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Hysterical acid fortune telling
The cause of hysteria
(1) mental stimulation: mental stimulation or major life events that make patients feel wronged, angry, nervous and afraid are often the direct cause of the disease or the first factor. Some patients have no obvious inducing factors in the future attacks, but get sick by touching scenes or associations, or self-suggestion. Traumatic experience in childhood, such as mental abuse, physical or sexual abuse, is one of the important reasons for the later occurrence of transformed and separated hysteria, but the relationship between somatization disorder and mental factors is not obvious.
(2) Psychological quality: Whether mental factors cause hysteria and what kind of hysteria is related to the psychological quality of patients. Generally speaking, people with hysterical personality are prone to hysteria when they encounter mental stimulation. The so-called hysterical character refers to:
1, full of emotion: the emotion is bright and strong, but unstable and easy to get emotional.
2. Strong suggestibility: It mainly means that on the basis of certain environmental atmosphere and emotions, it is easy to accept external influences and accept one's feelings or ideas unconditionally (self-suggestion).
3. Self-centeredness: that is, attracting others' attention everywhere, which is full of performance, drama or exaggeration, in order to win people's attention and sympathy for themselves.
4. Fantasy: based on feelings, the imagination is rich and lively, and it is even difficult to distinguish between reality and fantasy.
(3) Genetic factors: The results of genetic research on this disease are quite inconsistent. Generally speaking, the prevalence rate of first-degree relatives of male patients is 2.4%, and that of female patients is 6.4%, which is higher than that of ordinary residents. It shows that hysteria is influenced by genetic factors, and twin research cannot support the genetic hypothesis of this disease.
(4) Other susceptible factors: women with low education level, heavy superstition, completely dependent on their husbands, or women in adolescence and menopause are prone to hysteria.
What are the early symptoms of hysteria?
I. Medical history and symptoms
(1) This disease is more common in women, with obvious personality characteristics of hysteria, and its onset is mostly related to psychological reasons, with similar medical history in the past.
(2) The clinical manifestations are diversified. According to the nature and form of symptoms, it can be divided into two types:
(1) separation type:
① Mental symptoms are the main symptoms, with emotional outbursts. Under the influence of mental factors, acute attacks are characterized by crying, laughing, rolling and shouting. Emotions change quickly, often accompanied by dramatic expressions and actions.
(2) the scope of consciousness is narrowed, and mental activities are limited to unpleasant experiences that cause diseases, with dull perception, incomplete orientation and short duration, and most of them cannot be recalled afterwards.
③ In a lethargic state, patients stay in bed with their eyes closed all day, unable to wake up, close their eyes, avoid their eyes during examination, and their pupils are not narrowed. Others can be manifested as amnesia, alternating personality, Ganze syndrome, juvenile dementia and other mental symptoms.
(2) Conversion type:
Mainly manifested as physical dysfunction, motor, sensory, reflex and autonomic nervous dysfunction can be found. However, detailed examination did not find the corresponding organic basis, nor did it conform to the physiological characteristics of neuroanatomy. The common manifestations are spasm, limb tremor, paralysis, inability to stand and walk, wordlessness and aphonia, hypersensitivity, decreased or disappeared sensation, hysteria and special sensory tube disorders, such as hysterical deafness, blindness, hysterical vomiting, burping and hyperventilation.
Second, the physical examination found that:
There are no positive signs of nervous system damage, but there are signs of sensory and motor disorders, which do not conform to the physiological characteristics of neuroanatomy.
Third, the auxiliary inspection:
No corresponding organic damage was found.
Precautions before hysteria treatment?
Prevention and health care of hysteria
First of all, we should treat hysteria patients correctly. Hysteria is a neurosis, not a mental illness. There is no organic lesion in the nervous system of hysteria patients. Once the inducement disappears, the patient will recover quickly.
Second, we should pay attention to relieving nervousness and creating a comfortable and relaxed environment for patients, because nervousness is a hotbed of hysteria.
Third, strengthen the training of patients' will quality and pay attention to cultivating their pragmatic spirit of being open-minded and down-to-earth.
Fourth, try our best to eliminate the psychological trauma of patients, enlighten them by telling the truth and guide them to treat life correctly. Treat your own personality defects.
