Makuuchi Ayako, Takemoto Yasuhiko, Okamura Hiroshi, Nakane Takahiko, Namikawa Hiroki, Fukumoto Kazuo, Kobayashi Masanori, Kinuhata Shigeki, Morimura Mina, Hirohashi Kazuhiro, Hino Masayuki, Shuto Taichi
Department of Medical Education and General Practice Osaka City University Graduate School of Medicine Osaka Japan.
Department of Hematology Osaka City University Graduate School of Medicine Osaka Japan.
J Gen Fam Med. 2017 Apr 13;18(5):271-274. doi: 10.1002/jgf2.36. eCollection 2017 Oct.
A 42-year-old man with schizophrenia was referred to our hospital after 2 weeks of worsening fatigue. His hemoglobin level was 2.8 g/dL owing to folic acid deficiency stemming from alcohol abuse and consumption of unbalanced meals. We induced behavioral changes in the patient by motivational interviewing. We had direct methodical conversations with medical staff involved with the patient as well as his family, and established new social support for him as well as public assistance. These have resulted in the patient maintaining a favorable lifestyle ever since.
一名42岁的精神分裂症男性患者，在出现疲劳加重2周后被转诊至我院。由于酗酒和饮食不均衡导致叶酸缺乏，他的血红蛋白水平为2.8g/dL。我们通过动机访谈促使患者改变行为。我们与参与该患者治疗的医护人员及其家人进行了有条理的直接沟通，并为他建立了新的社会支持和公共援助。自那以后，这些措施使得患者一直保持着良好的生活方式。
