为急诊人员使用精神科表格。
Use of a psychiatric proforma for accident and emergency officers.
作者信息
Schnieden V, Good S
机构信息
Clinical Research Unit for Anxiety Disorders, Darlinghurst, Sydney, Australia.
出版信息
J Accid Emerg Med. 1996 May;13(3):180-3. doi: 10.1136/emj.13.3.180.
OBJECTIVE
To devise a proforma for clinical documentation of psychiatric illness in an accident and emergency (A&E) department, since A&E senior house officers (SHOs) have little psychiatric experience before starting their jobs.
METHODS
History taking and mental state examinations by 16 SHOs were compared before (n = 50) and after (n = 50) the introduction of the proforma. Comments on the proforma were provided by all participants on a questionnaire.
RESULTS
There was an improvement in documentation with the use of the proforma (Mann-Whitney U test, P < 0.001). The senior house officers found the proforma useful and supported further development of this initiative.
CONCLUSIONS
A standard form for documenting psychiatric history, designed according to local needs, is useful and should be available in A&E departments.
目的
制定一份用于急诊（A&E）部门精神疾病临床记录的格式表，因为急诊高级住院医师（SHOs）在开始工作前几乎没有精神科经验。
方法
比较了16名高级住院医师在引入格式表之前（n = 50）和之后（n = 50）进行的病史采集和精神状态检查。所有参与者通过问卷调查对格式表发表了意见。
结果
使用格式表后记录有所改善（曼-惠特尼U检验，P < 0.001）。高级住院医师发现该格式表有用，并支持进一步开展这项工作。
结论
根据当地需求设计的用于记录精神病史的标准表格很有用，应在急诊部门提供。
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