Psychological care of cancer patients
According to foreign literature, about 34% ~ 44% of cancer patients with significant psychological stress reactions or psychological disorder, of which 18% of patients in line with the diagnosis of severe depressive episode. How to help alleviate the psychological burden of cancer patients get rid of emotional distress, improve quality of life, is a cancer, mental, psychological disciplines, such as one of the issues which deserve our attention.
How do cancer patients should have the psychological quality of it? Itami, Japan's leading medical expert Professor said: "fear of death and disease is a very healthy psychological, there is no such fear of psychology is not normal. For the fear do not worry about it, the focus should be placed on the pursuit of a meaningful life. "encouraged cancer patients to constructive and positive attitude in life, so as to achieve the cure for cancer and other chronic purposes.
People get sick after a series of mental activity will change in the patient's mental activity can be summed up with the following common characteristics:
(1)-dependent increase in passive increase, behavior becomes childish;
(2) self-esteem increased, after they fell sick and believe that others should be the concern and care, the pro-people should make a contribution to their
(3) increased suspicion, or even whisper that someone is talking about his condition and so on;
(4) is also shown as follows: subjective paresthesia, emotional excitability, anxiety and fear, fear of loneliness and so on;
Family members of cancer patients during cancer treatment is a very important aspect of patient care they care about the finer level is an important factor in rehabilitation of patients. Therefore, the cancer patient's family to try to do the following:
1, when the doctors confirm the patient and to inform families about the illness, the family should strive to control their emotions, and timely to doctors about the patient's overall situation, to provoke the important task of caring for patients and help doctors choose the best treatment options in order to obtain satisfactory efficacy.
2, the patient was informed that his condition would cause pessimism, fear and tension, and some even holding a negative attitude, to refuse treatment, waiting for death. Here family members to be patient persuasion, to help extricate patients from suffering and establish the confidence to fight cancer, accept and cooperate with treatment.
3, we must pay great attention to diet to restore the patient to provide patients with delicious delicious, digestible, nutritious diet. Patients after surgery radiotherapy and chemotherapy process, physical strength, loss of appetite, food allocation is particularly important, it can improve the body's immunity and cancer-fighting ability, is conducive to recovery.
4, in the treatment, the patient is very painful, some patients may be a great temperament, family members should be patient and understanding, sharing the patient's pain, especially in patients whose condition had deteriorated and even hopeless, the family members should be given to the psychological comfort of patients and moral support.
5, cancer treatment is a long-term process, in addition to treatment period, but also regular visits to the hospital, family members of patients completing each follow-up to tie in with.
Suggestion Therapy can be directly carried out, such as the above example is a direct hint; also in conjunction with other treatments, for example, a variety of drugs, physical therapy, qigong, and so there will always be coupled with suggestion therapy unexpected results. Suggestion therapy can also be divided into, "he suggested," that is implied by others to commit and the "self-suggestion" that the patient himself to a particular concept of implied to yourself. Some therapists have found that, through the imagination (self-suggestion) can increase the number of immune cells, for a variety of patients (as large as cancer, as small as a cold) has a different effect. Such as the United States has a long neck malignant tumors of the female patients, doctors concluded that she could only live 3 months later in a medical and psychological expert's recommendation, adopted the "imagination therapy," she sit on the bed every day, heart can not concentrate, focus on imagination neck tumor is a devil, but his body's white blood cells are brave knight, is wielding a sword to attack the devil, and continue to be the devil gradually exterminated. Imagine 2-3 times a day, a year later, the patient did not die on schedule, but miraculously recovered. According to U.S. experts, statistics, 159 hospitals have announced that cancer patients live less than a year, through imagination therapy, survived for at least 20 months, 1 / 4, some or all of the patients back to health. The principle may be to imagine therapy is the use of the brain and the body's immune system, there is a link between the imagination to make the body's immune function to be improved so as to effectively suppress the progress of the disease. Now imagine the therapy in foreign countries has become a cure "incurable" and the necessary prescriptions, this prescription can at least beat the disease so that patients, to enhance confidence, reduce the mental pressure on the rehabilitation is undoubtedly useful.
The use of suggestion therapy, there must be guided by an expert medical psychology, must not be indiscriminate use; In addition, the doctor's language, expressions are certainly serve as a suggested means to treat disease, but hinted that bad but can have serious consequences; In addition, the implied therapy for different people may produce different results.
The transfer of the patient's attention. Patients tend to focus on the condition and can lead to adverse emotional issues, such as the financial burden of child support, elderly care, interpersonal relationships. Depending on the circumstances, to encourage patients to develop the appropriate hobbies, such as flowers, raising birds, calligraphy, art, etc., will shift its attention to the love interest in the past, bad mood will gradually improve.
Psychological support for cancer patients, especially for patients with timid, fear of asking questions disturb the doctor's patient, easy access to objectionable information of patients. Family members to cancer patients, psychological support, to provide patients with relevant laboratory tests, diagnosis, treatment side effects, prognosis, medical expenses, and other information. To discuss with patients the disease may be caused by a strong negative emotional reactions, as much as possible the mobilization of different social support systems to help patients. To explore measures to overcome adverse emotional reaction to eliminate some of the wrong understanding of the patient and give a certain degree of assurance and support to patients of cancer and its treatment to reduce the emergence of maladaptation.
In patients with psychological support, family members should be adjusted up their mind, knew how to face the patient; how to understand the patient's emotional response; how clinicians and patients, good communication. If necessary, seek advice from doctors about patients may develop a variety of psychological and behavioral reactions, resulting in a variety of psychological and behavioral reactions cause various negative psychological and behavioral understanding of a variety of management principles.
Drug treatment: anti-coke through the use of virtual drugs, antidepressants, antipsychotics, or anesthetics, etc. to alleviate those who have secondary cancer diagnosis or treatment of adjustment disorder, a serious coke virtual, severe depression, schizophrenia, pain , nausea and vomiting, and insomnia. Family members should help patients to establish a correct understanding of methods and the correct behavior of certain patients with the church. To help patients to change due to cancer diagnosis, treatment, rehabilitation, cognitive and non-performing during the bad behavior. , Patients can learn to cope with the psychological and effective way of dealing with is always the skills that will enable patients to successfully solve a wide range of real-life problems. How to cope with chemotherapy side effects occur, how to shape the face of post-resection changes. Regularly with the patient discuss the patient to express all their issues of concern to the disease and the expression of disease-related fear, sadness, anger and other emotions are used to. Since the majority of cancer patients all have "C"-type of personality characteristics and obstacles, they often lack the expression of their own fear, anxiety, and they often feel lonely, and often left alone to face a variety of fears. Cancer patients should be given to provide a good atmosphere, so that they can express all the emotions and the issues of concern and accept emotional support. Family members should encourage patients to share more with fellow patients, through the exchanges between fellow patients, in which patients learn how to face various problems. And through exchange between the patient and help each other and encouraging each other to improve the character of the patient to maintain a good frame of mind. In the specific cancer diagnosis and begin treatment when the patient early psychological support, which can improve the patient's quality of life and survival.