Fifth, the clever use of suggestion therapy and "fake drugs". When hysteria patients suddenly have various symptoms of functional loss, you can ask an authoritative doctor to prescribe some placebos, but tell the patients that this is a panacea for curing the disease, so as to achieve the effect of relieving and disappearing symptoms.
Sixth, when hysteria patients get sick, they should first control their words and deeds, so that patients can calm down and avoid accidents. In serious cases, we should send them to the hospital immediately.
How to nurse hysteria?
Nursing care of hysteria patients
First, the evaluation of hysteria patients
1. Patient symptom assessment: To understand the symptoms and clinical manifestations of hysteria. To evaluate the characteristics, types, frequency and severity of patients' symptoms at the onset of hysteria.
2. Evaluation of patients' personality characteristics: Many scholars believe that under the influence of some mental factors, people with hysteria personality characteristics are more likely to suffer from hysteria than those without hysteria personality characteristics. So we should know what kind of personality characteristics are "hysterical personality" and what are their manifestations. According to the methods and steps of "nursing procedure", the personality characteristics of patients during hospitalization were evaluated, and their interpersonal relationship, working style, emotional response type, coping style, adaptability to stimulation, suggestibility and emotional response characteristics were understood.
3. Evaluation of patients' psychosocial factors: Psychosocial factors are often the inducing factors of hysteria. Can't be ignored. Therefore, the relationship between the adverse stimulation and the degree of stimulation before the onset of the disease and the occurrence of the disease is carefully evaluated. Analyze whether the stimulus comes from life events, from the patient's own inner conflict, or from the susceptible quality of personality.
Second, the nursing diagnosis and nursing measures of hysteria patients
(1) Nursing points of hysteria: When hysteria occurs, the first thing is to keep calm and keep the patient and the surrounding environment quiet. Psychological nursing is one of the main nursing measures. Among them, it is particularly important to master and use various related suggestion methods and skills, which are helpful to both doctors and patients. Take supportive psychotherapy, arouse the enthusiasm of patients, stimulate their enthusiasm for life, and enhance their confidence in overcoming diseases. Health education is an important part of nursing. The purpose is to help patients acquire a better personality, enhance their psychological immunity and win the help of a good peripheral support system. Physical care in an emergency should not be underestimated. To prevent the occurrence of various complications. Do a good job in symptomatic care of various symptoms.
(2) Nursing measures for patients with hysteria:
1, the danger of violent behavior (to oneself and others) is related to the narrow range of conscious activity during the attack. During the onset of hysteria, if the mood suddenly breaks out, patients may show behaviors that hurt themselves and others, such as crying, tearing clothes, hair, scratching and biting others. For example, in the hazy state of hysteria, the scope of conscious activity is narrow. Therefore, it is necessary to strengthen preventive measures. Nursing measures: (1) It needs to be clear that although the emotional outburst of hysteria has dramatic and venting characteristics, it is necessary to avoid using excessive words to stimulate patients or paying too much attention to patients when contacting patients in nursing. Patients may make exaggerated behaviors, leading to self-harm or injury, so pay attention to the use of language. Language should be strong enough for patients to understand and understand their own behavior mistakes, and will not cause malignant psychological stimulation to patients. (2) When the patient has an attack, try to keep the environment around the patient quiet, avoid noise and reduce too many people to watch, so as to reduce the degree of the patient's attack, which is also conducive to the smooth progress of treatment and nursing. (3) For hospitalized patients, the number of visits should be strictly controlled. In particular, it is necessary to limit the visits of relevant personnel who may cause adverse stimulation to patients in order to facilitate the early recovery of the disease. (4) Patients with extreme excitement, restlessness and strong emotional reaction should be closely monitored. Ask the doctor to use an appropriate sedative. What to eat hysterically?
1. Hysteria treatment prescription (the following information is for reference only, please consult a doctor for details)
1 wheat, red dates and longan porridge
Method: Wash the wheat, soak it in hot water, pour it into a pot, cook it, take juice, add glutinous rice, pitted red dates and chopped longan pulp, boil it with strong fire, then cook it into porridge with low fire, and add sugar.
