大三上課件心理10-11patient psychology

PatientSongRanran( ),phDAssociateProfessorSchoolofPublicHealth,TongjiMedicalCollege,HUSTE-mail: PatientThecertainmentalactivitiesandbehavioralpatternofapatientIllnessMedicalhelpjerkingFollowingthedoctor’s2TheAdjustmentProblemofPatient 3WhataretherightsofaRespectingandRightsofReducingtheresponsibilityofGettingthehelpof4WhatarethedutiesofaGoingtoseeadoctor 5illnessDisease（疾?。゛nabnormalconditionofanorganismthatimpairsbodilyfunctions,associatedwithspecialsymptomsandsigns.Illness（病感）astateofpoorhealth,Patient（ ）--any whoreceivesmedicalattention,care,ortreatment.6medicalhelpjerking7主動(dòng)—型

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PerceivingandinterpretingUseordon’tuse,anddelayusinghealthyservicesPsychologicalreactionsof9PerceivingPaymoreattentiontotheirinternalstates–ExternalenvironmentisboringorCognitiveEmotionalSocialInterpreting’spriorAdvicefromfriends,relative,orlayreferralsystem（外行轉(zhuǎn)診系統(tǒng)HelpinterpretaGiveadviceaboutseekingmedicalattentionmendaremedymendconsultinganotherlayUsingandmisusinghealthFactorsinfluencingusinghealthIdeasandThehealthbeliefSocialandemotionalStagesindelayingmedicalFactorsinfluencingusinghealthIdeasandNottrustingChoosetoseekalternativemedicineorfolkThehealthbeliefPerceivedseriousnessorthreatofthehealthPerceivedbenefitsoutweighCuestoFactorsinfluencingusinghealthSocialandemotionalAnxiety, alAmIStagesin AppraisalThetimea takestoindicationofillness.IllnessThetimetakenbetweenrecdecidingtoseekmedicalattUtilization

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mas–Thetimeafterdecidingtoseekmedicalcareuntilactuallygoingintousethathealthservice.PsychologicalreactionsofChangeofcognitiveAttention:outer EagerforinformationaboutEmotionofThepsychologicalcharacteristicofdifferentagepatientChildrenNervous,fearful,uneasy,YouthUnsteadyemotionstate,lowMiddleageHeavinessoflife,OldagePessimism,Compliancearetermsthatrefertothedegreetowhichpatientscarryoutthebehaviorsandtreatmentstheir Extentofthenonadherenceplianceand Whypatientdoanddonotadheretomedicaladvice?MethodsforenhancingExtentofthenonadherenceHowwidespreadistheproblemofTheaveragerateof pliancetomedicaladviceisabout40%,thatis,twoofeveryfivepatientsfailtoadherereasonablycloselytotheirTheaverageadherenceratefortakingmedicinetotreatacuteillnesseswithshort-termtreatmentregimentsisabout78%;forchronicillnesseswithlong-termregiments,theratedropstoabout54% Theaverageadherenceratefortakingmedicinetopreventillnessisroughly60%forbothshort-termandlong-termregimensAdherenceto mendedchangesinlifestyles,suchasstop smokingoralteringone’sdiet,isgenerallyquitevariableandoftenverylow.

plianceand Bynotadheringtomendedbytheirphysicians,peopleincreasetheirriskofdevelo problemstheydon’talreadyhaveorofprolongingorworseningtheircurrentWhypatientdoanddonotadheretomedicaladvice?MedicalregimentsandAge,gender,andsocialculturePsychosocialaspectsofthe WhypatientdoanddonotadheretomedicalMedicalregimesandillnessComplexity,duration,cost,sideeffects,andthedegreetowhichtheyrequirechangesinthepatient’shabitsPerceivingtheseverityofWhypatientdoanddonotadheretomedicalAge,gender,andsocialcultureForchildhoodcancerpatients,probleminadherenceweregreaterforyoungerthanolderchildren.Amongchildandadolescentdiabetics,adolescentsshowedlessadherencethanchildrendid.For35-to84-year-oldhypertensiveindividuals,adherencetotakingmedicationswaspoorestforthoseover75andhighestfor65-to74-year-olds,withotheragesfallinginbetweenWhypatientdoanddonotadheretomedicaladvice?Psychosocialaspectofthebelievethemedicationisn’tFeelthatitssideeffectsareveryunpleasant,worrisome,orseriouslyreducingthequalityoftheirlivesAreconfusedaboutwhentotakeit,orhowDon’thavethemoneytobuythenextWanttoseeiftheillnessisstilltherewhentheywithdrawthemedication.MethodsforenhancingGiveathoroughex nationoftheregimenandrepeatitnationnationoftheSimplifyingverbalinstructionsbyusingclearandstraightforwardlanguageandUsingspecificandconcreteBreakingdownacomplicatedorlong-termregimenintosmallersegments. nationoftheEmphasizingkeyinformationbystatingwhyitisimportantandofferingitearlyinthepresentation.Havingthepatientrepeatinstructionsorstatetheminhisorherownwords.BehavioralTailoringtheregimen,inwhichactivitiesinthet