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KMID : 0352819870030010071
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Kosin Medical Journal
1987 Volume.3 No. 1 p.71 ~ p.80
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Psychiatric Consultation-Liaison Activities in a General Hospital(1); An Experience of Psychiatric Consultation for the Medical and Surgical
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Abstract
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The author assessed the results of psychiatric consultation based on semistimx tuned interview for 118 inpatients who were referred from June 1, 1986 to November 30, 1986.
The results were as follows:
1. Contents related to the consulted patients;
1) The consultation was mostly performed in forties, and females were more consulted.
2) Most of all complained of gastrointestinal problems, and diagnoses of cardiovascular system were significantly prevalent among. the above 45 yrs old.
3) 16.9% of the consulted patients had the previous history of psychiatric treatment.
2. Contents related to the consultee;
1) Psychiatric consultation was most frequently requested from Department of Internal Medicine. The consultation rate to total admission was 2.07%, and was highest in the Department of Neurosurgery.
2) Most frequent reason for consultation was physical symptoms without evidence. The reason as psychiatric complication was significantly common among the above 45 yrs old.
3) The consultation was mostly requested by doctors(92.4 W.
4) 21.2% of patients was accounted for psychiatric consultation before it was performed.
5) The motion was mostly requested within a week after admmm. The medical parts tended to consuh witim a week, while the surgical parts did sigriificantly over 3 weeks after admission.
3. Contents related to the consultant;
1) Among psychiatric diagnoses, neuroses were most predominant In contrast to neuroses prevalent among the below 45 yrs old, organic mental disorder was predominant among the above 45 yrs old.
2) Of all recommendations, study and follow-up consults were most frequently advised. Follow-up as outpatients was significantly recommended among the below 45 yrs old.
3) Coro ant felt that only 39.8% of all consulted were suited to the referral.
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