心療内科開業医におけるプライマリ・ケアの実践(プライマリ・ケアと心身医学)

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タイトル別名
  • Primary Care Practice in a Clinic of Psychosomatic Medicine(Primary care and psychosomatic medicine)

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1. As a primary care phusician, the author's role in a clinic of psychosomatic madicine is multiple such as a home doctor, a school doctor, an industrial doctor, a doctor of an asylum for the aged and a watch doctor at night. Under these circumstances, a psychosomatic approach has been necessary for each role to take thorough effect. In co-operation with one other doctor, 8 nurses and 2 counselors, the author has been conducting psychosomatic tratment. 2. Two hundred-sixty three were treated with psychosomatic therapy in our clinic in the last 2 years. the patients consisted of 98 men and 165 women, ranging in age from 5 to 75 years. they were 71 cases of automic disorders, 28 school phobia, 19 colon syndrome, 16 peptic ulcer, 11 cardiac neurosis, 11 anxiety neurosis, 11 insomnia, 9 conversion hysteria, 9 hypertention, 8 arteriosclerosis, 7 chronic gastritis, 6 hypochondriasis, 6 maked depression, 5 nycturia, 4 diabetes mellitus, 4 psychogenic headache and other 21 different kinds of diseases. the results were as follows : On the whole, 80% patients were improved, 10% slightly improved, 8% ineffective and 2% refered to other doctors. But the treatment failed in a few patients of idiopathic autonomic disorders, alopecia areata and school phobia.

収録刊行物

  • 心身医学

    心身医学 20 (6), 503-508, 1980

    一般社団法人 日本心身医学会

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