- 期刊
Pattern of Referral to Psychiatric Consultation Services in Cancer Inpatients
癌症住院患者精神科照會之轉介型態
摘要
Background and Purpose: The purpose of this study was to report the pattern of utilization of psychiatric consultations among Chinese cancer inpatients. Methods: A retrospective study was undertaken using the structured psychiatric consultation database of the National Taiwan University Hospital. Results: 819 referrals for psychiatric consultations were requested in five years, the referral rate (2.6%) was low. The most common psychiatric diagnoses were: organic mental disorders (42.7%). Early referral was associated with shorter hospital stay (r=.73, P＜.01). Referral reasons of disturbing behavior and past history predicted the most common (organic mental disorders) and the most efficient (psychotic disorders) diagnostic groups of referrals, respectively. Conclusion: The findings suggest that referring physicians depend on disturbing psychopathology and past-established psychiatric diagnoses to refer patients. Active detection of emotional distress should be encouraged to ensure adequate and timely referrals.
並列摘要
Background and Purpose: The purpose of this study was to report the pattern of utilization of psychiatric consultations among Chinese cancer inpatients. Methods: A retrospective study was undertaken using the structured psychiatric consultation database of the National Taiwan University Hospital. Results: 819 referrals for psychiatric consultations were requested in five years, the referral rate (2.6%) was low. The most common psychiatric diagnoses were: organic mental disorders (42.7%). Early referral was associated with shorter hospital stay (r=.73, P＜.01). Referral reasons of disturbing behavior and past history predicted the most common (organic mental disorders) and the most efficient (psychotic disorders) diagnostic groups of referrals, respectively. Conclusion: The findings suggest that referring physicians depend on disturbing psychopathology and past-established psychiatric diagnoses to refer patients. Active detection of emotional distress should be encouraged to ensure adequate and timely referrals.
延伸閱讀
- 李宣緯、葉玲玲、王金龍、徐聖輝、黃達夫（2002）。癌症住院病人精神醫療照護服務之醫療利用研究。台灣公共衛生雜誌，21(4)，278-288。https://doi.org/10.6288/TJPH2002-21-04-06
- Lee, M. B., Lee, Y. J., Chiu, C. H., Liao, S. C., Wu, C. H., & Tseng, M. C. (2004). 癌症住院患者之精神疾病與精神科轉介. 北市醫學雜誌, 1(1), 63-74. https://doi.org/10.6200/TCMJ.2004.1.1.11
- Ku, Y. L. (2005). 癌症患者經歷的靈性困擾－發展癌症患者的靈性照護. 安寧療護雜誌, 10(3), 221-223. https://doi.org/10.6537/TJHPC.2005.10(3).1
- 劉景萍、邱世哲、蘇絢慧、顏翠霞（2001）。一位癌症末期合併身心障礙病患之照顧經驗。安寧療護雜誌，6(4)，22-27。https://doi.org/10.6537/TJHPC.2001.6(4).3
- 王興豪、洪宜翔、范聖育（2019）。住院癌症病人之情緒篩檢。臨床心理學刊，13(1/2)，25-38。https://doi.org/10.6550/ACP.201912_13(1_2).0003