论文部分内容阅读
目的 :探讨严重急性呼吸综合征 (SARS)患者存在的心理问题与治疗方法。 方法 :对 5月 10～ 2 8日收治的 32例SARS患者进行心理调查 ,并针对原因进行治疗。结果 :2 4例轻症患者的心理问题相对独立于 SARS的其他症状 ,主要是孤独[7(2 9.1% ) ]、抑郁 [5 (2 0 .8% ) ]、愤怒 [5 (2 0 .8% ) ]、焦虑 [3(12 .5 % ) ]、自卑 [1(4 .2 % ) ],治疗以 SARS相关知识介绍、安慰、劝解的支持疗法结合社会 -心理疗法 ,同时辅以生物反馈疗法 ,各心理问题治疗有效例数分别为 :孤独 6例、抑郁 4例、愤怒 5例、焦虑 4例、自卑 1例。 8例重症患者的心理症状与 SARS的其他症状密切相关 ,主要是恐惧 [3(37.5 % ) ]、焦虑 [3(37.5 % )、濒死感 [2 (2 5 .0 % ) ]、抑郁 [1(12 .5 % ) ]、绝望 [1(12 .5 ) ],胸闷、气急时患者的濒死感、绝望等心理症状明显加重 ,因而其治疗应在缓解胸闷、气急等症状的同时以保证、鼓励的支持疗法结合社会心理疗法治疗 ,各心理问题治疗有效例数分别为 :恐惧 2例、焦虑 2例、濒死感 1例、抑郁 1例 ,绝望 1例。结论 :SARS患者有多种心理问题 ,心理治疗非常重要 ,应采用多种心理治疗手段相结合 ,尽早进行心理干预 ;轻、重症患者心理问题的根源不同 ,应区别对待
Objective: To investigate the psychological problems and treatment of patients with severe acute respiratory syndrome (SARS). Methods: Thirty-two SARS patients admitted from May 10 to February 28 were investigated psychologically and for reasons. Results: The psychological problems of 24 mild cases were relatively independent of other symptoms of SARS, mainly lonely [7 (21.9%]], depression [5 (20.8%)], anger [5 (20). Anxiety [3 (12.5%)], inferiority [1 (4.2%)], treatment of SARS-related knowledge to introduce, comfort, persuasion supportive therapy combined with social-psychological therapy, supplemented by biological Feedback therapy, the number of effective treatment of various psychological problems were: lonely in 4 cases, 4 cases of depression, 5 cases of anger, anxiety in 4 cases, 1 case of inferiority. Mental symptoms in 8 critically ill patients were closely related to other symptoms of SARS, mainly fear [3 (37.5%)], anxiety [3 (37.5%), morbidity [2 (25.0% 1 (12.5%)], despair [1 (12.5)], chest tightness, shortness of breath when the patient’s sense of mission, desperation and other psychological symptoms were significantly increased, so its treatment should relieve chest tightness, shortness of breath and other symptoms Guaranty and encouragement of supportive therapy combined with psychosocial therapy, the effective number of cases of psychological problems were: 2 cases of fear, 2 cases of anxiety, 1 case of sense of imminent death, 1 case of depression, 1 case of despair. Conclusion: There are many psychological problems in patients with SARS. Psychotherapy is very important. Psychological intervention should be combined with various psychotherapy methods. The psychological problems of patients with mild to severe diseases should be treated differently.