Building a harmonious doctor-patient relationship with good psychological quality

  Hospitals are the first place people think of when they face the torment of disease, solemn and sacred, they put the elimination of pain, and even the hope of life in the hospital and medical staff.  A large number of clinical facts show that medical professionals with excellent medical skills and good psychological quality not only use medical skills, but also promote the recovery of patients with appropriate artistic communication, and even enable patients in despair to rekindle the hope of life. hope. So, what psychological qualities should medical staff have? I would like to express my personal views on the teachings of my predecessors and years of clinical work experience.  Patients, whether rich or poor, regardless of education, position, walk into the hospital door, have a common desire to get the best treatment, desire to get the most sincere care, they do not expect to get “God”-like admiration, the need is “loved ones They do not expect to get “God”-like admiration, but need “family”-like love, clinical work, most patients are willing to “acquaintances” in the hospital, the purpose is no longer to save money, I’m afraid.  ”Anxious about the patient’s anxiety, think about the patient’s thoughts, wholeheartedly serve the patient” should become the immortal “medical soul” of each health care worker.  Medical staff should have abundant energy and tenacity Medical staff in the process of medical work, subjective and objective difficulties, if there is no psychological quality to overcome difficulties, it is difficult to complete the task well. A clear sense of purpose and a strong will to strive to achieve this purpose is the intrinsic motivation to mobilize their full strength in order to overcome difficulties. This will is directly linked to the development of a worldview. It is based on the ambition to dedicate oneself to the cause of health care and the humanitarian spirit of saving lives. This strong will is reflected in the energy and perseverance, medical work is quite heavy and complex, without abundant energy and perseverance is difficult to complete the task. To carry out treatment, surgery and nursing with full spirit is a manifestation of energy; to persist for a long period of time and to encounter difficulties without flinching is a manifestation of perseverance. Rescuing critically ill patients, competing for time, operating continuously, day and night, regardless of time and fatigue, and being able to complete the task tirelessly and spiritually is a manifestation of the organic combination of energy and perseverance.  Decisiveness in dealing with problems Mental quality is also expressed in dealing with problems decisively. Indecisiveness will delay the condition and lose the time to change. Decisiveness is a combination of forethought and decisiveness, which is based on rich clinical experience and accurate grasp of the factors of the disease process, and is linked to quick thinking. For example, some patients had a history of “acute appendicitis” and showed intermittent right lower abdominal pain, but the receiving doctor wrote “abdominal pain to be investigated, intestinal obstruction not excluded, ureteral stones not excluded, cecum tumor not excluded and several other not excluded” in the diagnosis. Of course, the next step is complicated examination and laboratory tests, so that the best time for surgery is lost. In addition, acute arterial embolism is common in vascular surgery, when the pain and chills of the affected limb appear, the possibility of acute arterial embolism should be thought of, and the diagnosis should be confirmed by ultrasound and arteriography as soon as possible, but when the typical symptoms of “5P” appear, it is often too late.  Master the psychological characteristics of the patient calm and collected The composure and self-control of medical personnel, good at controlling their emotions, inhibiting unhelpful excitement and impulse, calm and not panic in critical situations, nervous and methodical, are the psychological qualities that should be possessed, to understand that surgery is a serious psychological emergency for patients. Psychological tension, anxiety, depression, fear and other stress reactions are common in patients before and after surgery. Foreign scholars reported that the incidence of anxiety caused before and after surgery is 15% – 60%, and a domestic report of cardiac surgery patients whose anxiety detection rate is 25% before surgery and 13% after surgery; their psychological factors are mainly due to fear of surgery, worry, and patients are generally afraid of surgery, anesthesia accidents, headache, bleeding, disability, and death before surgery. Most of these bad attitudes are due to the lack of understanding of the surgical situation; some are related to individual personality (sensitive and suspicious people are heavy), physical fitness and different tolerance; age (the highest in middle age), culture (the higher the culture, the heavier the anxiety), the size of the surgery, the severity of the disease, etc. also have different degrees of influence. In addition, somatic factors affect brain function due to postoperative weakness, blood loss, shock, impairment of organ function, various metabolic disorders including water and electrolyte disorders, sugar and protein abnormalities, anesthesia, co-infection and endocrine abnormalities. At this time, patients should be given targeted guidance, supplemented with comfort, support and guidance. The earlier the anxiety is identified and treated, the better. Symptomatic treatment of anxiety and depression is available with anxiolytics and antidepressants, and psychiatrists are consulted when necessary.  Sincerity, patience and tolerance to gain trust and establish a harmonious relationship Patience and tolerance are the concrete expression of psychological quality. Psychological quality in terms of will is formed based on the humanitarian spirit of saving lives, deep emotions for the patient and knowledge of the pathology, physiology and psychological activities of the patient in the disease process. Knowledge, emotion and intention are the unity of organic combination.  