身体診療科共観目的で精神科病棟に入院した精神障害患者について

Abstract

Some psychiatric cases are complicated by somatic illnesses during the treatment of mental disorder. This can become a troubling question for psychiatrists. For example, it may become a subject of discussion whether a psychiatric outpatient who suffers from severe diabetes mellitus should be treated in the psychiatric ward. We examined 57 patients who were admitted to the psychiatric ward in the general hospital for the purpose of treating somatic complications. The patients had already suffered from mental disorders, and moreover, they were complicated by somatic illnesses. Somatic illnesses were relatively severe so that each somatic specialist cooperated with psychiatrists on treatment. Mental disorders were schizophrenic disorder (N=30), mental retardation (N=8), dementia (N=6) and others. They were diagnosed by the criteria of DSM-Ⅲ. Of the 57 patients 46 were transferred from other institutions. Eleven were our out patients before admission. Among the purposes of admissions surgery was the most common (N=38). But in four cases operations were suspended after admission because of rejection by the patients (N=2) or the difficulties of postoperative management (N=2), Fifty patients were treated in the psychiatric ward throughout their admissions. Only seven cases were transferred to the "somatic" ward in the same hospital after admission to the psychiatric ward. Two patients died in the psychiatric ward.