Can Fam Physician. 1983 Mar;29:515-9.
Stress and worry are always a part of our patients' problems and frequently the sole cause of their symptoms. Ways of relieving anxiety in different types of patients are described, according to complexity and time required. The main principles are: adequate diagnosis; explanation of the stress symptom cycle; supportive reassurance; identification and reduction of stressors where possible, and varying degrees of personal development to bring patients' level of functioning and adjustment up to match his stresses. Objections and difficulties are discussed, together with benefits such as diminised use of anxiolytics; a healthier adjustment for the patient, and greater job satisfaction for the physician.
压力和焦虑一直是患者问题的一部分,也是他们症状的主要原因。根据复杂性和所需时间的不同,我们为不同类型的患者描述了缓解焦虑的方法。主要原则包括:充分诊断;解释压力症状循环;提供支持和保证;在可能的情况下识别和减少压力源,并在个人发展方面进行不同程度的调整,以使患者的功能和适应水平与压力相匹配。本文还讨论了可能遇到的反对意见和困难,以及其带来的益处,如减少使用抗焦虑药物;患者更健康的调整;医生更大的工作满意度。