136例工伤伤残案例的精神医学鉴定
发布时间：2018-12-13 13:14
【摘要】：目的 分析工伤鉴定案例精神伤残评定及其相关因素。方法 对136例工伤鉴定案例的损伤因素、伤残类型、伤残等级、精神医学鉴定诊断等问题进行总结分析,并对工伤精神伤残中的伪装进行了对比分析。结果 有精神伤残94例,占69.0％,其中,智力伤残合并精神障碍伤残17例(12.5％),单一智力伤残者64例(47.1％),单一精神障碍伤残2例(1.5％),性功能伤残10例(7.4％)。未达到伤残程度者42例,占31.0％,包括17例脑挫裂伤后综合征及6例与创伤因素有直接或间接关系的功能性精神障碍。在既有临床评估又有测验评估的71例案例中,临床判断伪装智力低下25例(35.2％),测验判断有伪装智力低下58例(81.7％),临床评估与测验评估之间存在显著差异(P0.01)。结论 (1)现有的工伤伤残标准有待于完善;(2)工伤伤残鉴定中伪装智力低下的比例较高,值得重视。
[Abstract]:Objective to analyze the mental disability assessment and its related factors in industrial injury appraisal cases. Methods the factors of injury, type of injury, grade of disability, diagnosis of psychiatric identification and so on in 136 cases of industrial injury identification were summarized and analyzed, and the camouflage in mental disability of industrial injury was compared and analyzed. Results there were 94 cases of mental disability (69.0%), including 17 cases (12.5%) of mental disability, 64 cases (47.1%) of single mental disability, 2 cases (1.5%) of single mental disability. There were 10 cases (7.4%) with sexual disability. 42 cases (31.0%) were not disabled, including 17 cases of cerebral contusion and laceration syndrome and 6 cases of functional mental disorder with direct or indirect relationship with traumatic factors. In 71 cases with both clinical evaluation and test evaluation, there were 25 cases (35.2%) of hypointelligence in clinical judgment and 58 cases (81.7%) of hypocrisy in clinical judgment. There was significant difference between clinical evaluation and test evaluation (P0.01). Conclusion (1) the existing standard of industrial injury disability needs to be improved; (2) the proportion of hypointelligence in the appraisal of industrial injury disability is high, which is worthy of attention.
【作者单位】： 深圳市精神卫生研究所医学鉴定科 深圳市精神卫生研究所医学鉴定科 深圳市精神卫生研究所医学鉴定科 深圳市精神卫生研究所临床心理科 深圳市精神卫生研究所临床心理科 深圳市精神卫生研究所临床心理科
【基金】：广东省医学科研基金立项课题(A20011632) 广东省自然科学基金(021972)
【分类号】：D919.3
本文编号：2376591
[Abstract]:Objective to analyze the mental disability assessment and its related factors in industrial injury appraisal cases. Methods the factors of injury, type of injury, grade of disability, diagnosis of psychiatric identification and so on in 136 cases of industrial injury identification were summarized and analyzed, and the camouflage in mental disability of industrial injury was compared and analyzed. Results there were 94 cases of mental disability (69.0%), including 17 cases (12.5%) of mental disability, 64 cases (47.1%) of single mental disability, 2 cases (1.5%) of single mental disability. There were 10 cases (7.4%) with sexual disability. 42 cases (31.0%) were not disabled, including 17 cases of cerebral contusion and laceration syndrome and 6 cases of functional mental disorder with direct or indirect relationship with traumatic factors. In 71 cases with both clinical evaluation and test evaluation, there were 25 cases (35.2%) of hypointelligence in clinical judgment and 58 cases (81.7%) of hypocrisy in clinical judgment. There was significant difference between clinical evaluation and test evaluation (P0.01). Conclusion (1) the existing standard of industrial injury disability needs to be improved; (2) the proportion of hypointelligence in the appraisal of industrial injury disability is high, which is worthy of attention.
【作者单位】： 深圳市精神卫生研究所医学鉴定科 深圳市精神卫生研究所医学鉴定科 深圳市精神卫生研究所医学鉴定科 深圳市精神卫生研究所临床心理科 深圳市精神卫生研究所临床心理科 深圳市精神卫生研究所临床心理科
【基金】：广东省医学科研基金立项课题(A20011632) 广东省自然科学基金(021972)
【分类号】：D919.3
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