Medicinal: Take it every morning and evening.
Description: clearing away heat and vexation, promoting diuresis and quenching thirst; Has obvious curative effect on hysteria and insomnia.
2nd generation Ochra pilosula decoction
40g of ochre (stir-fried first), 20g of Radix Codonopsis, Radix Rehmanniae15g, Flos Inulae10g (bag), Radix Polygalae, Semen Platycladi, Rhizoma Corydalis, Radix Glycyrrhizae Preparata, Semen Ziziphi Spinosae, 30g of Fructus Jujubae and 3 slices of ginger.
Ingredients: wheat 100g, glutinous rice 100g, red dates10g, longan meat 20g, and proper amount of sugar.
Practice and course of treatment: decoction, oral administration in the morning, noon and evening, daily 1 dose, 5 doses 1 course of treatment.
3 Gan Bai Zhidi Tang
Prescription composition: 9 grams of roasted licorice, 30 grams of wheat, 7 pieces of fat dates, 0/2g of roasted lily, 0/5g of dried rehmannia root, 0/8g of Polygonum Multiflori Radix, 2 pieces of black-bone chicken, 6 grams of gardenia, 0/2g of fermented soybean and 0/2g of lotus seed core.
Practice and curative effect: decoction. This prescription should treat hysterical lower limb paralysis, not paralysis. Therefore, it is necessary to clear the heart and relieve depression and nourish the liver and kidney. The recipe uses gardenia and lotus seeds to clear the heart; Glycyrrhiza uralensis Fisch, Ophiopogon japonicus, Zizyphus jujuba, Lily and Rehmannia glutinosa nourish liver and kidney yin, and with proper cutting and matching, the curative effect is very good.
Miscellaneous grains:
1, millet porridge. Take a proper amount of millet, add water to cook porridge, and eat it at dinner or before going to bed. Millet is slightly cold, and has the effects of strengthening the spleen, regulating the stomach and sleeping peacefully. According to research, the content of tryptophan and starch in millet is very high, which can promote insulin secretion and increase the amount of tryptophan entering the brain after eating, so it can make people fall asleep.
2, lotus porridge. Take 30 grams of lotus seeds, add a little salt and decoct in water. Lotus seeds are beneficial to the heart and kidney and help sleep. For those who suffer from insomnia due to nervousness caused by hypochondriasis, or those who suffer from irritability and insomnia due to excessive heart fire, take one dose every night before going to bed to sleep.
Nourishing class:
1, longan porridge. Take 30 grams of longan meat, 5 jujubes and 60 grams of japonica rice and cook them together. Longan meat contains a variety of vitamins and carbohydrate nutrients, which can not only nourish and strengthen the body, but also soothe the nerves and strengthen the stomach. Hypochondriacs cook porridge before going to bed at night, which has a good hypnotic effect, especially for the elderly.
2, jujube porridge. Take 10~ 15 jujube and 60g japonica rice to cook porridge. You can have dinner while it is hot. Jujube is sweet and flat, and contains sugar, protein, vitamin C, organic acids, mucus, calcium, phosphorus and iron. It has the effect of invigorating the spleen and calming the nerves, and it has a good hypnotic effect when eaten regularly, especially for the elderly.
3, milk porridge. Cook porridge with 60 grams of japonica rice first. When porridge is to be cooked, add 1 cup of fresh milk to cook porridge. Studies have proved that serotonin secreted by brain nerve cells can inhibit the brain's thinking activities, thus causing the brain to fall into a deep sleep state. People can't sleep because brain cells secrete less serotonin, and tryptophan is the raw material for human body to make serotonin, so eating milk porridge at night will have hypnotic effect.
Second, what to eat in hysteria?
1, cool bitter gourd can relieve hypochondriac anxiety. Bitter gourd has the function of reducing fire and relieving annoyance.
2. People with suspicious personalities eat more calcium and phosphorus foods. Suspicious people are prone to hypochondriacs, and hypochondriacs caused by paranoia should eat more calcium and phosphorus. Such as milk, white melon seeds, soybeans, oranges, kelp, shrimp and other foods.
