학술논문
精神科 諮問一調停 活動에 對한 他科 醫師들의 見解
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- 영문명
- NONPSYCHIATRIC PHYSIC IANS’ OPINIONS ABOUT THE PSYCHIATRIC CONSULTATION-LIAISON SERVICE
- 발행기관
- 대한신경정신의학회
- 저자명
- 李哲
- 간행물 정보
- 『신경정신의학』제16권 제4호, 402~414쪽, 전체 13쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 1977.11.30
4,360원
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국문 초록
영문 초록
For the purpose of evaluating present psychiatric consultation-liaison service at Seoul National
Univ. Hospital, this study was conducted by the author with the structured questionaire method on
35 clinical professors and 105 residents of nonpsychiatric departments except departments of radiology,
clinical pathology and anesthesiology from July 21 to 23, 1977.
The residents who graduated medical school in recent 5 years from 1971 to 1976 were more thoroughly
educated psychiatry with a 4 week clerkship than the professors who graduated medical
school from 1936 to 1968 were.
The findings and results obtained from this study are summarized as follows:
1. Most residents and professors perceived a psychiatric problem in 1 一 10% of their patients.
The resident group showed high frequency at 10% tail and the professor group showed high frequency
at 1—2% tail in the range of 1—10%. The perceptibility
of the resident group for a psychiatric
problem is higher than that of the professor group.
2. The referral rates for the psychiatric consultation of patients with a psychiatric problem were
under 50% in the resident group and over 50% in the professor group. Thus, the professors consulted
patients in whom they perceived a psychiatric problem more frequently than the residents did.
3. Contrary to the tendency of the professor group to consult patients with a psychiatric problem,
the resident group showed the tendency to deal with the patients by themselves with special
considerations to the psychiatric problem.
4. In both group the reasons for requesting tae psychiatric consultation are the management
problem of obvious psychiatric disorders (75%), diagnostic uncertainty(15%) and liaison service
and preventive measures (5%).
5. The most frequent reason for not requesting apsychiatric consultation was the patient’s adverse
reaction to a psychiatric referral in the professor group, and the physician’s disagreement and
dissatisfaction with the diagnosis and recommendations by the consultant in the resident group.
6. 70% of both groups were dissatisfied with the present consultation process in which the communication
chiefly depended on the written report, and they wanted to discuss patients’ psychiatric
problems with the consultant verbally.
7. Nonpsychiatric physicians* evaluations on the results of the consultation.
1) The rate of agreement of the professor group on the consultant’s diagnosis was higher than
that of the resident group. The difference between the rates was significant statistically
( P < 0 . 01).
2) The professor group showed the tendency that they perceived consultant’s recommendations
and advices as practical and helpful, but over half of the resident group perceived
those as vague and unpractical.
3) The professor group expressed more satisfaction with the present psychiatric consultation
than the resident group did. The difference between the groups was significant statistically
(P<0- 01). The degree of recognition of the need for the full-time psychiatric consultant in
their wards was not high.
8. Most residents and professors considered psy-chiatric consultation as an effective measure to
educate the importance of psychological factors inillness and psychiatric knowledges.
9. About 90% of both groups recognized the need for more psychiatric knowledges, and expressed
special interests in psychosomatic disorders, diagnosis and treatment of neurosis, and emotional
problems in patients of chronic illness and terminal stage.
10. Mpst nonpsychiatric physicians expressed their wish to broaden communications and discussions
about patients with psychiatrists, and advised to make diagnosis and recommendations
more concrete and practical, and to fill psychiatric subspecialis
목차
서 론
서울대학병원에서의 정신과 자문ᅳ조정활동
연구 방법 및 대상
결 과
고 안
結語 및 要約
REFERENCES
키워드
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