癌症病患之精神科照會

Cancer Patients in Psychiatric Consultation

臧汝芬(Ruu-Fen Tzang) ； 李鶯喬(Ying-Chiao Lee) ； 馬景野(Cheng-Yea Ma) ； 張凱理(Kelly Chang)

《Journal of Medical Sciences》 17卷4期 (1997/02) Pp. 255-260

摘要

國內自1985年，台大報告135個癌症住院病患之精神疾病之分析以後，對照會中癌症病患的精神狀態之瞭解寥寥無幾。本研究以五個月內照會精神科之住院癌症病患79名為樣本，探討癌症病患在精神科照會之特性。結果顯示照會理由以要求鑑別診斷群為最多，共28人（35.4%），其次是情緒不穩群（如焦慮、害怕、憂鬱、失眠）共16人佔20.3%。精神科診斷則以器質性精神障礙症36人（45.6%）最多，其中以譫妄24人（30.4%）為主，其次適應障礙症，有14人（17.7%）。結果顯示目前的精神診斷分佈，不同於十年前之精神診斷分佈，文中將針對十年來不同精神診斷分佈，作一分析討論。

關鍵字

癌症 ； 精神科照會

並列摘要

Cancer patients in psychiatric consultation had been studied by National Taiwan University Hospital's 135 patients about 10 years ago. But the study on cancer patients in recent psychiatric consultation condition is quite scarce. This study will focus on the 79 cancer patients within 5 months period referred for psychiatric consultation at Taipei Veterans General Hospital. Result showed the first leading reasons for referral to a consulting psychiatrist was differential diagnosis, 28 patients (35.4%). The second most commonly seen reason for referral was emotional disturbance, 16 patients (20.3%). The psychiatric diagnosis most commomly associated with cancer patients was organic mental disorder, 36 patients (45.6%). Delirium was most commonly seen organic mental disorder, 24 patients (30.4%). The adjustment disorder 14 patients (17.7%) is the second most commonly seen psychiatric diagnosis. Conclusion is the diagnostic distrubution is quite different from the result of NTUH's result about 10 years ago. Detail analysis of this manifestation would be discussed inside this paper.

並列關鍵字

cancer ； psychiatric consultation