解放军医院管理杂志
解放軍醫院管理雜誌
해방군의원관리잡지
HOSPITAL ADMINISTRATION JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2013年
12期
1113-1114,1117
,共3页
段力萨%韩晨光%李玉明%冯俊敏%徐磊
段力薩%韓晨光%李玉明%馮俊敏%徐磊
단력살%한신광%리옥명%풍준민%서뢰
非精神科患者%心理问题%医疗纠纷%防范
非精神科患者%心理問題%醫療糾紛%防範
비정신과환자%심리문제%의료규분%방범
non-psychopathic patient%psychological problem%medical dispute%prevention
临床上非精神科患者出现焦虑、抑郁、人格障碍时容易引发医疗纠纷,其中偏执型人格和反社会型人格易发生极端、暴力行为,主诊医师应在注重医患沟通技巧和人文关怀的同时,对患者的心理状况做出准确评估,视情况给予心理危机干预、常态监测、心理咨询或药物治疗,必要时转介至精神科施以专科规范化治疗,有效防范重大医疗纠纷。
臨床上非精神科患者齣現焦慮、抑鬱、人格障礙時容易引髮醫療糾紛,其中偏執型人格和反社會型人格易髮生極耑、暴力行為,主診醫師應在註重醫患溝通技巧和人文關懷的同時,對患者的心理狀況做齣準確評估,視情況給予心理危機榦預、常態鑑測、心理咨詢或藥物治療,必要時轉介至精神科施以專科規範化治療,有效防範重大醫療糾紛。
림상상비정신과환자출현초필、억욱、인격장애시용역인발의료규분,기중편집형인격화반사회형인격역발생겁단、폭역행위,주진의사응재주중의환구통기교화인문관부적동시,대환자적심리상황주출준학평고,시정황급여심리위궤간예、상태감측、심리자순혹약물치료,필요시전개지정신과시이전과규범화치료,유효방범중대의료규분。
Non -psychopathic patients with anxiety , depression and personality disorder tend to cause medical disputes in clinic , who with paranoid and antisocial type of personality disorder more easily tend to cause violence against doctors .Attending physician should pay more attention to the communication skills and humanistic concern to patients with psychological problems , according to whose psychological status to choose different kinds of treatment options such as crisis monitoring , intervention , psychological consultation , referral to prevent severe med-ical disputes .