A study on referral of patients in Department of Psychiatry at Lumbini Medical College and Teaching Hospital

Ramakanta Lamichhane, B. Sharma, P. Neupane, N. Bhattarai, Sandipa Sharma
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Abstract

Introduction: In a developing country like Nepal, where there is inadequate awareness but more social stigma towards psychiatric illnesses among people, there is an important role of referral psychiatry. Referral psychiatry has been considered to be an interface between psychiatric and non-psychiatric medicines as practiced in general hospital settings. This study analyses the psychiatric problems among patient referred to psychiatry department from other outpatient departments and emergency department in a tertiary care centre. Methods: This was a descriptive hospital-based study conducted among patients who were referred to psychiatry department from different outpatient departments of Lumbini Medical College and Teaching Hospital from November 1, 2019 to April 30, 2020. Ethical issues were considered strictly. Data were entered into Statistical Package for the Social Sciences version 21.0 and descriptive analysis was done. Results: A total of 781 patients were referred out of which more than half (n=487, 62.35%) were females and the most common age group was 41 to 50 years (n=175, 22.4%). Majority of patients (n=284, 36.4%) were referred from medicine department. The most common psychiatric illness diagnosed were those included under International Classification of Diseases 10th Revision F40-48 (Anxiety, Dissociative, Stress-related, Somatoform and other Non-Psychotic Mental Disorders). Conclusions: Referral psychiatry plays an important role to diagnose the undiagnosed psychiatric illnesses earlier and better and manage accordingly so it should be prioritized and practiced in health centers.
蓝毗尼医学院与教学医院精神科患者转诊的研究
引言:在尼泊尔这样的发展中国家,人们对精神疾病的认识不足,社会耻辱感更强,因此转诊精神病学发挥着重要作用。转诊精神病学一直被认为是精神科和非精神科药物之间的接口,在一般医院设置实践。本研究分析某三级医疗中心其他门诊部及急诊科转介至精神科病人的精神问题。方法:采用基于医院的描述性研究,对2019年11月1日至2020年4月30日从蓝毗尼医学院和教学医院不同门诊转诊至精神科的患者进行研究。严格考虑了道德问题。将数据输入社会科学统计软件包21.0版,并进行描述性分析。结果:共转诊781例患者,其中女性占一半以上(n=487, 62.35%),年龄41 ~ 50岁最多(n=175, 22.4%)。多数患者(284例,36.4%)从内科转诊。诊断出的最常见精神疾病是国际疾病分类第10版F40-48(焦虑、分离、压力相关、躯体形式和其他非精神病性精神障碍)中包含的疾病。结论:转诊精神病学对早期更好地诊断和管理未确诊的精神疾病具有重要作用,应在卫生中心优先开展。
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