Fincannon J L
Johns Hopkins Oncology Center, Baltimore, MD.
Oncol Nurs Forum. 1995 Jan-Feb;22(1):87-92.
PURPOSE/OBJECTIVES: To review nurse-generated, inpatient psychiatric referrals to the psychiatric consultation liaison nurse (PCLN) in a comprehensive cancer center.
Retrospective records review.
National Cancer Institute-designated comprehensive cancer center in the eastern United States.
102 psychiatric referrals/consults from an inpatient adult unit.
Retrospective chart review of all referrals over a one-year period.
Reason for referral, assessment data, and nursing interventions.
Five major psychological problems constituted reasons for referrals: depression (31%), anxiety (26%), adjustment disorder (24%), "difficult to care for" (13%), and delirium (6%). Follow-up with a mental health care provider occurred with 84% of the patients. Interventions were directed at patients and staff members together, patients and family members, and staff members only.
Oncology nurses are the most consistent observers of patients' emotional responses. A PCLN can facilitate development of necessary skills for identifying and caring for patients at high risk for psychiatric problems.
Oncology nurses may not always be able to identify specific psychiatric diagnoses, but they are skillful in the recognition of significant psychological distress in patients. Development of the PCLN role can facilitate assessment and intervention in patients needing additional help.
目的/目标：回顾在一家综合癌症中心由护士发起的住院患者精神科转介至精神科联络护士（PCLN）的情况。
回顾性记录审查。
美国东部一所由美国国立癌症研究所指定的综合癌症中心。
来自一个成人住院科室的102例精神科转介/会诊病例。
对一年期间所有转介病例进行回顾性病历审查。
转介原因、评估数据及护理干预措施。
转介的五大心理问题为：抑郁（31%）、焦虑（26%）、适应障碍（24%）、“难以照料”（13%）及谵妄（6%）。84%的患者接受了精神卫生保健人员的随访。干预措施分别针对患者与工作人员、患者与家庭成员以及仅针对工作人员。
肿瘤专科护士是患者情绪反应最始终如一的观察者。精神科联络护士能够促进识别及照料有精神问题高风险患者所需技能的培养。
肿瘤专科护士可能并不总能识别具体的精神科诊断，但他们善于识别患者明显的心理困扰。精神科联络护士角色的发展能够促进对需要额外帮助的患者进行评估及干预。
