRS）、杨氏躁狂评定量表（YMRS）或汉密尔顿抑郁评定量表（HDRS））使用情况的数据。
在检索到的50份病例记录中，大多数（60%）为男性。样本平均年龄为37.76±12.78岁。40%的样本记录为精神分裂症，38%为BPAD-躁狂发作，22%为抑郁症。样本的平均住院天数为17.68±8.25天。在基线时，只有54%的患者接受了相应的临床评定量表评估。在第一周结束时，42%的患者使用临床评定量表进行了评估。在第二周和第三周结束时，分别只有35.9%和13.3%的患者通过评定量表进行监测，利用率进一步下降，在随后几周出现大幅下滑。
在我们的三级护理教学医院中，临床评定量表的使用率较低。研究生学员需要更多接触并接受应用精神病学评定量表的正规培训，以便更好地为患者提供护理。
