联络项目对癌症患者精神科会诊转诊率的积极影响。

Positive influence of a liaison program on the rate of psychiatric consultation referrals for cancer patients.

作者信息

Uchitomi Y, Akechi T, Okamura H, Kugaya A, Zensho H, Kagaya A, Saeki T, Okamoto Y, Nishida A, Takebayashi M, Yamawaki S

机构信息

Psycho-Oncology Division, National Cancer Center Research Institute East, Kashiwa, Chiba, Japan.

出版信息

Psychiatry Clin Neurosci. 1998 Jun;52(3):275-8. doi: 10.1046/j.1440-1819.1998.00399.x.

DOI:10.1046/j.1440-1819.1998.00399.x

PMID:9681577

Abstract

To improve access to psychiatric consultation for cancer patients as well as non-cancer patients with psychiatric disorders, a psychiatric liaison programme to communicate closely with physicians and ward staff regarding anticipated psychiatric morbidity in patients, was introduced in each ward of a general hospital. The rate of psychiatric consultation referrals for cancer patients was significantly higher after the psychiatric liaison programme was established. The programme had a greater impact on the rate of psychiatric consultation in a unit with cancer patients who were informed of their diagnoses. The greater consultation rates in cancer patients after the liaison programme might be, in part, associated with the physicians' attitude toward the more open disclosure of the cancer diagnosis.

摘要

为了改善癌症患者以及患有精神疾病的非癌症患者获得精神科会诊的机会，一家综合医院的每个病房都引入了一项精神科联络计划，以便就患者预期的精神疾病发病率与医生和病房工作人员进行密切沟通。精神科联络计划建立后，癌症患者的精神科会诊转诊率显著提高。该计划对告知了诊断结果的癌症患者所在科室的精神科会诊率产生了更大影响。联络计划实施后癌症患者会诊率较高，部分原因可能与医生对更公开披露癌症诊断的态度有关。