Strain J J
Hosp Community Psychiatry. 1982 Dec;33(12):996-1001. doi: 10.1176/ps.33.12.996.
Thirty to 60 per cent of the patients in general hospitals suffer from significant psychological dysfunction or psychological dysfunction secondary to their medical illness. In addition to helping medically ill patients adapt to their illness and hospitalization, psychiatrists who work in general hospitals should develop the biopsychosocial model of diagnosis and management and improve the staff's capacity to detect, diagnose, and manage their patients' psychological problems. The author discusses specific needs for consultation-liaison psychiatry in the general hospital such as development of prevention scheme, case detection, continuing education programs for staff, and education groups for patients and families. He also describes structural innovations to meet the increasing demands for psychiatric services in the general hospital setting. These innovations include the establishment of a biopsychosocial data-base system and the use of screening devices, medical-psychiatric inpatient units, and medical-psychiatric aftercare clinics in ambulatory facilities.
综合医院中30%至60%的患者患有严重的心理功能障碍或继发于其躯体疾病的心理功能障碍。除了帮助躯体疾病患者适应疾病和住院治疗外，在综合医院工作的精神科医生应建立生物心理社会诊断和管理模式，并提高工作人员发现、诊断和处理患者心理问题的能力。作者讨论了综合医院中联络会诊精神病学的具体需求，如制定预防方案、病例发现、为工作人员开展继续教育项目以及为患者及其家属开展教育小组。他还描述了为满足综合医院环境中对精神科服务日益增长的需求而进行的结构创新。这些创新包括建立生物心理社会数据库系统，以及在门诊设施中使用筛查设备、内科-精神科住院单元和内科-精神科后续护理诊所。
