精神科コンサルテーション・リエゾンおよび精神科入院患者に対する身体リハビリテーション─信州大学医学部附属病院における実施状況─

Physical rehabilitation for psychiatric inpatients and psychiatric consultation-liaisons: The implementation progress at Shinshu University Hospital

要旨：一般診療科への入院中に精神科にコンサルテーション（紹介）された患者と精神科に入院した患者に対するリハビリテーション（以下，リハ）の実施状況を調査した．精神科への紹介は救急部と外科系診療科から多く，せん妄や適応障害，移植関連の患者が多かった．紹介された患者の56.2％にリハが実施され，その多くが理学療法であった．精神科入院患者では70.9％がリハの対象となり，そのうちの88.0％に精神科作業療法が実施され，入院患者の27.9％に身体的なアプローチが実施されていた．高齢患者の増加などにより心身両面のアプローチがより一層求められている．作業療法士はコンサルテーション・リエゾンに積極的に関わる必要がある．

　The aim of this study was to clarify characteristics of patients who received psychiatric consultation during hospitalization in the general practice department, and who were later admitted to psychiatry and subsequently received physical rehabilitation. We examined the implementation of rehabilitation at Shinshu University Hospital where the departments of surgery and emergency care regularly consulted the department psychiatry, due to patients suffering from adjustment disorder, delirium and transplant-related conditions. Rehabilitation was performed on 56.2% of patients referred to psychiatry, a large number of which underwent physical therapy. In psychiatric inpatients, 70.9% received rehabilitation, and 27.9% received physical rehabilitation. Due to an increase in elderly patients, more physical and mental approaches are required. It is necessary to be actively involved with the consultation-liaison occupational therapist.