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| 1 | 2016年度某三级甲等综合医院精神科会诊的心内科住院患者资料分析显示文摘目的 了解综合医院心内科住院患者的精神科联络会诊特点.方法 通过电子病历系统收集某三甲综合医院2016年1月1日至12月31日精神科会诊的心内科住院患者资料,共222例.采用SPSS 16.0统计学软件对会诊率、会诊原因、精神科诊断、干预建议、出院后门诊复诊比例等数据进行分析,影响因素分析采用Logistic回归分析.结果 2016年心内科为全院邀请精神科会诊最多的科室.心内科住院患者精神科会诊的比例为5.8%(237/4 097).会诊中最常见的原因为难以解释或治疗效果不佳的躯体症状(29.7%,66/222)、焦虑症状的治疗(17.6%,39/222)、既往有焦虑或抑郁障碍病史(11.3%,25/222)、睡眠问题的治疗(10.8%,24/222).精神科诊断为焦虑障碍(51.8%,115/222)、抑郁障碍(13.5%,30/222)、睡眠障碍(6.8%,15/222)、应激反应与适应障碍(5.4%,12/222)的患者比例较高.精神科的主要处理意见包括抗抑郁药(48.2%,107/222)、苯二氮革类药(41.9%,93/222)、生活方式调整(9.5%,21/222)、非苯二氮革类睡眠药(7.7%,17/222).出院后在精神科门诊复诊比例为7.8%(17/217),主要影响因素为出院带药是否有精神科相关药物[OR=4.356,95%CI(1.148~16.535),P=0.031]、出院医嘱中是否有建议精神科复诊的内容[OR=4.888,95%CI(1.566~15.253),P=0.006].结论 综合医院心内科住院患者对精神科会诊需求突出,其中以焦虑障碍最为常见,患者出院后精神科门诊复诊率低. | 谢稚鹃 郑敏婕 史欣欣 曲姗 | 2018 | 中华精神科杂志2018，51，3： | 10 |
| 2 | How psychiatrists coordinate treatment for COVID-19: a retrospective study and experience from China显示文摘Background Patients with C0VID-19 are at high risk of developing mental health problems;however,the prevalence and management of mental disorders and how psychiatrists coordinate the treatment are unclear.Aims We aimed to investigate the mental health problems of patients infected with C0VID-19 and to identify the role of psychiatrists in the clinical treatment team during the pandemic.We also share the experience of psychiatric consultations of patients with COVID-19 in Shanghai,China.Methods We analysed data from the psychiatric medical records of 329 patients with COVID-19 in the Shanghai Public Health Clinical Center from 20 January to 8 March 2020.We collected information including sociodemographic characteristics,whether patients received psychiatric consultation,mental health symptoms,psychiatric diagnoses,psychiatric treatments and severity level of COVID-19.Results Psychiatric consultations were received by 84(25.5%)patients with COVID-19.The most common symptoms of mental health problems were sleep disorders(75%),anxiety(58.3%)and depressive symptoms(11.9%).The psychiatric consultation rate was highest in critically ill patients(69.2%),with affective symptoms or disturbed behaviour as their main mental health problems.Psychiatric diagnoses for patients who received consultation included acute stress reaction(39.3%),sleep disorders(33.3%),anxiety(15.5%),depression(7.1%)and delirium(4.8%).In terms of psychiatric treatments,86.9%of patients who received psychiatric consultation were treated with psychotropic medications,including non-benzodiazepine sedative-hypnotic agents(54.8%),antidepressants(26.2%),benzodiazepines(22.6%)and antipsychotics(10.7%).Among the 76 patients who were discharged from the hospital,79%had recovered from mental health problems and were not prescribed any psychotropic medications.The symptoms of the remaining 21%of patients had improved and they were prescribed medications to continue the treatment.Conclusions This is the first study to report psychiatric consultations for patients with COVID-19.Our study indicated that a considerable proportion of patients with COVID-19,especially critically ill cases,experienced mental health problems.Given the remarkable effect of psychiatric treatments,we recommend that psychiatrists be timely and actively involved in the treatment of COVID-19. | Ling Yue Jingyi Wang Mingliang Ju Yi Zhu Lianghu Chen Lin Shi Bohai Shi Jun Chen Yifeng Shen | 2020 | General Psychiatry2020，33，4： | 1 |
