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精神科急诊患者的处置:与住院相关的患者特征

Disposition of psychiatric emergency patients: patient characteristics associated with hospitalization.

作者信息

Hoehn-Saric R, Hatcher M E, Weiskopf C

出版信息

Ann Emerg Med. 1980 Dec;9(12):605-9. doi: 10.1016/s0196-0644(80)80470-7.

DOI:10.1016/s0196-0644(80)80470-7
PMID:7447096
Abstract

A study was conducted in February and March 1976 to determine those characteristics of psychiatric patients seen in a general emergency department which were associated with a subsequent hospitalization. Two hundred eighteen patients were rated on a questionnaire which covered demographic data, social history and support system, present illness, compliance, diagnosis, and disposition. Sixty-four percent of patients were evaluated by psychiatric residents. The remaining patients were interviewed by non-doctoral psychiatric workers and subsequently reexamined by residents. The data show that overall severity of illness and lack of preceding psychiatric treatment, as well as difficulties in management, are related to the hospitalization of psychotic patients. In nonpsychotic patients, hospitalization was more often related to the presence of depression and solitary living conditions than to the overall severity of symptoms.

摘要

1976年2月和3月进行了一项研究,以确定在综合急诊科就诊的精神科患者中与随后住院相关的特征。218名患者通过一份涵盖人口统计学数据、社会史和支持系统、现病史、依从性、诊断和处置情况的问卷进行评分。64%的患者由精神科住院医师进行评估。其余患者由非博士精神科工作人员进行访谈,随后由住院医师重新检查。数据表明,疾病的总体严重程度、缺乏先前的精神科治疗以及管理困难与精神病患者的住院有关。在非精神病患者中,住院更多地与抑郁的存在和独居状况有关,而不是与症状的总体严重程度有关。

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