Lipowski Z J, Wolston E J
Am J Psychiatry. 1981 Dec;138(12):1608-11. doi: 10.1176/ajp.138.12.1608.
The authors analyzed referral patterns for psychiatric consultation from medical and surgical wards on the basis of 2,000 referrals. They found that patients' demographic characteristics were stable over time. The diagnoses of depressive disorders and organic brain syndromes consistently predominated. Other studies have shown similar findings. The authors stress the importance of research on depressive disorders in the physically ill and of teaching the diagnosis of organic brain syndromes. They also underscore the value of the liaison nurse.
作者基于2000例转诊病例,分析了内科和外科病房精神科会诊的转诊模式。他们发现患者的人口统计学特征随时间保持稳定。抑郁症和器质性脑综合征的诊断一直占主导地位。其他研究也显示了类似的结果。作者强调对躯体疾病患者抑郁症研究以及器质性脑综合征诊断教学的重要性。他们还强调了联络护士的价值。