Gulledge A D, Gipson W T, Steiger E, Hooley R, Srp F
Gen Hosp Psychiatry. 1980 Dec;2(4):271-81. doi: 10.1016/0163-8343(80)90080-8.
Home parenteral nutrition (HPN) for the short bowel syndrome represents a treatment modality that raises issues about prolonged machine dependency for living. Psychological reactions are described for patients with inflammatory bowel disorders and anatomical loss of small bowel. Liaison psychiatry involvement with 50 patients in the HPN program has identified such problems as grief reactions, depression, organic brain syndromes, drug dependency, and body image changes as they influence the initial adjustment to the in-hospital phase of HPN learning for patient and family. The importance of family and mental status examination are emphasized in the evaluation of the patient before and during the institution of an PHN program. Outlined are psychological parameters that need to be considered when assessing what factors might impede or enhance the acquisition and use of HPN information.
用于短肠综合征的家庭肠外营养（HPN）是一种治疗方式，引发了关于长期依赖机器维持生命的问题。文中描述了炎症性肠病患者以及小肠解剖结构缺失患者的心理反应。联络精神病学介入了HPN项目中的50名患者，识别出了诸如悲伤反应、抑郁、器质性脑综合征、药物依赖和身体形象改变等问题，这些问题影响着患者及其家人对HPN住院学习初期阶段的初步适应。在启动PHN项目之前和期间评估患者时，强调了家庭和精神状态检查的重要性。文中概述了在评估哪些因素可能阻碍或促进HPN信息的获取和使用时需要考虑的心理参数。
