武汉市新型冠状病毒肺炎住院患者精神科联络会诊特征回顾性分析

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目的:对武汉市新型冠状病毒肺炎(COVID-19)住院患者接受精神科联络会诊的特征进行归纳总结。方法:采用回顾性研究的方法,选取广东省援鄂心理医疗队于2020?年3?月1—7?日进行联络会诊的住院患者,共计105?例,由参与联络会诊的20?名精神科医生收集患者年龄、性别等资料,并记录患者联络会诊的主要原因及精神科处理方案。由会诊医生根据主管医师介绍患者的病情决定是否进入隔离病房面诊患者,会诊后1周内对患者进行回访。采用描述性统计分析方法对数据进行分析。结果:来自5所定点医院的105?例患者,年龄(58.3±18.9)岁,62.9%(66/105)为女性患者,其中102?例(97.1%)为医生进入隔离病房进行面诊的患者。105?例患者会诊主要原因为焦虑65?例(61.9%),抑郁27?例(25.7%),失眠6?例(5.7%),兴奋6?例(5.7%)及幻觉妄想1?例(1%)。其中77?例(73.3%)患者接受相应心理治疗,1?例(1.0%)接受了精神科药物治疗,27?例(25.7%)联合心理治疗和精神科药物治疗。回访的结果显示102?例(97.1%)患者精神心理症状减轻。结论:在COVID-19疫情的救治中,被感染患者焦虑抑郁等精神心理症状较多见,精神科联络会诊的需求量较大;精神卫生专科医生尽早介入患者的诊疗,对患者康复具有较为积极的意义。“,”Objective:This article summarized the characteristics of inpatients with the COVID-19 by psychiatric contact consultation in Wuhan.Method:This was a retrospective study. A total of 105 patients consulted by the Guangdong psychological medical team from March 1, 2020 to March 7, 2020 were selected. Data were collected by 20 psychiatrists responsible for the contact consultation, including age, gender, the main reasons for the contact consultation and the psychiatric treatment plan. The consultant doctor decided whether to enter the isolation ward according to the patient′s condition introduced by the attending physician, and whom were followed up within a week. Descriptive statistical analysis was used to analyze the data.Results:There were 105 patients from 5 designated hospitals, aged (58.3±18.9) years, 62.9% (66/105) were females, and 102 (97.1%) were consulted face-to-face in the isolated ward. Main reasons for consultation were anxiety (65, 61.9%), depression (27, 25.7%), insomnia (6, 5.7%), agitation (6, 5.7%), and illusion (1, 1%). Seventy-seven of those patients (73.3%) received individualized psychotherapy, 1(1.0%) was prescribed with psychiatric medication, and 27 (25.7%) were treated with both measures. Follow-up showed that psychological symptoms relieved in 102 cases (97.1%).Conclusion:Psychosocial symptoms such as anxiety and depression are common in infected patients, and thereby psychiatric contact and consultation is in great demand in the treatment of COVID-19. Early intervention of mental health professionals in the diagnosis and treatment of patients plays a positive role in the recovery of them.
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