After the kidney friend gets on the machine, the elderly kidney friend uses the mobile phone to swipe the ** external sound. At this time, the kidney friend who wanted to rest next to him had a different psychological reaction:
a kidney friend"Why do you want to influence others in public places?".Can't sleep at all!”
I kept complaining and getting angry. When he got off the plane, he said angrily to **: "You don't care if his phone is so loud?."”
Refusing to measure his blood pressure and weight, he hurried away in anger.
b. Kidney friend"You can't ask everyone to be quiet in a public place, and sometimes I say it myself.
Please ** remind the uncle to turn down the volume. I put on my headphones and spent 4 hours peacefully.
It can be seen that our cognition, emotions and behaviors always affect each other
2023 China's Mental Health".
Blue Book Report.
DepressionIt is the most common mood disorder with the highest disease burden, according to the development status of China's mental and psychological industry in 2023:
The number of people suffering from depression in China is about 95 million, of which there are onlyLess than 10%.of people have seen a health service.
patients due to high costs;of patients found it to be of little use.
It is worth noting that there is also a group with a high incidence of depression;There is no special attention and very few medical appointments.
Depression is more common in this group, and symptoms including fatigue, anorexia, pain, muscle cramps, sleep disturbances, and sexual dysfunction can seriously affect the quality of life of people with CKD.
A longitudinal study followed 159 patients on dialysis for 12 months. According to their conclusions, 63 patients (396%) exhibited persistent depressive symptoms, while 50 patients (314%) showed persistent anxiety symptoms. Approximately 13% of patients reported a reduction in symptoms, but another 13% of patients developed new symptoms.
Some scholars estimateAbout 10Depression is present in 50% of dialysis patients
At present, there is still a large gap in the number of psychiatrists in China. In the face of limited medical resources, how to improve the proportion of depressed patients who persistOnly **Not preventive, orNot preventivewithDifficult to seeThe status quo.
According to the clinical work survey of Nanshan Center in the past five years, more than 20% of dialysis patients have depressive symptoms.
And the patientAwareness rateAttendance rateBut there is no room for optimism. ”
And most patients with CKD are depressed and anxiousChronic, over time and the course of the diseaseSymptoms persist。In view of Dr. Bailin's qualifications and abilities in psychology, it is also our work plan in 2024 to take the lead in carrying out psychological diagnosis and treatment projects for patients in the center. ”
KobayashiThe dialysis age was 8 years
Before your appointment: Anxiety is only a temporary "phenomenon" and is not a problem or even a disease.
until uncontrollable feelings of anxiety, tension and fear;Fear of being alone, driving alone;Very sensitive and irritable to the small things around you.
Finally, I chose to see a doctor with the reminder and accompaniment of my family.
Psychiatric diagnosis of Shenzhen Kangning Hospital: Severe anxiety, moderate depression.
The current ** way: Regular and adequate dialysis**, medications** (antidepressants, sedative-hypnotic psychotropic drugs), regular follow-up to the psychiatric department, active participation in exercise.
Condition improvement: Feeling good physically and mentally, and feeling more relaxed in daily life and relationships.
I would like to thank my family for their company, and also remind patients living alone to participate in more social and physical exercise to improve loneliness and anxiety. ”
Have the courage to ask for help, but also help yourself
As a group with a high incidence of depression, we also recommend that everyone understand and learn some psychological knowledge. Highly recommendedCognitive-behavioral**(cognitive-beh**ioral therapy)cbtIt is one of the most widely used psychological methods to help us establish a correct self-perception, think about our behavior from the perspective of a bystander, and not evaluate ourselves subjectively. ”
cbtThe principle is simple and easy to learn, and it has gradually been applied to the "emotional regulation" of ordinary people, becoming a kind of "".Self-help"Tools to help adults use to deal with stress and psychological problems in life and work, tooImproves insomniaOne of the important methods.
At the same time, it is also recommended that clinical medical staff and family members of special patients can also learn and understand CBT.
Learn to take care of yourself before caring for others
By improving self-psychological care skills, we can form a reasonable and peaceful cognition, and face life's challenges positively and optimistically
Self-consistency and introspection
Bailin recommends that you understand and learn CBT through relevant books, Internet cognitive behavior** platforms, psychology courses, etc.
us".Always be aware of the uncomfortable feeling in the moment
And there is a willingness to change
Cognition and Change
References: Chinese Medical Association, Journal of Chinese Medical Association, Chinese Society of General Medicine, etc. Guidelines for primary diagnosis and treatment of depression (2021)[J].Chinese Journal of General Practice, 2021, 20(12):1249-1260
anxiety and depression in patients with end-stage renal disease: impact and management challenges – a narrative review
2023 Blue Book of China's Mental Health.
Cognition and Change by Corenne Sweet.
Someday you're going to have to shake hands with yourself and make peace" [O] Sarah. Edelman.
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