| 3 | 会诊-联络精神医学述评显示文摘会诊-联络精神医学(CLP)是精神病学的分支学科,现对CLP发展史做一简评,寻找国内外差距,从临床及医学教育的角度提出CLP国内未来发展方向及建议。 | 李恒芬 邓亚洁 | 2020 | 神经疾病与精神卫生2020，20，8： | 0 |
| 4 | 本期导读(英文) | | 2012 | 上海精神医学2012，24，03X： | 0 |
| 5 | Pattern/clinical and demographic profile of inpatient psychiatry referrals in a tertiary care teaching hospital:a descriptive study显示文摘Background Consultation liaison psychiatry(CLP)as a subspecialty is defined as the area of clinical psychiatry that encompasses clinical understanding,teaching and research activities of psychiatrists and allied health professionals in the non-psychiatric divisions of a general hospital.Psychiatric comorbidity of inpatients in tertiary care hospitals is huge.However,the amount of research in India in the field of consultation liaison is strikingly low.Aim To investigate the sociodemographic profile and psychiatric and physical subtypes of illness in patients admitted in other departments and referred to psychiatry department.Methods The study population comprised all consecutive inpatients referred for psychiatric consultation from other departments of a multispecialty tertiary care teaching hospital over 3 months.In a semistructured proforma,sociodemographic profile,referring departments,reasons for referral,referral rate,psychiatric diagnosis and physical illness diagnosis were recorded and analysed using descriptive statistics.Results 172 patients were included and assessed after referral from various departments,of which 56.4%were male and 43.6%were female.The mean age was about 33.95 years,with majority of the patients in the 21-30 years age group.The referral rate was 1.1%.The maximum referrals were from the medicine department,with abnormal behaviour(26.2%)being the most common reason for referral,followed by alleged suicide attempt or self-harm(24.4%),anxiety(10.5%),substance use(10%)and disorientation(7.6%).The most common psychiatric disorder among patients was depressive disorder(24.4%),followed by substance use disorder(19.7%),schizophrenia and psychotic disorder(9.3%),and stress and trauma-related disorder(8.1%).Conclusion There are very few psychiatry referrals and an alarmingly low referral rate,given the psychiatric morbidities in the medical setting.Psychiatry training should have more weightage across different medical specialties and liaison activities between psychiatry and other disciplines should be augmented,which can lead to a better understanding of psychiatric symptomatology,early symptom recognition,swift referral and ensuring follow-up,which,in turn,would be key to improving CLP services. | Varchasvi Mudgal Pali Rastogi Vijay Niranjan Ramghulam Razdan | 2020 | General Psychiatry2020，33，4： | 0 |
| 6 | 心脏移植受者社会支持与生存质量相关性分析显示文摘目的分析心脏移植受者术后社会支持情况与生存质量的相关性。方法选择2008年3月—2012年10月接受心脏移植手术后顺利出院的受者84例,采用自行设计的心脏移植受者一般社会学资料调查表。计量资料比较采用t检验,计数资料比较采用χ2检验。社会支持与生存质量的相关性研究,采用Pearson相关分析。P<0.05为差异有统计学意义。结果≤30岁的心脏移植受者社会支持总分为(34.11±6.68)分,主观支持得分为(18.17±3.74)分,>30岁的分别为(40.76±6.86)、(23.28±3.81)分,比较差异均有统计学意义(均P<0.05);小学及以下文化程度的心脏移植受者社会支持总分为(35.54±5.46)分,客观支持得分为(6.90±1.71)分,中学文化程度的分别为(37.64±7.60)、(9.61±3.18)分,大学及以上分别为(40.49±7.23)、(10.69±3.60)分,比较差异均有统计学意义(均P<0.05);公费、社会医疗保险、农村合作医疗、自费的心脏移植受者客观支持得分分别为(11.36±3.66)、(10.35±3.40)、(8.40±2.18)、(8.88±3.18)分,比较差异均有统计学意义(均P<0.05)。心脏移植受者社会支持与生存质量呈正相关。结论心脏移植受者社会支持与生存质量与年龄、文化程度及医疗费用支付方式有关,且二者呈正相关。 | 韩月蕊 | 2014 | 社区医学杂志2014，12，24： | 0 |
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