Wilson-Barnett J, Trimble M
Int J Nurs Stud. 1984;21(4):267-78. doi: 10.1016/0020-7489(84)90019-1.
Patients who suffer from physical symptoms with no apparent organic pathology often receive inappropriate care in the general hospital. Many terms have been used to describe such patients, often derogatory. More careful assessment, systematic description and treatments are required from all staff. In this study a sample (N = 79) of patients with various 'hysterical' complaints, other than pain, were interviewed, and completed a set of psychological instruments to detect any personality or mood disturbance. These data were also collected from two comparison groups from a psychiatric clinic (34) and a neurological setting (36). The main purpose of this study, to identify differences between these groups, was achieved. Patients in the main sample were found to have a high frequency of affective disturbance, being moderately anxious and depressed. Most understood that their problems may have been psychological but had an unrealistic view of their coping strategies and life problems. Nurses in both general and psychiatric settings could have an immensely important role in both identifying such patients and their needs and in providing appropriate guidance and treatments.
患有无明显器质性病变的躯体症状的患者，在综合医院常常接受不恰当的治疗。许多术语被用来描述这类患者，且往往带有贬义。所有医护人员都需要进行更仔细的评估、系统的描述和治疗。在本研究中，对一组（N = 79）有各种“癔症性”主诉（疼痛除外）的患者进行了访谈，并让他们完成了一套心理测试工具，以检测是否存在任何人格或情绪障碍。这些数据还从一家精神科诊所的两个对照组（34人）和一个神经科环境的对照组（36人）收集。本研究的主要目的，即识别这些组之间的差异，得以实现。发现主要样本中的患者情感障碍发生率很高，存在中度焦虑和抑郁。大多数人明白他们的问题可能是心理上的，但对自己的应对策略和生活问题抱有不切实际的看法。综合医院和精神科的护士在识别这类患者及其需求以及提供适当的指导和治疗方面都可以发挥极其重要的作用。
