患有精神疾病患者的医疗护理。

The medical care of patients with psychiatric illness.

作者信息

Karasu T B, Waltzman S A, Lindenmayer J P, Buckley P J

出版信息

Hosp Community Psychiatry. 1980 Jul;31(7):463-72. doi: 10.1176/ps.31.7.463.

DOI:10.1176/ps.31.7.463

Abstract

A survey of psychiatric inpatient, outpatients, and consultation services of a large general hospital showed a high incidence of undiagnosed physical illnesses in psychiatric patients. The finding is consistent with that of other researchers and highlights the need for a comprehensive medical examination of all psychiatric patients. The authors discuss the clinical diagnostic interface between physical and psychiatric disorders, as well as medical complications of psychiatric treatment and the reaction of psychiatric patients to physical illness. One recommendation for improving the delivery of medical care to this population is to equip psychiatric services to give complete medical work-ups as part of the standard psychiatric evaluation of entering patients.

摘要

一项针对一家大型综合医院精神科住院患者、门诊患者及会诊服务的调查显示，精神科患者中未被诊断出的躯体疾病发病率很高。这一发现与其他研究人员的结果一致，并凸显了对所有精神科患者进行全面医学检查的必要性。作者讨论了躯体疾病和精神疾病之间的临床诊断界面，以及精神科治疗的医学并发症和精神科患者对躯体疾病的反应。为改善对这一人群的医疗服务提出的一项建议是，使精神科服务具备能力，在对入院患者进行标准精神科评估时提供完整的医学检查。