Gordon A M
Br J Psychiatry. 1975 Dec;127:588-90. doi: 10.1192/bjp.127.6.588.
Treatment under conditions of gnotobiotic isolation can augment the stress of adaptation to a diagnosis of leukaemia. Identification of the psychological problems experienced in isolator treatment can contribute to the effective maintenance of therapy. Individual patterns of adjustment to treatment relate to the psychological defence mechanisms employed to contend with the dependent position enforced by isolation. Psychiatric assessment can assist both patients and nursing staff with the management of their separate difficulties in this unfamiliar treatment situation. Psychological features of isolator treatment in ten patients with acute leukemia are described and suggestions proposed for psychological management of patients under isolator conditions.
在无菌隔离条件下进行治疗可能会增加适应白血病诊断的压力。识别隔离治疗中经历的心理问题有助于有效维持治疗。个体对治疗的适应模式与为应对隔离所带来的依赖状态而采用的心理防御机制有关。精神病学评估可以帮助患者和护理人员应对在这种陌生治疗环境中各自面临的困难。本文描述了10例急性白血病患者隔离治疗的心理特征，并针对隔离条件下患者的心理管理提出了建议。
