Curing tumour can't only depend on medical technology Expert: It influences curative effect that the psychology is intervened

Curing tumour can't only depend on medical technology Expert: It influences curative effect that the psychology is intervened
"In tumour treats the field, medical technology is being realized and created and melted a little progressively, but in the spiritual field, the patient's wound has not dwindled. " On the international lung cancer forum in Shanghai in China of 2009 held a few days ago, lung cancer treated experts, chest hospital Professor Liao MeiLin to say like this: "This group of ours expects to have specialized psychotherapy doctors or social workers to participate in very much, but beset with difficulties. "
In recent years, in the clinical medical center of lung tumour of Shanghai of the chest hospital, the idea of complex treatment has already been accepted by doctors and patients both sides, the patients can be exposed to the medical expert in many aspects such as internal medicine, surgery, dept. of radiology,etc. in an inpatient area in time, but they are unable to go out of the psychological shade all the time.
The tumour patient has 5 pieces of psychology to change one
Shun Lu the intersection of Shanghai and the intersection of lung and the intersection of tumour and clinical the intersection of medical center and director, he special topic make the intersection of lung cancer and psychology of patient investigate ever. , the psychology of the lung cancer patient will usually go through the shock one, deny fixed, helpless one, calm one and 5 pieces of course of anxiety.
At first, they will be dull there, at a loss; See a doctor everywhere subsequently, the diagnosis of expecting the doctor to make is wrong; They will be unusually helpless hereafter, leave it to chance, will present alternatively on the basis of therapeutic change of the condition in the last two periods, it is relatively calm to treat the effectual patient, but if recur, the anxiety of their heart can't be inhibited, " seek supernatural medicine and often appear within this time slot " .
"In fact, every stages when the patient went through need help of the professional personage, it's a pity doctor, nurse are too busy in the hospital, can't attend to; Society worker, psychologist are deficient. " Lu Shun thinks, the specialized department of tumour should allocate professional psychological personnel, in the existing health care personnel system, basic such as the impossible arrangement" The strength " .
The same question appears in the surgical inpatient area of mammary gland of the hospital of Rui Jin, director Professor Shen KunWei is making great efforts to make one's own complex treatment group. Since this period of time, he has frequently contacted the doctor of nutriology dept., psychology dept. doctor, expect that can make brand-new breast cancer and treat the mode in the future.
"Each patient is very anxious, their original life law is totally broken, wonder how life goes down in the future. " Shen KunWei's breast cancer clinic in design should include a plurality of respects of nutrition and psychology. "Breast cancer patient oneself unwilling to enter into psychological clinic usually, but if in the training clinic of mammary gland, their resistance is much smaller, getting the possibility to show loving care for is greater. "
It influences the therapeutic effect directly that the tumour psychology is intervened
"Medical science was developed so far, the life quality of improving the tumour patient should not already only depend on medical technology, the intervention of the society, psychological factor has been with considerable scale for a long time abroad, but Shanghai remains one slice of blanks. "
A survey of more than 10,000 tumour patients of 11 domestic hospitals that is announced recently reveals, nearly 30% of the tumour patients can diagnose spiritual disease directly, there are more persons who has psychological problem of spirit. Among them, because hepatocarcinoma patient is life cycle is short, ones that present psychological problem of spirit are the most; Secondly it is a breast cancer patient; The recuring tumour patient's psychological problem occupies the third place.
The dragon chief physician of galactophore dept. of hospital of China Liu Sheng says, the psychological obstacle influences therapeutic effect and existence quality of the breast cancer patient seriously. A lot of research indicates, mood passes the nerve of function - -Endocrine - -The immune system works with tumour, the depressed severity is correlated with presenting shouldering in immunological function and life quality. It can influence secreting the activity normally of hormone, weaken the organism and defend function that tense, inhibit, thus accelerate the cancer process and promote the transformation of malignant tumour to recur.
"It is not merely a kind of help that spirit is created and melted definitely a little, treat a very important part in the idea especially. " Liao MeiLin says.
Spirit create, have system mechanisms to take a little
Unfortunately, in tumour in every large hospital of Shanghai treats the field, few or there is no psychology to intervene. Most patients can only look for psychology by oneself " The breach " . Leave hospital in one on the patient's questionnaire, a lot of cancer patients, when what are wanted to do after asked about and left hospital, fill out very ignorantly " Do not have " The word, in fact their psychology was not really relied on.
More extreme example is to commit suicide. The data of hospital of some the first, second and third reveal, the patient produced thought of committing suicide in more than 50% cancer later period, 2 cases of death of jumping out of the building of every year on average.
More patients are in the state of social edge people after treatment. They are unwilling to return to the society again, and other people do not know either how to get along with them. Liao MeiLin says: "As to the thing that the tumour patient not only can't turn a deaf ear to can't care excessively, they do not like the sympathy and pity but also, dislike the words behind people even more. "
Without participation of the professional group, Xuan Jiao of the society has no way of doing especially. "A lot of things are not called, but there should be system, group and mechanism, care cancer reason of patient seem everybody understand but how make specifically, but the fine long hair is directionless. " Shen KunWei thinks, the overall recovery in, after the tumour treatment is a comprehensive discipline, must be paid attention to, help the patient to go out of the shade as soon as possible, realize spirit is created and melted a little as soon as possible. (Shi JiaQi)
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