摘要目的探讨异体手移植过程中的心理问题及其对策.方法筛选病人时采用交谈方式进行心理测试,观察病人是否有心理障碍以及处理各种压力的能力.在移植手术前,对病人进行心理辅导使病人作好充分心理准备.移植手术后病人心理康复采用镇痛等针对性治疗、心理暗示疗法、调动支持系统和改善环境等治疗方法.结果筛选病人时发现12位病人中有1位因心理障碍不适宜作手术.病人术后1周内烦躁、焦虑、忍耐力极差、对移植手稍有恐惧,1周以后对移植手初步认可,1月后心理上已基本接受,术后4、5月时移植手痛温觉已恢复至指尖、手指伸屈已得到较好恢复,病人在心理上完全接受该手.结论在患者的术前选择和术后康复过程均存在不同的心理问题,需要心理医生参与整个治疗过程,应予重视.

abstractsObjective To study the psychology and the treatment during the process of hand allograft.Methods The patients were interviewed to evaluate their states of mind and their abilities to manage stress during the selection of patients. The psychology of the two patients were trained before the operation and managed accordingly afterwards.Results One of 12 candidates was found to be unsuitable for the transplantation because of psychiatric problems. One week postoperatively, the two patients were anxious, lacked patience and were afraid of seeing the long-awaited grafted hand. After 1 week, the patients began to accept the new hand, with full acceptance of the hand 1 month later. With the recovery of hand sensation 4 to 5 months after the operation, the patients regarded the hand as their own. Conclusion Psychological problems exist during preoperative selection of patients and postoperative rehabilitation, requiring psychologists in the hand transplantation team.