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[截肢后患者的疾病应对与心理治疗]

[Coping with illness and psychotherapy for patients after amputation].

作者信息

Lange C, Heuft G

机构信息

Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster, Domagkstrasse 22, 48129 Münster.

出版信息

Orthopade. 2001 Mar;30(3):155-60. doi: 10.1007/s001320050589.

Abstract

Psychology is often neglected or glossed over in most works dealing with the rehabilitation of the amputee. Treating the psychological and social problems faced by the amputee often has more significance for his-satisfaction with life than the quality of the surgery or the nature of his prosthetic device. In the following paper, a complex model for the biopsychosocial adaptation after amputation is presented. In this model, the important diagnostic criteria in interaction with specific individual coping strategies are formulated, which explain the difficult psychosocial adaptation. Professional diagnosis and further indication are necessary on an individual basis. The main goal of every intervention is the psychic stabilization of the patient by taking into account his personal resources. Because of the complex somatic, social, and psychic problems which arise after an amputation, thorough cooperation between specialists is recommended.

摘要

在大多数有关截肢者康复的著作中,心理学常常被忽视或一笔带过。对于截肢者而言,处理其面临的心理和社会问题,往往比手术质量或假肢装置的特性对其生活满意度更具重要意义。在下文里,将呈现一个截肢后生物心理社会适应的复杂模型。在这个模型中,与特定个体应对策略相互作用的重要诊断标准得以制定,这些标准解释了艰难的心理社会适应情况。需要基于个体情况进行专业诊断和进一步的指导。每次干预的主要目标是通过考虑患者的个人资源来实现其心理稳定。由于截肢后会出现复杂的躯体、社会和心理问题,建议专家之间进行全面合作。

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