Monday, July 23, 2012

Patient's general psychological activity characteristic

Patient's general psychological activity characteristic
The psychology is a function of the human brain, it is the reflection of an objective reality in the human brain, after people are ill, so long as consciousness is clear, move about carrying on the psychology in the head constantly too, this is self-evident, but the patient and psychological activity of the healthy people are the same and different, because the psychological activity of healthy people mainly meets social life, the patient is the behavior not meeting social life exactly, the psychological activity of healthy people point to in the objective environment of external world more, but the patient's psychological activity points to at one's own and disease more, patient's general psychological activity characteristic is as follows: 1. The subjective feeling is unusual: (content sees the psychological book P P228 of medical science) What is called subjective feeling is unusual, just mean after patients are ill, because of the response of the sick body, the role's change conflicts with the psychology, experiencing subjectively and experience and normal difference occasionally. Except that the sick body reacts, mainly because the patient gathers to be busy working and studying before being ill, the psychological activity often points to external objective things, does not look out to one's own body state very much; Once the patient is ill, will turn to immediately oneself attention, the voice that even wriggles to one's own breath, heartbeat, intestines and stomach is unusually sensitive. Because the body moves about little, the environment is quiet, the nyctinasty has been improved. Not only it is very sensitive to stimulate external world such as the sound, light, warm temperature, even one's own body posture, posture seem very clearly aware. For example, thought the pillow low a moment later and thought a moment later the quilt sank, it is not open and flat to complain about the sheet a moment later, always stand up frequently. Some will present the abnormal state of space perception. Normal people think delicious taste, but perhaps cause patients to be repugnant; Normal people think beautiful color, the patient feels disagreeable to settle to see; The ones that will cause the patient too in the laughing of even normal people are bored. 2.The not good, unhappy mental state of the mental state has an infective one, a kind of fainter and lastinger mood state. Patient fall ill, good morale stimulate, apt to form bad mental state. The mental state is not good, not pleasing to the eye what what is analysed on meetinged, what is listened to to want anything to be vexed. Because of this kind of mental state, easy to present and anxious, is enraged or downhearted. So, some patients are angry easily, lose the temper easily, even become wilful. This kind of emotional responess of the patient's, men are shown as more and made a racket for some minor matters, depressed to cry that women are shown as more. Especially when meet the condition and change, or do the inspection specially and or prepare the operationing, mood is apter to surge making, so that anxious, frightened and sleeping well, can't go with rice. It is turned into the external behavior that some pairs of heart are agitated, freshenned up suddenly such as some, some have a hair-cut and shave, some wave pens and write a letter in a large amount, some eat the things gobbling up, some is overlooked outside the window for a long time, others cheat the head and sleep etc. big. 3,Rely on passively passive reliance whether one submit to and spoil the angry psychological condition. Once a healthy person falls ill, will be cared for by family and comrade around naturally, even the members not tall of the usual at home or unit status, became the centre taken care of suddenly now. Meanwhile, through self-suggestion, patient does not become soft vigorous as before too. The patient generally becomes passive, submits to, relies on delicately and angrily at this moment, the emotion makes the color of some naivety of fragility even strip. So long as the relative is present, the thing that actually could be done by oneself is not done by others either, actually the thing that can eat advised several times that can not eat any more either; Will the intersection of independence and very strong person become, have judgment ever, conceited people that seeks to do others down have no confidence ever. Even got used to doing leading position and dominant person, advicing to medical worker is docile now. Their love and affiliated sense increase at this moment, hope to get the visiting of more relatives and friends, hope to get more care and warmth; Will feel and sympathize with lonelily and by oneself otherwise. 4,The value sense of sensitive self-esteem people is linked to the self-esteem closely. Fine quality that self-respect is the intact personality with improving oneself. People are sick, the self-value sense must be dampened, the self-esteem will be injured in various degree too. The patient is more sensitive compared with being usual at this moment, the minor matter of the bit should be assessed and assessed too. Some people are addressed somebody disrespectfully by name, when especially substituted the name with bed number, uncomfortable in the heart. 5,It if you can't whether it is after if you can't laden with misgivings, suspecting, imply self-ly passively lack this kind each according to conjecture, will influence the correct judgement to objective things. Will often become neurotic after the patient is ill, hear others' speech in a low voice, thinking and discussing one's own disease, feel one's own condition was serious, even incurable. Half believe, half doubt to others' advising with kind words too, others' meaning that even twist, have an injection, handle, check, laden with misgivings taking medicine, worry misdiagnosing, worry taking medicine by mistake, get the wrong number stitch. Some infer medicines according to medical science and pharmacology knowledge that oneself have half knowledge, infer the prognosis. They worry about the side effect of the medicine very much, are afraid probability is that a few percent, more than 1 medical mistakes or unexpected misfortune land to oneself on one's body. Some position of body unusually feels slightly, guess arbitrarily. In addition, some of them will also afraid that increase family's financial burden because of disease, influence one's own future,etc.. Some patient schooling is low, lack scientific physiology, pharmacology knowledge, often understand the abnormal phenomenon of one's own physiological function with the feudalistic superstition legend. As the course of disease and nonconformity which he himself anticipates, in it is cranky that fall into, even in a constant state of anxiety. 