Listening to the patient is the most common test of patience. When listening, medical staff should look at each other (look at each other between the arch of the eyebrows), rather than looking up at the ceiling or burying their heads in the medical record, so that the patient feels comforted and reassured that you are willing to take the time to listen to him patiently and care for him. First, the patient’s complaints provide first-hand material for diagnosis and treatment, and it is possible that this subjective experience may not always match the objective physiological tests, but it is important for diagnosis and treatment. Secondly, the patient may also talk about some off-topic content, such as some elderly patients often tell about life experiences or certain discussions, but these are very useful materials for analyzing the psychosocial factors of their illness. Some patients who are troubled by their privacy may reveal the root cause of their illness with the patient’s patient listening attitude. Again, it should be understood that the process of listening to the patient is the process of psychotherapy and psychological counseling. Patients confess their own pain, grievances or resentment, is a kind of catharsis and release, medical staff to give appropriate explanation and guidance, so that they can be comforted and relieved, perhaps unrestrained free narrative, can reduce the pain of disease. What’s more, the good doctor-patient relationship and the patient’s trust thus established will increase the effect of drugs and other treatments. Therefore, when listening to the patient, regardless of whether the content has meaning, should not be indifferent, let alone show impatience, should be very concerned. Giving patients the opportunity to talk about their problems is a way to eliminate depression and anxiety for patients with depression and anxiety, and it is not just a matter of courtesy. Of course, the conversation should be relieved of the patient’s psychological pressure, avoid making unfounded comments, mainly in providing the patient with a sense of security, reassured by the feeling that the doctor is backing him up, and feel hopeful about the treatment of their disease, and can be more confident to use their potential power to get well.  Patience is also expressed in the ability to wait for the right time to turn the corner in the disease process. Sometimes the development of the disease obscures the key factors that lead to the disease, or causes non-essential phenomena that mislead the disease. Of course, good at waiting is based on a wealth of practical experience, which is closely related to the knowledge of the disease, careful observation and decisive judgment and other psychological qualities. For example, in general surgery “inflammatory bowel obstruction”, if you cannot wait patiently for the right time to operate blindly, it will cause serious complications such as intestinal fistula and short bowel syndrome.  Tolerance is especially evident in the treatment of patients whose normal psychological activities are affected by their illness. As patients who are threatened by disease or even life, due to anxiety, they may have abnormal psychological reactions to setbacks in the process of disease treatment, or degeneration, or obstinacy, or even treat medical staff with aggressive attitudes, express dissatisfaction with reasonable treatment and care, “picking noses and eyes”, whining and strange words, or screaming and cursing The patient may even treat medical staff with aggressive attitudes, expressing dissatisfaction with reasonable treatment and care, “picking noses and eyes”, complaining and making strange remarks, or yelling and cursing. Medical staff should be generous and tolerant in dealing with this psychopathic reaction. It should be recognized that this abnormality, although not as serious as the psychiatric attack, but all belong to the psychopathic reaction, not for someone or something. Generally speaking, the patient’s emotions and will is more fragile than healthy people, but also often lack of self-control, so the medical staff should have enough tolerance, avoid verbal confrontation or conflict, should be patient and reassuring, from the patient’s condition to persuade and enlighten. At the same time, it is also necessary to explain to other patients to understand the abnormal behavior caused by this psychopathic reaction, which is also beneficial to the reassuring convalescence of other patients. For this reason, our vascular surgery department conducts psychological quality assessment for patients admitted to the hospital, and provides psychological care and targeted health education according to the psychological characteristics and education level of different patients, which has achieved good results, not only promoting the recovery of patients, but also reducing doctor-patient disputes.  Patience and tolerance are even more important in receiving patients’ families. As most of the patients’ families lack medical knowledge or are influenced by incorrect concepts; they often make many “unreasonable” requests out of their lack of understanding of the disease process and examination and treatment, as well as their eagerness to see the patients recover. The medical staff should patiently explain the required knowledge, correct the wrong ideas, and eliminate the source of worry, so as to obtain the cooperation of the family. The mental state and cooperation of the family can directly affect the recovery of the patient.  In short, good psychological quality is conducive to the establishment of a friendly and close doctor-patient relationship, conducive to the creation of a harmonious medical and medical environment, reduce or eliminate doctor-patient “disputes”. Make the hospital become a window to create a harmonious society. Let the affection and love that patients get in the hospital spread to the community and to the society.