정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
권호 표지

섬망의 조기 발견을 위한 진단 및 평가 방법

Diagnosis and Evaluation for the Early Detection of Delirium

  • 천영훈 (인천참사랑병원 정신과, 서진의학연구소) ;
  • 이상열 (원광대학교 의과대학 정신과학교실)
  • Chon, Young-Hoon (Department of Psychiatry, Incheon Chamsarang Hospital, Seojin Medical Research Institute) ;
  • Lee, Sang-Yeol (Department of Psychiatry, Wonkwang University)
  • 투고 : 2011.04.21
  • 심사 : 2011.05.15
  • 발행 : 2011.06.30
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⟨ 이전 논문 다음 논문 ⟩

초록

연구목적 : 섬망은 병원 내의 임상적 상황에서 만날 수 있는 가장 흔한 정신과적 질환 중 하나이다. 섬망이 고령에서 보다 빈번하게 나타나고 높은 사망률과 연관이 있기에 섬망을 초기에 정확하게 진단하여 치료적 개입을 시행하는 것이 무엇보다도 중요하다. 그러나 이러한 중요성에도 불구하고 여전히 섬망이 잘못 진단되어 지거나 간과되고 있는 것이 사실이다. 치료팀이 섬망을 초기에 정확하게 진단해 내기 위해서는 섬망의 정의, 병태생리 및 여러 가지 다양한 검사 도구들을 특정 내 외과적인 상황에 적절하게 사용하는 것이 중요하다. 본 논문을 통해서 섬망을 조기 진단하기 위한 검사 도구들을 소개하고 임상적 상황에서 섬망을 정확하게 진단해 내기 위한 방안들을 모색해 보고자 한다.

Delirium is a common psychiatric disorder and occurs in many hospitalized older patients and has serious consequences including increased mortality rate. Despite its importance, health care clinicians often fail to recognize delirium or misdiagnosed as other psychiatric illness. Awareness of the etiologies and risk factors of delirium should enable clinicians to focus on patients at risk and to recognize delirium symptoms early. To improve early recognition of delirium, emphasis should be given to terminology, psychopathology and knowledge regarding clinical rating scale for delirium in the specific medical and surgical clinical settings. In this study, authors introduce rating scales for delirium and knowledge of clinical diagnostic process for delirium and give rise to appropriate assessment of delirium in the clinical situation.

키워드

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