福島県立医科大学附属病院における運動器の慢性疼痛患者に対するリエゾン診療(シンポジウム:チーム医療における心身医学的アプローチ,2010年,第51回日本心身医学会総会ならびに学術講演会(仙台))  [in Japanese] Liaison Treatment for Patients with Chronic Pain of Locomotive Organ-Experience of Fukushima Medical University Hospital(Symposium/The Role of Psychosomatic Approach in Team Medical Care)  [in Japanese]

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Author(s)

    • 大谷 晃司 Otani Koji
    • 福島県立医科大学医療人育成・支援センター:福島県立医科大学医学部整形外科学講座 Center for Medical Education and Career Development, Fukushima Medical University School of Medicine:Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine

Abstract

まず,運動器の慢性疼痛を訴えている患者に対して,器質的疾患の関与と精神医学的問題の関与を整形外科で見極める.後者のスクリーニングには,BS-POPを使用している.患者の承諾が得られ,心身医療科とのリエゾン診療が始まった患者に対して,リエゾンカンファレンスを開催して,コメディカルを含めた医療チームの情報を共有し,一貫した治療方針で治療が行われている.最近のリエゾン診療症例32例の治療成績は,有効15例,不変12例,無効5例であった.本検討の32例中22例が県外から受診した,もともと治療に難渋している患者であることを考慮すると,それなりの治療効果があったものと思われる.

For the patient with chronic pain and disability caused by pain, the orthopedic doctor considers first whether or not any organic and psycho-social/psychiatry problem exists. BS-POP (Brief Scale for Psychiatric Problems in Orthopedic Patients) was routinely used to evaluate the magnitude of psycho-social/psychiatry problem. When the patient is assessed to have some psycho-social/psychiatry problem and he accepts to go to psychiatrist, we hold a liaison conference. The members of this liaison conference consist of orthopedic doctors, a psychiatrist, nurses, and other co-medical staff. The main purpose of this conference is to share the information of patient and to confirm the policy of treatment. At the recent liaison conference, out of 32 patients 15 patients were judged as improved, 12 as no change and 5 as invalid. This clinical outcome seems to be good because all patients had been judged as intractable cases and especially, 22 of them came from various parts of Japan.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 51(8), 709-714, 2011

    Japanese Society of Psychosomatic Medicine

References:  5

Codes

  • NII Article ID (NAID)
    110008686793
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • Article Type
    REV
  • ISSN
    0385-0307
  • NDL Article ID
    11164295
  • NDL Source Classification
    ZS31(科学技術--医学--精神神経科学)
  • NDL Call No.
    Z19-26
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
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