浅谈烧伤患者家属不良心理及在早期治疗中影响.docVIP

浅谈烧伤患者家属不良心理及在早期治疗中影响 　　【中图分类号】R395.2【文献标识码】A【文章编号】1005-2720(2009)03-0003-03 　　【摘要】目的：探讨烧伤患者家属不良心理反应产生的原因及对患者早期治疗中产生的影响。方法：回顾我院14例烧伤患者家属在患者烧伤后2d内的不良心理反应及该14例患者的早期疗效结果，将之归纳分析。结果：因病员家属的不良心理反应，导致14例患者中，2例死亡，5例早期创面感染(包括1例死亡)，4例出现电解质紊乱，2例不能立即制定最佳治疗方案，2例无特殊异常。结论：烧伤患者家属出现不良心理反应通常不是单一因素造成的，而是不良情绪、不健康性格特点和削弱机体功能条件等共同作用的结果；烧伤患者家属的不良心理反应会对烧伤患者早期治疗带来不良影响，甚至是致命的影响。 　　【关键词】烧伤；早期治疗；不良心理反应；患者家属 　　 　　An elementary introduction to the unhealthy psychology of the family members of patients with burns and its influence on early-stage treatment.Dong Hongfeng，Xu Yuanda，Liu Qian.(The third people’s hospital of Neijiang city，Sichuan 641000，China) 　　【Abstract】Objective：Discuss the causes of the unhealthy psychology of the family members of patients with burns and its influence on early-stage treatment.Methods：Review the unhealthy psychology of the family members in the first two days of the burns’ break-out and the curative effects of early-stage treatment in fourteen cases of burns.Then analyze the above mentioned cases and make a conclusion.Results：In the above mentioned fourteen cases of burns，the unhealthy psychology of family members led to two cases of death，five cases of early-stage wound infection (including one case of death)，four cases of electrolytic disorder，two cases that made the doctors fail to work out an optimum treatment plan immediately，and two cases that showed no particular abnormality.Conclusion：The unhealthy psychology of family members of the patients with burns is caused by the combination of bad moods，unhealthy characteristics and the weakened physical functions rather than a single factor.The unhealthy psychology of the family members may have a harmful influence on the early-stage treatment，and such kind of influence even can be life-threatening. 　　【Key Words】Burns；Early-stage treatment??Unhealthy psychology；Family members of the patients 　　 　　70年代，美国曼彻斯特大学教授恩格尔提出了生物-心理-社会医学模式的新概念，在既往的生物模式中引进了心理因素和社会因素，把人看作了一个心身统一的社会实体。几十年来，新的医学模式已经广泛的被临床医生接受，烧伤治疗也从单纯的抗