Monday, November 24, 2008

AIDS patients psychological processes

Because of AIDS (AIDS) is no effective treatment measures, the high mortality rate; and the sick and a lot of improper behavior (such as sexual and drug use), so that there is stigma in society and therefore, AIDS in Has spread not only medical issues, but also have an enormous psychological impact on the community. The fear of AIDS, not only in HIV-infected people or AIDS patients, and in some non-infected people, have caused some psychological reactions. In the general part of the non-infected people, as a result of AIDS by the Ministry of comprehensive information, as well as the mode of transmission of AIDS and the prevalence of misunderstanding, fear they may have been infected by this anxiety. Their fear and anxiety often transmitted through ordinary life, such as the common telephone, and cooking utensils, towels and clothing, bathroom and toilet, as well as non-sexual contact and kissing and so on. Such people generally can be to them is reasonably clear that this disease will not be known mode of transmission and spread of some of the activities can contact concerns. To prevent such a cause psychological reactions in the promotion of AIDS knowledge, it is necessary to pay attention to a comprehensive and appropriate. Another part of the HIV-infected due to sexual or psychological aspects of the fragile sense of guilt, coupled with the fear of AIDS has led to a "fake AIDS." Despite the repeated to check if they can not contact HIV, antibody test is negative, but they still do not believe that he is healthy, put the body in many aspects of the chief complaints, such as fatigue, weight loss, and that is certainly evidence of HIV infection, they are afraid Infection has reached obsessions. This is the spirit of a psychological syndrome, the need for psychological or psychiatric treatment. HIV-infected people to know when their blood tests positive for HIV infection, will be immersed in the great disappointment of being sad. This psychological response in the AIDS-related syndrome (ARC) stage in the most severe patients, because these people have been severely tortured in their symptoms, but also allows the health conditions of trouble, as they did not have been developed to AIDS as those who Immersion and to make every effort to survive. This psychological reaction as a threat to the lives of cancer patients to hear the news when the response to the crisis, coupled with social discrimination, so that even more vehement. Most of the patient's response have been several, but not necessarily all going through each period. Period of shock When the patient was informed that the HIV-positive test results may appear pale, very excited or irritable, or appears to be as if nothing had happened. Night of sleep, may have lost their sense of reality or personality disintegration. Physical symptoms may be tachycardia, sweating, panic or hyperventilation. Deny period As a patient, or life, or escapism, bed, bed sheets with his head in order to deny the existence of the world, but in fact secretly accepted this reality. Guilt, anger and fear period Homosexual patients may also recall the past, he is upset about sexual behavior, which could lead to vent their lovers, friends, family, health care, and even society in general. When to become angry after causing terrible nightmare, as well as death and dying thoughts. The new phase of life From the gradual recognition to deny the reality of the process, many patients to form a new way of life, including safe sex (no longer engage in homosexual), to reduce psychological distress, restaurants pay more attention to nutrition, reduce the nightlife. Altruism period May be disappointed encourage HIV-positive component of self-help group, Bingyou Men feel they can achieve joint action to improve the social status and even encouraged each other also played a role in the treatment. Sad period Disease to the heyday of AIDS patients may lose everything, including health, work, social status, friends, lovers, family, dignity and independence. Less severe diseases are likely to remain the only 1 to 2. They may become chronic anxiety and depression, the need for psychological treatment may be needed psychiatric treatment. And approved a view to avoiding the reality Once the disappointment of the entire process, the patient's state of mind more calm, and to consider specific discrimination actual state of health. In the meantime, there are very few patients intrusive thought, but also to restore the psychological calm, so the issue can be discussed. Throughout the process, the mental health guidance to patients to explain to them to hear such bad news after a natural psychological response, since it may be therapeutic. Early in the patients without insight, psychological therapy (cognitive, psychological dynamic, and so on) may help him in the shortest possible time in case of trauma at least through the entire process. To avoid him know that his estimate of life expectancy. In the first few days are most likely to commit suicide or caused by the tragic outcome of the impulse response, so far as possible not to let them live alone. At the same time, patients do not want to tell at this time they will check the results of the diagnosis or tell them do not know to seek medical treatment, as they are difficult to predict the response, it may lead to harmful consequences. Once the patient to calm down in about 5 days after his return, or by the spouse, parent or other family members to accompany the. People with chronic depression for patients given antidepressants, psychotherapy or a combination of psychological health guide. Doctors optimistic about being helpful, hopeful mood may play an important role in treatment. Relaxation therapy may help alleviate the anxiety and physical symptoms. In the follow-up, can be safe sex, family and work, entertainment infection control, health measures (diet, sleep, etc.), as well as what should be told and told how in areas such as further guidance. With the consent of the patient's consent, the best and their spouses together to talk about, in order to achieve cooperation. The spouses of patients and their families often have more patients than the more durable the spirit of burden, need to give help, particularly as a result of such a thing which led to the breakdown of the relationship between husband and wife, so that patients can be better against. In many cases only two or three times to guide the mental health follow-up, the number of follow-up depends primarily on the health status of patients with HIV infection and psychological response to the nature of the follow-up inspection should pay attention to any aspects of psychology, psychiatry easy or cause pathological signs .

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