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Jingdong book

精神科护士手册

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精神科护士手册

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《精神科护士手册》以“夯实基础护理,落实精神科护理服务”为宗旨,内容以贴近病人、贴近临床、贴近社会为目标,保留了现有大学本科教材中的主要内容,充实并完善了精神科的基础护理内容;重点对精神科护理的基本技能、精神疾病患者急危状态的防范、处理流程、精神疾病治疗过程中的护理、病区管理、社区管理作了详细而具体的描述;在现有本科教材的基础上,增加了实验室及其他检查、诊断要点、健康指导、疾病预防、家庭护理以及新型毒品、网络成瘾、酒精依赖等导致的精神障碍性疾病等内容。
Catalogue

上篇 总论
第一章 绪论
第一节 精神病学发展简史
第二节 精神科护理发展简史
第三节 精神科护理学的基本概念和任务
第四节 精神科护理人员的素质要求
第五节 精神科护理工作的主要内容与特点
第六节 精神科护理学的相关伦理与法律问题
第二章 精神疾病的基本知识
第一节 精神疾病的病因学
第二节 精神疾病的诊断分类学
第三节 精神疾病的症状学
第三章 精神科护理的基本理论
第一节 奥瑞姆的自护模式
第二节 罗伊的适应模式
第三节 其他相关理论
第四章 精神科护理的基本技能
第一节 治疗性护患关系的建立
第二节 精神疾病的护理观察与记录
第三节 精神科的基础护理
第五章 精神疾病患者危急状态的防范与护理
第一节 冲动行为的防范预案及应急处理流程
第二节 自缢行为的防范预案及应急处理流程
第三节 出走行为的防范预案及应急处理流程
第四节 噎食的防范预案及应急处理流程
第五节 触电的防范预案及应急处理流程
第六节 吞服异物的防范预案及应急处理流程
第七节 中毒的防范预案及应急处理流程
第八节 自杀的防范预案及应急处理流程
第九节 烫伤、烧伤的防范预案及应急处理流程
第十节 跌倒、坠地、撞击伤的防范预案及应急处理流程
第六章 精神疾病治疗过程中的护理
第一节 精神药物治疗过程中的护理
第二节 抗精神病药物不良反应的护理
第三节 电抽搐的治疗与护理
第四节 心理治疗与护理
第五节 工娱和康复治疗与护理
第七章 精神科病区的管理
第一节 精神科管理者的培训
第二节 精神科患者的组织管理
第三节 精神科病区的安全管理
第四节 分级护理管理
第八章 精神疾病患者的社区管理
第一节 精神疾病患者的社区防治
第二节 社区精神卫生护理管理
第三节 精神疾病患者的家庭护理

下篇 各论
第九章 器质性精神障碍患者的护理
第一节 器质性精神障碍的临床特点
第二节 器质性精神障碍患者的护理
第十章 精神活性物质和非成瘾物质所致精神障碍患者的护理
第一节 精神活性物质所致精神障碍的临床特点
第二节 精神活性物质所致精神障碍患者的护理
第三节 非成瘾物质所致精神障碍的临床特点
第四节 非成瘾物质所致精神障碍患者的护理
第十一章 精神分裂症患者的护理
第一节 精神分裂症的临床特点
第二节 精神分裂症患者的护理
第十二章 情感性精神障碍患者的护理
第一节 情感性精神障碍的临床特点
第二节 情感性精神障碍患者的护理
第十三章 神经症和癔症患者的护理
第一节 神经症的临床特点
第二节 神经症患者的护理
第三节 癔症的临床特点
第四节 癔症患者的护理
第十四章 应激相关障碍患者的护理
第一节 应激相关障碍的临床特点
第二节 应激相关障碍的护理
第十五章 心理因素相关生理障碍患者的护理
第一节 进食障碍患者的临床特点
第二节 进食障碍患者的护理
第三节 睡眠障碍患者的临床特点
第四节 睡眠障碍患者的护理
第五节 性功能障碍患者的临床特点
第六节 性功能障碍患者的护理
第十六章 儿童精神障碍的护理
第一节 精神发育迟滞患者的特点
第二节 精神发育迟滞患者的护理
第三节 儿童孤独症患者的特点
第四节 儿童孤独症患者的护理
第五节 注意缺陷患者的特点(儿童多动综合征)
第六节 注意缺陷患者的护理
第七节 品行障碍患者的特点
第八节 品行障碍患者的护理
第九节 儿童少年期情绪障碍患者的临床特点
第十节 儿童少年期情绪障碍患者的护理
第十七章 网络成瘾症患者的护理
第一节 网络成瘾症的临床特点
第二节 网络成瘾症患者的护理
附图
附图1:住院环境图片
附图2:精神疾病治疗图片
附图3:工娱与康复活动图片
参考文献
Book Abstract