Sensitive people should supplement vitamin b. The reason of sensitive personality lies in the lack of vitamin B, so I am worried all day. Strengthening the intake of vitamin B, honey and coarse grains will help to improve your mood.
4. Cautious people can eat Chili. Pepper is a good partner to overcome caution, which can eliminate people's excessive caution and tension. Eat more fruits and vegetables to supplement vitamin deficiency and improve caution and tension.
Third, what foods should not be eaten for hysteria?
1, pay attention to control the intake of salt and sugar.
2, avoid alcohol and tobacco.
2. The risk of injury is related to the disturbance of consciousness when roaming. During the onset of hysteria, some patients may have roaming disorder: suddenly leaving, accompanied by different degrees of consciousness disorder. At this time, if there is no necessary special care or unsafe environmental factors, patients may be injured to varying degrees. Nursing measures: (1) hysteria is mainly treated in outpatient department. Therefore, it is very important for patients to go out of the hospital for outpatient treatment and nursing in time. (2) Whether outside the hospital or for inpatients, it is best to have someone to take care of them. Don't let the patient live in a room alone. Lock the door at night. Inpatients should limit their range of activities. (3) Don't put dangerous goods in the patient's living room. So as to reduce unsafe hidden trouble. (4) Wear identification documents for patients. In case of accidents after loss.
3. The risk of disuse syndrome is related to hysterical paralysis. Some patients with hysteria will have symptoms of functional hysterical paralysis. Although this symptom has no positive signs of nervous system, it can still seriously affect the normal activities of patients if it is not effectively treated for a long time or accompanied by physical incentives. Patients stay in bed for a long time, can't walk on the ground, and rely on others to take care of their daily lives, which leads to the dangerous state of physical system degradation. Some people may have physical complications. Such as bedsore, constipation and urinary tract infection. Strength and endurance also decreased significantly. Nursing measures: (1) When the patient has hysteria, explain the nature of the disease to the patient. Relieve patients' fear and anxiety. Tell patients that they can be completely cured as long as they cooperate with the treatment, so as to strengthen their confidence in overcoming the disease and win their cooperation. (2) Master the methods and skills of using drugs, hypnosis and combining benign language hints to assist doctors. Help patients to carry out regular physical activity training. Encourage patients to get out of bed and walk around to prevent muscle atrophy. (3) Massage and nurse the compressed parts of the skin every day to prevent bedsores. (4) provide patients with high-fiber food. Do abdominal massage every day. Give patients plenty of water to prevent constipation. If constipation has occurred, move it in time, observe and use laxatives or enema according to the doctor's advice to prevent intestinal obstruction. Rinse perineum for patients every night to prevent urinary tract infection. Ensure indoor humidity, regular ventilation and disinfection, assist patients to change clothes with the seasons, and prevent colds.
4. Lack of knowledge; The lack of patients' knowledge is mainly manifested in the lack of mental health knowledge. Lack of common sense of mental health care. When they encounter bad external stimuli, they lack psychological endurance, will not use good and effective psychological prevention mechanisms to protect themselves, and their personality is not perfect. Lack of understanding of patients' relatives. It shows that they don't know much about this disease and can't provide effective help for patients. On the contrary, unintentional behavior and inappropriate language often play a bad suggestive role, which aggravates the patient's condition. Nursing measures: Health education is the main content. It is necessary to help patients fully understand themselves and dig out their personality weaknesses and their relationship with diseases. Teach patients some scientific and applicable methods to improve their personality and deal with tense interpersonal relationships; Regulate bad emotions and enhance psychological endurance. Instruct patients to deal with some difficult problems with reason rather than emotion. In addition, it is also necessary to help patients' families understand the common sense about Italian symptoms, so that patients can get more effective help from them. It is also the content of our nursing measures.
(C) the expected goal of hysteria patient care
During the onset of hysteria, the patient did not hurt himself or herself under supervision. When hysterical paralysis occurs, the patient has no complications such as muscle atrophy, constipation and bedsore under nursing care. After receiving health education guidance. Patients can objectively evaluate physical personality defects. Or have the desire to perfect personality and change behavior. The family members of patients can clearly retell the characteristics, symptoms and nursing points of the disease. The patient has no "roaming obstacle" under supervision.
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