内科系救急車患者に対する心身医学的プライマリ・ケア(プライマリ・ケアと心身医学)

概要

論文の詳細を見る
From a standpoint of psychosomatic primary care which we have conducted for the past five years, we reported on the way of initial contact and the kind psychosomatic approach which were used as follows. 1) The initial interview was the most important tool to select psychosomatic patients from among the ambulance patients. 2) In order to make the initial interview a success, the doctors accepting attitudes toward the patient's mind, proper arrangement in the out-patient room, co-operation of nurses, observations if the patients behavior, the doctor's active listening and positive anticipation were among the important factors. 3) With regard to diagnosis, 28.2% out of the total number of ambulace patients were diagnosed as psychosomatic disease. There were sex differences as to the frequency and type of psychosomatic disease. 4) Treatment is being continued every patient whom a psychosomatic approach was found to be possible. 5) The most frequently used psychosomatic treatment was supportive psychotherapy, which was followed by soutgenic training, behavior therapy and group therapy. In addition, transactional analysis and fasting therapy were used in a few cases. 6) Through out experience with ambulance patients we have come to recognize that primary care psychosicians should acquire psychosomatic knowledge for their own clinical practice.
1980-12-01