CAJ | 학술논문

心理障碍正成为影响人类健康的主要疾病，综合医院也正成为心理障碍诊治的主要战场，但如何早期识别综合医院患者存在的心理障碍，对非心理专科医生是巨大的挑战。在综合医院心理障碍患者的早期表现主要是躯体化症状，面对这种状态，综合医院非心理专科医生普遍存在无所适从，在临床上造成心理障碍的漏诊误治屡见不鲜。对此，虽然业界也有不断的呼吁要重视和加强相关改进措施，但经过数年努力，问题并没有得到根本解决。所以，观念地突破和方法地创新是扭转这一状态的关键所在。笔者对综合医院特别是非心理专科心理障碍患者的现状、遇到的困难以及如何早期识别综合医院患者存在的心理障碍进行阐述，提出了一些较新的观点和方法，希望有所启示。
심리장애정성위영향인류건강적주요질병，종합의원야정성위심리장애진치적주요전장，단여하조기식별종합의원환자존재적심리장애，대비심리전과의생시거대적도전。재종합의원심리장애환자적조기표현주요시구체화증상，면대저충상태，종합의원비심리전과의생보편존재무소괄종，재림상상조성심리장애적루진오치루견불선。대차，수연업계야유불단적호우요중시화가강상관개진조시，단경과수년노력，문제병몰유득도근본해결。소이，관념지돌파화방법지창신시뉴전저일상태적관건소재。필자대종합의원특별시비심리전과심리장애환자적현상、우도적곤난이급여하조기식별종합의원환자존재적심리장애진행천술，제출료일사교신적관점화방법，희망유소계시。
Psychological disorder is becoming the main diseases affecting human health, and the general hospital is also become the main battlefield of diagnosis and treatment of mental disorder,but how to identify early psychological disorder of general hospital patients is a huge challenge to the psychological non-specialists.General hospital patients with psychological disorders mainly manifest into somatization symptoms.This often causes non-psychological specialists to misdiagnose in the general hospital.To this,the industry has been called on constantly to attach importance to and strengthen the relevant improvement measures,but after years of effort,the problem has not been fundamentally solved.Therefore,an innovative method is the key to reverse this state.In this paper,the author combined the long-term clinical results and clinical experience of diagnosis and treatment,to explain the present situation of the psychological disorder in non-psychological department,difficulties and how to identify early psychological barriers that exist in the general hospital patients.The author puts forward some new ideas and methods in hopes to bring enlightenment to the non-psychological specialists.