浅析护患关系的现状及原因

护患关系是指在医疗过程中护士与患者之间的关系,它不仅影响护患双方的心理需要和行为,而且直接影响着患者疾病的治疗效果与康复状况。文章结合护士在护患关系中的主导地位,主要从护患关系的社会背景、人力配置、护士自身素质、患者因素及医院管理因素等方面就护患美系现状及原因进行论述。     

一类HIV模型的T-S模糊控制

通过对HIV感染者在潜伏期的情况进行分析,讨论心理因素对艾滋病传播的影响.利用模糊控制对感染人群作心理社会干预,延缓其转化为AIDS的速度.     

高职院校精神科护理学教学实施“课程思政”探索

“课程思政”是高校思想政治工作的新要求,各类课程都要与思想政治理论课同向同行,形成协同效应。要结合精神科护理学课程的特点,挖掘与其相关的思政育人素材,设计“课程思政”具体方案。要通过讲授提问式教学、叙事式教学进行理论教学,通过PBL教学、电台电影故事评析、角色扮演等方式进行实践教学,同时重视第二课堂的融入。全方位育人模式可以实现教育引导和价值引领,培育具有良好职业道德观、价值观的高素质护理人才。     

晚期癌症病人的临终护理

如何提高晚期癌症病人的生活质量,笔者自2003年4月～2005年4月共收晚期癌症病人72例,从72例临终病人的护理过程中,笔者认为:尽量满足临终病人的心理需要;帮助患者创造优美舒适的环境;协助患者减轻躯体和心理的痛苦;做好家属的护理工作等四个方面是让临终病人宁静、舒适地度过余生行之有效的护理方法。     

Chapter 11.

Abstract

This chapter presents answers to the twenty questions asked at the beginning of this volume, articulates a number of generally poor current practices of pharmacotherapy, makes suggestions for improvement in treatments combining medication and psychotherapy, and proposes important research at colleges and universities to gain understanding of use and misuse of psychotropic medication. We suggest that institutions of higher learning are primary places to reform and improve mental health services and are among the best proponents of community mental health theory, practice and research.     

College Student Utilization of a Comprehensive Psychiatric Emergency Program

The authors sought to identify college students at risk for experiencing a mental health crisis that warranted a psychiatric evaluation at a hospital and/or a psychiatric hospitalization. A retrospective chart review of college students evaluated at a comprehensive psychiatric emergency program during a 1‐year period was conducted. Demographic variables, mental health treatment history, diagnosis, and hospital discharge plans were found to predict those students likely to be hospitalized and those likely to have positive discharge outcomes.     

Working With Students With Psychiatric Disabilities or Other Emotional Problems

The professional literature on gatekeeping in social work education has grown; however, there remains a dearth in the literature regarding how educators truly work to engage students who are experiencing a psychiatric disability or other emotional problem. This qualitative study explored the experiences of 26 social work educators from 22 colleges and universities in the United States. Practice wisdoms emerged as interwoven strategies which encourage proactive interventions that accentuate students’ strengths through socially just opportunities. Identified strategies include having an awareness of psychosocial and environmental stressors that students may be experiencing, recognizing warning signs, approaching students, and building appropriate faculty–student relationships.     

关于中国现行医疗制度改革的几点思考

在中国目前的医疗体制下,医患双方是医疗服务市场的博弈的主体。由于医疗服务的特殊性,使患者在医患双方博弈中明显处于弱势地位。中国目前的报销制是:患者先就医,交全款,再到医保机构报销。这可看成患者与医院(医生)和医保机构之间的双重博弈,而在两次博弈中,患者总是处于信息弱势地位,利益受到双重侵害。引入第三方购买有效控制的只是医患信息不对称导致医疗服务提供方的道德风险,而对医患信息不对称导致医疗服务需求方的道德风险作用不大,并有可能扩大这种道德风险。     

浅谈培养临床医师如何看待及改善医患矛盾

医患矛盾目前已经上升为国内医疗行业的主要矛盾之一。近年来,全国不同地区频繁出现各类伤医事件,对医疗界的影响非常大。医患矛盾究竟伤害最大的是哪方,这种不理智行为背后的真正原因又是什么,如何在平时带教过程中指导临床医师正确认识医患矛盾。本文回答的是:医患矛盾伤害的是医患双方的利益,临床医师要客观分析医患矛盾的主要原因。由于医患矛盾影响重大,临床医师要充分认识医患矛盾的本质,提出改善医患矛盾的可能途径。     

22例慢性疾病患者临终心态分析与探讨

临终病人的心态十分复杂，归纳起来有4种：恐惧心理、愤怒心理、抑郁悲观心理和认可心理。作为一个医务人员，应细致观察，认真分析每一个临终病人的心理变化，做好心理治疗，尽力使病人临终前处于舒适、宁静、安详的状态。