Counseling Neuro-Degenerative Disease Patients to Alleviate Their Distress and Torments

本报告描述了为期四年的研究，研究了在照顾神经退行性疾病患者时咨询的作用。本研究的第一阶段以调查22名护士护理神经退行性疾病患者的令人印象深刻的经验开始。护士们发现了以下问题：1)难以处理病人的问题和痛苦；（二）阻碍医疗过程的；3)治疗目标与患者作为一个人的尊严的现状之间的差距；4)病人封闭的思想。然后，对住院患者进行了咨询需求评估，发现其中10%是我们的候选人。在三个不同的场合，30名患者接受了心理咨询师的咨询，并明确了以下焦虑的来源：症状的恶化、难以承认自己的疾病、不确定的未来、与他人建立关系或感到疏远的困境、对回归正常生活的恐惧、渴望被他人理解。上述结果显示了咨询在照顾神经退行性疾病患者中的重要性。结果，一个由护士和咨询师组成的团队共同为8名患者提供了咨询服务。结果发现，所有患者更倾向于由自己的护士进行咨询，并且咨询有助于护士比以前更好地了解患者。最后，我们进行了一项随访调查，发现大多数在住院期间接受过咨询的患者在出院后仍然需要一些咨询。本研究的总体结果表明，神经退行性疾病患者在整个疾病过程中显然需要与自己的护理专家进行专业咨询。

This report describes the four-year research carried out into the role of counseling in caring for patients with neuro-degenerartive disease.The first phase of this research began with the investigation of 22 nurses' impressive experiences in caring for neuro-degenerative disease patients.The nurses identified the following problems :1) Difficulties in dealing with patient problems and distress ;2) Obstruction to the process of medical treatment ;3) The gap between the goal of treatment and the present condition of The dignity of the patient as a human being ; and4) The patient's closed mind.Then, a counseling needs assessment was conducted with hospitalized patients, and 10 percent of them were found to be our candidates. On three different occasions, 30 patients had counseling with counselors, and the following sources of anxiety were clarified : the worsening of their symptoms, difficulty in admitting their disease, the uncertain future, the dilemma of forming a relationship with others or of feeling estranged from them, fear about returning to their normal life, and desire to be understood by others.The above-mentioned results showed how important counseling was in caring for patients with neuro-degenerartive disease. As a result, a team of nurses and counselors worked together to offer a counseling service to 8 patients. It was found that all of the patients preferred being counseled by their own nurses, and also that counseling helped the nursea to understand their patients better than before.Finally, a follow-up survey was carried out and found that most of the patients who had undergone counseling while in hospital needed some counseling even after leaving the hospital.The overall results of this research revealed that neuro-degenerartive disease patients clearl need professional counseling with thier own nursing experts throughout the process of their illness.