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SARS Survey of Mental Hospital

Isolation and treatment: The patient base from the outside world, lack of communication with relatives and friends, feel helpless; 3. Medical protective clothing and other necessary protective measures to increase the distance between doctors and patients, in which patients have the fear of disease; 4. Inappropriate propaganda exaggerated the severity of the disease. Author: 100054 Beijing You'an Hospital short of the other psychological problems include: some patients showed early onset of confusion, not knowing what to do, and do not know how to face the reality, deny that they have been ill and that a diagnosis of errors , or even confusion, inability to concentrate, or feel angry, think they should not get sick, emotional, picky, irritability, lack of cooperation on the treatment, and even resentment and aggressive behavior, not with the doctors and nurses of the treatment. As the disease progresses, patients gradually accepted the fact, but some patients depression, manifested as insomnia, sleep slow, sleep and wake up early is not real, loss of appetite, depression, frustration, lack of confidence on the treatment, even suicidal thoughts; some patients increased inferiority complex, do not believe in yourself that this is God's punishment on their own, while others fear discrimination and being social, family, friends, abandoned; more, a very small number of patients the disease heavy application of suction aspiration machine treatment, may be desperation, that their certain death, treatment is the treatment of little significance; a small number of patients showed over-reliance on psychology, over-reliance on breathing machines, medical staff repeatedly stated that even if the condition improved, no need to Respirator,[link widoczny dla zalogowanych], however, refused to weaning, weaning even if reluctantly agreed, but also often experience difficulty in breathing and called for continued application of the pretext of breathing machines, and some patients repeatedly asked staff to explain the disease, treatment; some patients, mood stable, easy to cry; some patients are concerned about everywhere ask others to take care of childish behavior, the behavior of similar children J. Some patients have been aware of their psychological problems, that they need psychological help were to 21/52. Seen. Psychological intervention on patients SAILS is necessary. Psychological characteristics of patients for SARS,[link widoczny dla zalogowanych], we believe that psychological intervention can be from the following aspects: 1. Understanding, compassion patient, put yourself in the interests of the patients, their misconduct can not be laughed at. Can not be ignored, their negative emotions and aggressive behavior should be prepared in advance and can not stand the loss of doctors; 2. Tell the patient to listen patiently and do detailed interpretation: including knowledge of SARS prevention and treatment, prognosis, treatment, isolation and protection significance, to help patients build confidence and encourage the patient to a positive attitude towards the scientific treatment; 3. As a highly contagious SARS, doctors dressed in protective clothing for prolonged bedside interview is not possible, so to make full use of rounds to discover the patient's psychological problems as soon as possible to ease solution. Nurses can be used when necessary, radio stations, mobile phones, psychological counseling hotline for the patients. In addition, written materials can also be used on patients with psychological support. 4. Ward should be in the proper proportion SAILS with mental health professionals (each less than 100 SARS patients a professional.) Pre-service training of frontline health care workers should be increased in patients with psychological problems identified professional content, while the arrangements should be planned visit wards mental health professionals for early detection of psychiatric symptoms in patients with early psychological support. 5. The psychological treatment was not obvious, should be promptly requested the psychiatrists received drug treatment. Medication to consider the patient's age, the severity of SARS symptoms, eating a whole body of case status J. Late in SAILS in our hospital hired two psychologists Beijing Anding Hospital for SARS patients, psychological intervention,[link widoczny dla zalogowanych], the effect is good. 6. Mobilizing social support system to encourage patients to read the newspapers, TV, among relatives and friends to encourage them to use the telephone, SMS, letters, etc. to contact, let them know the progress of the fight against SARS,[link widoczny dla zalogowanych], feel the social, family, relatives and friends for their concern and support, help them establish the confidence of victory over SARS.
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