Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Psychiatric Consultation for 5 Years in a University Hospital

일 대학병원에서 5년간 시행된 정신과 자문의뢰 분석

  • Kim, Sung-Wan (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Seon-Young (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Sung-Jin (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Jae-Min (Department of Psychiatry, Chonnam National University Medical School) ;
  • Shin, Il-Seon (Department of Psychiatry, Chonnam National University Medical School) ;
  • Yoon, Jin-Sang (Department of Psychiatry, Chonnam National University Medical School)
  • 김성완 (전남대학교 의과대학 정신과학교실) ;
  • 김선영 (전남대학교 의과대학 정신과학교실) ;
  • 김성진 (전남대학교 의과대학 정신과학교실) ;
  • 김재민 (전남대학교 의과대학 정신과학교실) ;
  • 신일선 (전남대학교 의과대학 정신과학교실) ;
  • 윤진상 (전남대학교 의과대학 정신과학교실)
  • Received : 2011.03.12
  • Accepted : 2011.04.28
  • Published : 2011.06.30
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Abstract

Objective: This study aimed to investigate the pattern of psychiatric consultation-liaison in a new general hospital over a 5-year period. Method: Retrospective chart review was conducted for psychiatric consultations performed from May 2004 to December 2008 in a new general hospital in Hwasun, Korea. Results: A total of 1,852 patients who were referred to the Department of Psychiatry for consultation were included in the analysis. The main reasons for psychiatric consultation were changes in mental status(20.5%), depression(16.8%), insomnia(12.8%), and anxiety(7.9%). Psychiatric consultations were conducted with diagnoses of delirium(39.7%), depressive disorder(28.2%), adjustment disorder(7.9%), and anxiety disorder(4.1%). Patients with delirium were significantly older than were those with other psychiatric diagnoses(p<0.001). Delirium was more common in male patients than in female patients(47.1% vs. 29.9%, respectively), and depression was more common in female patients than in male patients(48.3% vs. 33.9%, respectively)(p<0.001). Delirium was more common in patients who underwent surgical operation than those who did not(p=0.010). Conclusion: Delirium was the most common diagnosis for psychiatric consultation followed by depression in a university hospital. Delirium was more prevalent in men than in women, while depression was more common in women.

연구목적: 본 연구는 신설대학병원에서 개원 이후 약 5개년간 이루어진 자문의뢰 상황과 특성을 분석하고자 하였다. 방 법: 2004년 5월부터 2008년 12월까지 정신과에 자문 의뢰된 입원 환자들에 대한 후향적 연구로, 연구 자료는 의무기록 검토를 통해 수집되었다. 결 과: 총 1,852건의 자문의뢰 중 정신상태 변화(mental change)가 20.5%로 가장 흔한 자문사유였고, 우울기분(16.8%), 불면(12.8%), 불안(7.9%) 등의 순이었다. 가장 흔한 정신과적 진단은 섬망(39.7%)이었고, 우울장애(28.2%), 적응장애(7.9%), 불안장애(4.1%) 등 정서적 문제도 흔하였다. 섬망으로 진단된 환자의 평균 연령이 다른 진단군에 비해 유의하게 높았다. 남성 환자에서는 섬망이 47.1%, 여성 환자에서는 우울증이 48.3%로 각각 가장 빈번하였다. 수술을 받은 환자에서 받지 않은 환자 보다 섬망의 발생이 유의하게 빈번하였다. 결 론: 정신과 자문의뢰 중 가장 빈번한 진단은 섬망이었고, 다음으로 우울장애였다. 섬망은 남성에서 빈번하였고, 우울장애는 여성에서 빈번하였다.

Keywords

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