2.患儿异常活动水平是否改善,行为多动是否明显减少或消失。
3.患儿社会功能是否改善,如社会交往、适应能力及同伴关系是否改善,攻击冲动等不良行为是否改善。
4.患儿的不良情绪如焦虑、恐惧、发脾气等是否减少或消除。
5.患儿家庭功能是否增强,家庭参与、配合培训的程度是否提高,家庭养育态度和方式是否合理.,家属认识和处理疾病的能力是否加强。
七、健康指导
1.对疾病认知的指导改变家长和老师把患儿当成是不服管教的“坏孩子”这一错误认识,教育他们用“赞扬”、“鼓励”的正性强化方式代替单纯的惩罚教育。
2.干预措施指导让家长学会如何解决家庭问题,学会如何与患儿相处,如何共同制定明确的奖惩协定,如何使用阳性强化方式鼓励患儿的良好行为,如何使用惩罚方式消除患儿的不良行为等。
(1)确定训练目标:训练目标要从患儿实际出发,简单明了,循序渐进,不要拿他们与正常孩子比较,挫伤患儿的自尊心。
(2)增加交流沟通:家长应给患儿解释的机会,让患儿把不满和意见都讲出来,然后一起分析讨论,对的加以肯定,错的加以纠正,使孩子懂得事情可以通过沟通而获得解决,使患儿体会到民主、平等、被重视的感觉,这样有利于改善患儿与家长的关系,减少对立,配合治疗。
(3)合理安排时间:多动症儿童做事没有头绪,父母每天要帮助孩子安排游戏、活动和学习的内容,合理分配好时间,使孩子意识到每天该做的事一件也不能少。患儿精力旺盛,可适当安排郊游、跑步、踢球等安全而又消耗体力的活动,给患儿过多的精力以发泄的渠道。
(4)培养学习兴趣:对学习困难者,要积极鼓励、耐心辅导,消除其自卑情绪,培养学习兴趣,切忌讽刺挖苦与歧视贬低,树立患儿的自信心。对任何一点进步都要及时表扬鼓励,以求保持。
(5)注意言传身教:家长要加强自身修养,“身教重于言教”。凡要求孩子做到的,家长首先要做到;家长不要将自己的不良情绪发泄到孩子身上;不能单纯依靠药物治疗或老师和医师的教育来对待孩子;家庭成员之间要融洽相处而不要相互指责,为患儿提供一个有利于疾病康复的环境。
(6)建立家长、老师和医护人员治疗联盟互相沟通信息,共同商量制定解决问题的办法。
3.学校教育应使学校教师了解疾病的性质,学会观察评估患儿的病态表现,了解针对这类患儿的教育训练方法,避免歧视、体罚或其他粗暴的教育方法,恰当运用表扬和鼓励方式提高患儿的自信心和自觉性,通过语言或中断活动等方式否定患儿的不良行为,课程安排要考虑到给予患儿充分的活动时间。
八、预后
随着多种治疗方法的应用,儿童多动的预后是较乐观的。此病的发展与预后受家族遗传因数、个体自身因素和环境等多方面影响,包括智力水平高低、不良的家庭与社会心理因素、父母精神状况等,以及是否合并品行障碍或对立违抗性障碍、认知功能损害、学习困难、各种情绪障碍等。一般来说,有严重注意障碍、智商偏低、学习困难、品行障碍者预后差,早期发现并早期干预者预后较好。
……
Introduction

为了全面贯彻落实护理工作“三贴近”的工作要求,进一步规范精神科临床护理工作,本书主编于2011年开始论证和组织相关护理专家编写了《精神科护士手册》一书。本书以“夯实基础护理,落实精神科护理服务”为宗旨,内容以贴近病人、贴近临床、贴近社会为目标,保留了现有大学本科教材中的主要内容,充实并完善了精神科的基础护理内容;重点对精神科护理的基本技能、精神疾病患者急危状态的防范、处理流程、精神疾病治疗过程中的护理、病区管理、社区管理作了详细而具体的描述;在现有本科教材的基础上,增加了实验室及其他检查、诊断要点、健康指导、疾病预防、家庭护理以及新型毒品、网络成瘾、酒精依赖等导致的精神障碍性疾病等内容。
另外,本书增加了患者住院环境、治疗环境及康复环境等相关图片,为精神专科护士提供更实际、更直观、更全面的精神专科知识。《精神科护士手册》全书分上、下两篇,共十七章,约40万字,另附图片40张,其中上篇总论包括:绪论、精神疾病的基本知识、精神科护理的基本理论、精神科护理的基本技能、精神疾病患者急危状态的防范与护理、精神疾病治疗过程中的护理、精神科病区的管理及精神疾病患者的社区管理。

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