Psychological characteristics of patients in the process of prosthesis installation
A person suddenly lost one side of the body, the first thing he suffered is a huge psychological blow and trauma. The main manifestations are: depression, anxiety, irritability, irritability, self pity, inferiority complex. The installation of prosthetic limb is easy for most patients, but for a few amputees, they are unwilling to accept it. At this time, it is very important to guide the patients, so that the patients can gradually transition from the initial rejection to the acceptance of the prosthesis, even as an important part of their own body.
The physical disabled only lose or have dyskinesia, their perception process, thinking and memory, language ability, will and behavior are normal, their emotional experience and understanding of their own situation are relatively deep. Because of the compensatory function, the use of prosthesis can make them basically take care of themselves, but the psychological state of patients often affects the assembly effect of the prosthesis. Now the amputation patients in the assembly of prosthesis before and during the process of the psychological characteristics of the analysis.
1、 Mental characteristics of amputees before prosthesis installation
(1) Shock stage: from the integrity of the limb to the absence of the patient's initial reaction is shock. It's hard to accept the reality for a while. There are crying, shouting and other behaviors. The language also reveals the depression of unable and sighing.
(2) Negative stage: can't admit the reality of amputation, think it's a dream, wake up, everything will be OK. Many patients often do this psychological self comfort.
(3) Depression reaction stage: continuous depression, activity behavior significantly reduced, think that they have become waste, become a burden on the family, and the burden of relatives.
(4) The stage of recognition and adaptation: after the adjustment of the above three emotions, patients began to think about the way out of life.
These psychological problems can be solved by doctors and family members' guidance, support, stimulation transfer, interest induction and so on. In the process of installing prosthesis, there will also be psychological problems, which will be described below.
2、 Psychological characteristics and solutions during the first prosthetic installation
(1) Doubt, curiosity
Limb disability caused by amputation is different from that caused by other dysfunction. From the point of limb loss, amputees are characterized by fixed disability and no longer develop. However, amputees can compensate by prosthesis, that is, to compensate for some functions of the lost limbs by assembling and using artificial limbs. For patients who have just been amputated, it is difficult for them to get out of the shadow of losing their limbs. Prosthetics are a new thing for them. They know from the medical staff that the installation of artificial limbs can enable them to return to society and lead a normal life. This gave them the hope of survival and the power of life, so they had a lot of curiosity about the prosthesis. On the one hand, we expect to be able to quickly return to society after installation. On the other hand, they are also suspicious of the prosthesis. They are afraid that the effect after installation can not be compared with what the medical staff in the imagination have said, resulting in a great psychological gap.
(2) Excessive demand for prosthetic function
Some patients, after seeing the patients install prostheses, the effect is very good, so they also hope that they can achieve the desired effect after installation in the future. At this time, some patients will ask the prosthetic maker to give a certain commitment to the function of the prosthetic limb, such as, a knee amputated patient, he requires: prosthetic wear comfortable, no pain, can run, swim, etc. In fact, the function of prosthetic limb has some limitations, and its function needs to be determined by many factors such as the situation of the residual limb and the type of prosthesis. No matter how good the function of a prosthetic limb is, it must have a certain sense of bondage after wearing it. In the process of installation, the difference between the front and the back makes the patients feel disappointed with the prosthesis, resulting in depression, which leads to the inability to actively cooperate with the training, which affects the process and effect of training.
(3) Impatient, antagonistic, independent, eager to adapt to wearing prosthetics
When patients accept artificial limbs, they are eager to adapt to wearing artificial limbs in the process of wearing artificial limbs training, so they do not follow the guidance of the training personnel, and they wear the limbs for a long time, which leads to limb edema and skin abrasion. At this time, some patients shift the responsibility to the rehabilitation training personnel, do not listen to the explanation of professionals, nor do the training according to the training process, forming the psychological characteristics of confrontation and independence. There are even patients who don't believe in rehabilitation doctors and think that rehabilitation training is totally unnecessary. Example: a 41 year old woman with amputation of her left forearm was required to install an electromechanical prosthetic hand. The doctor first let him recover muscle strength training, but the patients and their families think that the hospital is charging indiscriminately and refuse to train. Finally, the prosthesis assembly effect is not good, patients can not skillfully and effectively control the prosthesis.
(4) Inferiority, self closure
Inferiority complex is the invisible shackle of development, which will make people in a state of self abasement, self abandonment, and everything. For patients who have just amputated, they often have a sense of inferiority. This sense of inferiority is not only reflected before the prosthesis is is installed, but also may continue during the assembly process. This kind of patient's psychological feeling is sensitive, sometimes the casual joking of the surrounding crowd will make them mistakenly think that they are saying themselves. Therefore, most of them are self closed, do not like to communicate with others, and blindly obey the arrangements of family members and doctors. For example: a 19-year-old man had his right thigh amputated due to a traffic accident