綜合醫院精神科住院病患之分析研究

長庚醫院林口院區精神科急性病房自民國76年7月1日至81年4月30日止，1390人次住院病患中，男性佔645年次(46.4%)，女性佔745人次(53.6%)。診斷以DSM-III-R為標準，情感性疾病436人次(31.4%)，精神分裂症431人次(31.0%)，精神官能症116人次(8.3%)，其他精神病231人次(16.6%)，器質性精神疾患164人次(11.8%)，其他診斷12人次(0.9%)。平均住院年齡32.1±11.4歲，其中以精神分裂症最年輕，平均28.7±8.1歲;器質性精神疾病最高，36.3±12.3歲。平均住院天數34.7±27.5天，精神官能症最短，20.2±19.0天;精神分裂症最長，45.3±31.3天。自動出院者，自費住院者，其住院天數較短。另外，重覆住院的情況相當多，25.6%的病人重覆住院佔總住院人次的47.1%，重覆住院病患以精神分裂症及情感性疾病最多。本文顯示制合醫院精神科病人特徵及其治療現況，以供建立精神醫療網之參考。
A descriptive study on psychiatric inpatients of a general hospital was conducted. During a four-year-and-ten-month period, 1390 hspitalization admissions were analysed. Aomong them, 436 (31.4%) were diagnosed as mood disorder, 431 (31.0%) were schizophrenia, followed by other psychosis (231 admissions, 16.6%), organic mental disorder (164 admissions, 11.8%) neurosis (116 admissions, 8.3%) and other mental disorders (12 admissions, 0.9%). Male was predominant in organic mental disorders, while female was predominant in all the other diagnosis. The mean of hospitalization days was 34.7±27.4 days. Readmission was noted in 47.1% of total admissions, incicating that “revolving door syndrome” was also noted among mentally ill in our country. Schizophrenic patients had the longest hospitalizations and the highest readmission rate. Patients who were discharged against advise comprise 14.6% of all admissions. This frequency is within the estimate of 6.8% and 23.4% in other hospitals. Others characteristics of psychiatric in patients in the general hospital were also discussed.