摘要
Abstract
Objective To investigate the prevalence and management of mental disorders in a general practice ( GP ) clinic affiliated to a general hospital, so as to provide a reference for GP educators to design training curriculums in mental health. Methods The data of health records of all the patients who paid visits to the GP clinic affiliated to Haikou Municipal Hospital from June 2011 to May 2012 were analyzed retrospectively, and thus the patients with mental disorders were selected as the subjects. The patients' reasons for encounter ( RFEs ), diagnoses, and treatments were coded according to International Classification of Primary Care -2 ( ICPC -2 ) . Results There were totally 416 encounters with diagnosis of mental disorders, accounting for 14. 4% of all the encounters. The top 10 RFEs of the patients for the initial visit were in order of weakness, sleep disorder, abdominal pain, chest distress, dizziness, chest pain, headache, anxiety, depression, and cough, which respectively accounting for 9. 4% , 9. 0% , 5. 6% , 4. 7% , 4. 3% , 3. 8% , 3. 4% , 3. 0% , 3. 0% , and 2. 6% of RFEs for the initial visit. The top 10 diagnoses of mental disorders were in order of depressive disorder, anxiety or anxiety state, sleep disorder, tobacco abuse, somatization disorder and compulsive disorder, bipolar depression, acute stress reaction, problem as stage of adult life, and anomaly in children's behavior. And among all these the depressive disorder was the commonest, at a rate of 4. 7 per 100 encounters, accounting for 27. 7% of all the mental disorders. The top 10 diagnoses accounted for 90. 4% of all the mental disorders diagnosis recorded. Conclusion The prevalence of mental disorders is higher in general practice clinic of general hospital. With adequate training, general practitioners could work competently in screening, diagnosing and treating most of the mental disorders.关键词
精神心理障碍/患病率/诊断和治疗/全科医疗/门诊Key words
Mental disorders/ Prevalence/ Diagnosis and therapy/ General practice/ Clinic分类
医药卫生