6,It is a kind of worry and afraid with unidentified, indescribable target to be anxious, frightened and anxious. It might come from, to the intersection of itself and ill uneasiness, too may come from the intersection of disease and clinical manifestation of itself. Take impatient as an example, when someone in hospital, anxious to wish being admitted to hospital; Admitted to hospital, we reach the ward mate's introduction, see some around sees the patient's state, can't help producing a kind of terrific sense, seem to face the enormous threat, march toward at the crucial moment of life and death. They are very nervous on spirit, offer as a gift the disease, is afraid of the death after fear pain, is afraid of having an operation, afraiding of stayinging, on tenterhooks all day. Even see pure white overcoat, the white wall, will produce a kind of solemn, deathly still feeling too. They hope to do the inspection to disease, and fear the inspection; They hope to know that diagnose the result, does not dare to see and diagnose the result, the psychology is full of contradictions. Some of them inquire the condition repeatedly; Though some avoid the disease without discussing, it is weighed down with anxieties actually. 7,Individual of feeling of loneliness fell ill and left family and industrial unit and lived in the hospital ward, the ones that contact are all strangers around. The doctor is only in speaking a few words, nurse to the patient when makes the rounds of the wards once a day Have an injection and send medicines regularly, the few talk again. In this way the patient produced a kind of feeling of loneliness naturally. Patient and extroverted patient living in the little ward are apter to produce the feeling of loneliness. Once there was a patient who did bone-marrow transplantation, actually lived in the large ward, the condition was steady at this moment, the general state is better, move about freely. Isolate the patient aseptically before operation, move to the small ward. Unexpectedly, this patient feels lonely, afraid, have feeling of shutting off oneself from society, refuse to be eaten insomnia, result treat operation is because extremely depleted death. 8,Expect the expectation psychology of the psychological patient is the pursuit of the bright imagination which points to the future. After people fall ill, not only the body has changed, but also tormented psychologically. So the no matter acute or chronic patients all hope to be sympathized with and supported, get serious treatment and nursing, anxious to wish recovering as soon as possible. This kind of expectation psychology impels patients to ask medicines everywhere, all directions seek medical advice. They place on the doctor with superb medical skill, place on the innovation of the nursery work, place on the invention of Singapore side, panacea, the appearance of the medical miracle of illusion. In a word, expecting to recover, is expecting to survive. Those expect patient with higher level, often relatives' comfort, doctor and nurse's encouragement is deemed the condition is lightened, even the sign that will fully recover soon; When becoming more serious in condition, will take a favorable turn soon after looking forward to the peak again; Will already enter critical days, will be expecting to be possible to come back to life, pull through too. 9 is lost and helped, sympathized with by oneself This one kind powerless, have no way out, mood state that grief and indignation sympathizes with by oneself. This kind of mood state often takes place in suffering from the patient bad or who faces the life danger of the prognosis. It out of control because of psychological stress, the intersection of self-value and lose of sense, and reducing of self-confidence cause, it is a kind of passive psychology, Seligmann (Seligman) Think, as one thinks he has no control to the situation, and when being unable to change it, will produce and lose and help the sense. Under losing the psychological condition that is helped, the patient often appears from the sad mood that sympathizes with by oneself: " ill why I just grow this kind " ," God's why and I can not go over " . It is desperate that the patient starts from, greatly lose the temper for no reason at all sometimes, it is stiff to display the wood of mood sometimes, apathetic, it seems that the disaster comes, some always look in the mirror and say good-bye to oneself, recall the past, yearn in life. 10,Habituation psychological patient fall ill just, acknowledge sick for the moment often, often regard oneself as healthy people for the moment. This kind of psychological condition is a habit of long-term healthy life the tendency causes definitely. People adapt to the environment and all need certain psychological preparation. Although they come to the hospital, has not entered " patient roles " yet actually . The patient has this kind of psychological conditions that is unfavorable to cooperating to treat, are unfavorable to settling down to recuperate, so the medical worker should try to let patients shorten this course. However, meet patient's life, often produce the habituation to disease as the patient, namely had an injection, took medicine on time, handled affairs according to the doctor's order, became one's own behavior pattern, always think one's own disease needs long-term recuperation and treats. Even if already recovered, has always felt " weak " psychologically in body disease . So the patient should leave hospital unwilling to leave hospital, should go to work and can't go to work. This is because they are used to patient roles again psychologically, on the body, namely that kind rely on more and activity little moving the intersection of brain and patient's life mode such as being little, can't change for the moment.

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