Jurewicz Izabela
Cardiff and Vale University Local Health Board, Cardiff, UK
Clin Med (Lond). 2015 Apr;15(2):151-4. doi: 10.7861/clinmedicine.15-2-151.
In the era of an ageing population, young adults on medical wards are quite rare, as only 12% of young adults report a long-term illness or disability. However, mental health problems remain prevalent in the younger population. In a recent report, mental health and obesity were listed as the most common problems in young adults. Teams set up specifically for the needs of younger adults, such as early intervention in psychosis services are shown to work better than traditional care and have also proven to be cost effective. On the medical wards, younger patients may elicit strong emotions in staff, who often feel protective and may identify strongly with the young patient's suffering. In order to provide holistic care for young adults, general physicians need to recognise common presentations of mental illness in young adults such as depression, deliberate self-harm, eating disorders and substance misuse. Apart from treating illness, health promotion is particularly important for young adults.
在人口老龄化的时代，出现在内科病房的年轻人相当少见，因为只有12%的年轻人患有长期疾病或残疾。然而，心理健康问题在年轻人群体中仍然普遍存在。在最近一份报告中，心理健康问题和肥胖被列为年轻人中最常见的问题。专门为年轻人的需求设立的团队，比如精神病早期干预服务，已显示出比传统护理更有效，并且也已证明具有成本效益。在内科病房，年轻患者可能会引发医护人员强烈的情感反应，他们常常会产生保护欲，并且可能会强烈认同年轻患者的痛苦。为了为年轻人提供全面护理，普通内科医生需要认识到年轻人中常见的精神疾病表现，如抑郁症、蓄意自我伤害、饮食失调和药物滥用。除了治疗疾病，健康促进对年轻人尤为重要。
