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论图书护理与心理护理的双重效应
心理护理就是对有碍病人健康的心理问题,运用疏导方法,通过护理人员的语言、行为或人际关系的影响,从心理上给予护理、精神上给以安慰和鼓励,以改变病人的心理状态和行为,促进身心康复以能适应各种环境,从事正常的工作、学习和生活.
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重症肝病患者自杀心理障碍分析及疏导方法探讨
Background:Suicide is an much severe public hygiene problem. It was reported that suicidal rate in our country was 22.2 per hundred thousand each year(1993).One third of which was caused by their own diseases.Patients of severe hepatitis B suffer severe conditions of the disease with protracted course. It is easy for the patients to have severe psychonosema and suicide occurs.If the abnormal mood of the patients could be found early, the suicide might be avoided,and the patient might get rehabilitation earlier. Objective:To analyze the suicidal causes of the patients of hepatitis B and to study the method of treatment or persuation. Unit:Dept.of Hepatitis,the Sixth People's Hospital of Hangzhou Subjects:9 suicidal cases by falling from high place at the Dept. of Hepatitis B of the Sixth People's Hospital from 1991 to 2000 include 6 men and 3 women, with mean age of (36.7± 10.27) years(23～ 56 years) who were all diagnosed as chronic severe hepatitis with mean protracting course of (5.6± 4.2) years(2～ 11 years).The shortest inpatient time was 1 day,the longest was 228 days.7 of them were married.Their included 4 workers ,4 peasantsand individual trader.Their educational levels included 5 graduates from high school,4 from junior middle school.They all fell from the ward building for suicide. Intervention:The psychonosema were analysed by analyzing the patients'words,letters and their behavior before their suicides.Psychological therapy against these psychonosema were studied in order to avoid more suicide happen. Results:(1)Causes of suicides:One patient had symptoms of psychosis such as hallucination and delusional thinking disturbance.8 patients felt hopeless in curing the disease.4 cases had stress in family relationship. 3 cases could not endure body pain. 6 cases could not endure the heavy economic burden.Love relationship stopped because of the disease in 1 case.(2) Manifestations before their suicides 6 patients had insomnia, emotional lability,anxiety,pessimism and worldweariness in their words.They used to cry secretly.2 cases showed excessive care about their family with special exceted emotion.3 cases used to refered to psychological persuation.(3)Methods of psychological persuation:Physicians should have strong responsibility for their patients.They should understand patients' psychological state besides manage the primary diseases.Once psychological disorder occurred,psychological intervention should be administered immediately.If necessary,family members should participated the intervention.To let patients realize the impact of diseases.Physicians should help patients to clear anxiety and courage them to overcome the condition.Physicians should discuss the management project with patients.For patients with depression,monitoring should be focused.Consultation should be performed on severe patients.Environment surrounding patients should be improved.24-hour care should be carried out by family members. Conclusion:Delayed recovery of somatic diseases and drastic affliction will make patients loss the confidence,and hence exaggerate economical condition.Paradox within family will result severely psychological disorder and suicide.So,necessary psychological intervention is feasible.
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溃疡性结肠炎患者的心理疏导
溃疡性结肠炎的临床症状以腹痛、慢性腹泻及黏液便反复发作为特点,病程缓慢,迁延难愈,且负面情绪对疾病康复有一 定关系,我们针对患者不同的心理状态采取相应的疏导方法,取得了一定效果,现介绍如下.
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浅谈心脏围手术期心理护理
1 一般资料 本组心脏手术患者共315例，男206例，女109例；年龄1岁10个月～54岁。其中室缺、房缺修补术113例，换瓣术108例(二尖瓣置换术88例，双瓣20例)，F4根治术58例，PDA26例，闭式分离术8例。死亡13例。2 术前心理护理 术前心理护理应针对患者出现的紧张、恐惧、忧虑等心理状态做好患者的心理护理。护理人员应经常巡视病房，倾听患者苦衷，让患者及家属了解病情，将采取何种手术，讲解手术的必要性，交待术前注意事项。指导患者练习床上排便及进行有效咳嗽、咳痰。术前向患者及家属介绍监护室环境，介绍呼吸机及有关仪器等配合要点。也可请治愈患者介绍体验，使患者正确面对现实，做好充分思想准备，镇定自如地接受手术。在进行心理护理过程中，护士要以尊重病人为前提，根据不同类型患者采取不同的心理疏导方法。态度要热情、诚恳，谈话方式要得体，进行必要的思想交流，让患者对医疗护理质量高度信任。
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卫工剪影
①济南军区联勤部物资采购站紧贴新时期青年官兵心理特点，坚持把心理教育疏导工作作为保持部队安全稳定的实际举措，采取切实可行的办法，普及心理基础知识，让官兵掌握科学自我疏导方法，及时减轻心理压力，有效防止心理问题的发生，确保官兵健康成长，促进部队建设全面发展。图为青年官兵在该站“萤火虫”心理咨询室接受测试的场景。
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对癌症患者进行"悟践"心理疏导的探索
癌症的发生、转归和病情的发展均与精神因素或心理因素有密切关系,它属于一种典型的心身疾病.所以,根据患者的心理状态和发病原因有针对性地进行心理疏导是非常必要和有积极效应的.我们这里探索用"悟践"心理疏导方法对癌症患者进行心理干预.所谓"悟践",即"悟"与"践"的结合,"悟"就是认知,认识疾病的发生、发展和转归的影响因素,也包括与之有关的各种信念;"践",即实践、活动,是开展各种积极的"心理体操"或者体育活动[1].这种心理疏导方法是我国医学心理学家李心天在临床治疗神经衰弱的实践中总结出来的有效方法.我们认为这种方法适用于各种类型的心身疾病.就癌症患者来说,我们可以采用以下几个方面的"悟践"心理疏导方法,减轻和消除患者的负性情绪,提高手术、化疗和放疗的效果,促进患者康复.
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心理疏导在口腔科就诊儿童中的应用
随着医学模式的转变、心理疏导的重要性日渐体现出来,作为妇幼专科医院,口腔科80%的门诊患者为儿童.儿童是口腔科门诊中较为特殊的群体,如何使他们在诊疗中很好地与医生合作,在治疗前如何根据儿童的生理、心理特点,因人而异地采用不同的方法,取得患儿合作,以保证治疗有效、快速、顺利地进行,针对牙病患儿进行心理分析,并提出相应的疏导方法.
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社会经济热点对职工思想行为的影响及疏导方法探讨
处在市场经济迅猛发展的大时代,社会经济热点已经主导了人们的工作、学习和生活.就一个单位而言,职工的工作、学习、生活同样受到了社会经济热点的影响.本文就社会经济热点对职工思想行为的影响及疏导方法作一探讨.1 与职工工作学习生活有关的社会经济热点社会经济热点在社会发展各个阶段、或者某个时间段都会表现出种种相同或者不同的状态,针对不同的对象,社会经济热点叉各不相同.本文所述的是与当前职工工作、学习、生活有关的社会经济热点.1.1 住房 这是对职工工作生活影响大的社会经济热点.职工一辈子的工作所得,绝大多数都投入到购置房屋上,有的退休了还在还债,这个影响是巨大的.
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高三学生挫折心理成因及疏导
高三学生学习压力大,年龄小、阅历浅、心理问题多.分析高三学生挫折心理成因并总结心理问题表现,提出克服挫折心理的方法.
