Hiatt R L
Department of Ophthalmology, University of Tennessee, Memphis.
Ann Ophthalmol. 1989 Sep;21(9):325-30.
Patient and parent response to the presence or supposed presence of eye disease is a major factor in handling pediatric ophthalmology patients. The response may vary from passive acceptance of a blinding disease to hysteria, neurosis, or even psychosis. A literature review has shown that there is wide variation of understanding by the practitioner of the importance of this phase of ophthalmic practice. The author has drawn on three decades of ophthalmic practice. When blindness, for example, is threatened, our "normal" responses change, and what we judge as normal should also. Ways of evaluating and treating patient or parent responses are suggested, along with guidelines for using consultants and others. This may play a role in malpractice suits.
患者及家长对眼部疾病存在与否或疑似存在的反应是处理小儿眼科患者的一个主要因素。这种反应可能从对致盲疾病的被动接受，到歇斯底里、神经症甚至精神病不等。一项文献综述表明，从业者对眼科实践这一阶段重要性的理解存在很大差异。作者借鉴了三十年的眼科实践经验。例如，当面临失明威胁时，我们的“正常”反应会改变，我们所认为的正常标准也应如此。文中提出了评估和治疗患者或家长反应的方法，以及使用会诊医生和其他人员的指导原则。这可能在医疗事故诉讼中起到作用。
