一名患有做作性障碍的29岁护士的病例。精神科干预在综合内科病房的效用。
Case of a 29-year-old nurse with factitious disorder. The utility of psychiatric intervention on a general medical floor.
作者信息
Guziec J, Lazarus A, Harding J J
机构信息
Harrisburg Hospital, Pennsylvania.
出版信息
Gen Hosp Psychiatry. 1994 Jan;16(1):47-53. doi: 10.1016/0163-8343(94)90088-4.
A 29-year-old nurse was treated for septic arthritis of the knee. She was suspected of producing this infection and others. The consultation-liaison team intervened early, and the patient was treated in individual outpatient psychotherapy for 1 year. Her course was complicated by criminal behavior and a suicide attempt, prompting relocation to her home town. The patient demonstrated a strong need to be nurtured, as noted in other cases of factitious disorders. An overview of factitious disorders is presented, and guidelines for managing these difficult patients in the hospital are provided.
一名29岁的护士因膝关节化脓性关节炎接受治疗。她被怀疑引发了这种感染及其他感染。会诊-联络团队及早介入，患者接受了为期1年的个体门诊心理治疗。她的病程因犯罪行为和一次自杀未遂而变得复杂，这促使她搬回了家乡。正如在其他做作性障碍病例中所指出的，该患者表现出强烈的被呵护需求。本文概述了做作性障碍，并提供了在医院管理这些棘手患者的指导原则。
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