咨询-联络案例会议:在重症监护中的积极咨询-联络精神病学
Elisabeth A Dietrich1, Melissa P Bui2, Patrick Triplett3
1Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA.
Journal of the Academy of Consultation-Liaison Psychiatry
|December 15, 2025
概括
一个嵌入式精神病学团队在ICU中管理了一个患有躁狂和精神病的患者,优化了药物和镇静. 这个案例突出了积极的咨询-联络精神病学模型,以改善患者护理和结果.
科学领域:
- 精神病学是一个精神病学.
- 密集护理医学 密集护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有严重精神疾病的患者,如躁狂和精神病,可能会出现需要密集护理的医疗并发症.
- 紧急病房入院现象为及时提供综合精神病治疗带来了独特的挑战.
- 咨询-联络 (C-L) 精神病学模型在主动性和整合性上有所不同,影响了护理提供.
研究的目的:
- 介绍一个案例,说明一个患有躁狂和精神病需要重症监护的患者的管理.
- 讨论主动咨询-联络精神病学模型的范围.
- 探索嵌入式与传统的C-L精神病学模型的优点和局限性,用于在急诊室登机的患者.
主要方法:
- 一个患有躁狂和精神病的患者的病例报告,该患者患有呼吸抑制并需要接受ICU治疗.
- 描述嵌入式精神病学团队在优化精神药物治疗,协调镇静和支持家庭参与方面的作用.
- 讨论不同咨询-联络精神病学模型及其应用于急诊室入院的应用.
主要成果:
- 嵌入式精神病学团队成功地在ICU环境中管理了患者的复杂精神病学和医疗需求.
- 嵌入式模型显示了提高个体患者护理质量的潜力.
- 与较为主动的C-L模型相比,人们注意到了人口层面访问的挑战.
结论:
- 嵌入式精神病学团队可以为重症精神病患者提供高质量的综合护理.
- 积极咨询-联络精神病学模型提供了改善健康公平和临床/财务结果的机会.
- 护理整合模型必须在患者需求和系统级访问的背景下考虑.
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