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目的通过分析2003年发生的一起职业病人自杀事故,探讨患者在治疗过程中存在的医学社会心理问题,为防止类似事故的发生提供参考。方法通过负责人访谈和查阅病历等方法进行资料收集和分析。结果该职业病人实施自杀行为的原因可能有:职业病人自身的社会心理原因、职业病的致病特点、药物治疗副作用加大患者心理负担等。结论建议加大职业病防治的宣传力度,让患者正确应对职业病;对职业病人在治疗期间作心理测试,实行动态管理,适时进行心理干预;合理设计职业病治疗方案,提高治疗效果;创建人性化医疗环境,防止医源性自杀;采用规范病例记录,防止法律纠纷等措施,进一步关注职业病人的医学社会心理问题。
Objective To analyze the medical social psychology problems existing in patients during the course of treatment through analyzing a suicide accident involving occupational sufferers in 2003 and provide a reference for preventing the occurrence of similar accidents. Methods Data collection and analysis were conducted through interviews with person in charge and access to medical records. Results The causes of suicidal behaviors of occupational patients may include the social psychological causes of occupational patients, the pathogenic characteristics of occupational diseases, the side effects of drug treatment and the psychological burden of patients. Conclusion It is suggested to increase the publicity of prevention and treatment of occupational diseases so that patients can correctly deal with occupational diseases. Occupational patients should be psychologically tested during the treatment period, dynamic management should be carried out, and psychological intervention should be carried out in time. Rational design of occupational disease treatment plans should be made to improve the therapeutic effect. , To prevent iatrogenic suicide; using standardized case records, to prevent legal disputes and other measures to further pay attention to occupational patients in the medical social psychological problems.