危重患者的心理疏导  

Psychological Coping Methods for Critical Patients

作　　者：潘星晨[1] 陈中永[2] 赵学[3] 

机构地区：[1]内蒙古师范大学心理学系,内蒙古呼和浩特011517 [2]内蒙古师范大学教育科学学院,内蒙古呼和浩特011517 [3]第二军医大学,上海200433

出　　处：《医学与哲学（B）》2017年第5期74-76,85,共4页Medicine & Philosophy(B)

摘　　要：在对危重患者的救治过程中,必然形成一种以患者为中心的医护人员、患者、家属三方互动的复杂且微妙的社会关系,其中,患者的求生欲望是影响救治方案和救治效果的重要决定因素。危重患者的求生欲望可分为积极型、依存型、放任型和放弃型四种,不同动机类型的患者在医患互动过程中的心理及行为表现有明显的差异。及时把握危重患者的求生欲类型,对患者做好分类疏导,对家属做好医患协调,对医方做好心理教育,和谐处理三方关系,合理制定救治方案,可最大化地获得临床救治效果。A complicated and subtle social relationship between medical staff, patients, and their family members is usually formed during the treatment processes for serious and critical patients. A vital factor for the success and the choice of medical treatment strategies is the patients＇ desire for survival. Serious and critical patients can be classified as four types： Optimistic, Dependent, Laissez-faire and Giving up. Significant differences could be observed between these four subtypes. To understand these psychological status of the patients, focus on classified persuasion, coordinate doctor- patient relationship, proceed psychological education for medical workers, and to take the appropriate psychological counseling accordingly is important for coordinating the tripartite relationship, making rational treatment strategies, and maximizing clinical treatment effects.

关 键 词：危重患者 求生欲望 社会关系 心理疏导 

分 类 号：R395.2[哲学宗教—心理学]