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目的 探讨异体手移植过程中的心理问题及其对策。方法 筛选病人时采用交谈方式进行心理测试 ,观察病人是否有心理障碍以及处理各种压力的能力。在移植手术前 ,对病人进行心理辅导使病人作好充分心理准备。移植手术后病人心理康复采用镇痛等针对性治疗、心理暗示疗法、调动支持系统和改善环境等治疗方法。结果 筛选病人时发现 12位病人中有 1位因心理障碍不适宜作手术。病人术后 1周内烦躁、焦虑、忍耐力极差、对移植手稍有恐惧 ,1周以后对移植手初步认可 ,1月后心理上已基本接受 ,术后 4、5月时移植手痛温觉已恢复至指尖、手指伸屈已得到较好恢复 ,病人在心理上完全接受该手结论 在患者的术前选择和术后康复过程均存在不同的心理问题 ,需要心理医生参与整个治疗过程 ,应予重视
Objective To investigate the psychological problems and countermeasures in the process of allograft transplantation. Methods Screening patients using psychological testing of the way to talk to observe whether the patient has mental disorders and the ability to deal with all kinds of stress. Before transplant surgery, the patient psychological counseling for the patient to make full psychological preparation. Psychological rehabilitation of patients after transplantation with analgesics and other targeted therapy, psychological suggestion therapy, mobilization support system and improve the environment and other treatment methods. Results Screening patients found that one out of 12 patients was not suitable for surgery due to psychological disorders. Within 1 week after operation, the patient was irritable, anxious and endurable, had a slight fear of the transplant, initially approved the transplant after 1 week, had a basic psychological acceptance after January, and had hand-pain after 4-5 months Wenjue has been restored to the fingertips, finger flexion and recovery has been better recovery, the patient psychologically fully accept the hand conclusion in the patient’s preoperative choice and postoperative rehabilitation process there are different psychological problems, the need for psychiatrists to participate in the entire treatment Process, should be given attention