Thursday, 13 September 2007
Second liver expert puts forward 3 " take seriously "
Foundation of Chinese hepatitis prevention and cure will announce the whole nation on July 15 first all-around " current situation of second liver patient is investigated " result. Two half moon are in last a period of time the official website of foundation of Chinese hepatitis prevention and cure gives priority to this investigation that launch, the respect such as relation of current situation of the disease acknowledge that cares most with respect to second liver patient, cure, doctors and patients, psychology and social pressure undertook comprehensive analysis, aim to be clinician and second liver patient to offer comprehensive circumstance feedback, make whole society takes second liver patient seriously further thereby this special group. Findings shows: The patient is spent in satisfaction of disease acknowledge, cure, doctors and patients is communicated, the circumstance of the respect such as social pressure still nots allow hopeful. Expert attending the meeting is based on survey result, put forward 3 " take seriously " , take second liver patient seriously highly namely the choice with initiative politic cure, communication that takes both sides of doctors and patients seriously, and those who value groups of pair of second liver patient is all-around consideration, offer a series of proposals, with period cogent the worry that resolves place of second liver patient to be faced with. This second investigation with network questionnaire form, get the effective sample book that covers countrywide range in all 1684, suffer the person that visit a crowd to include patient of chronic second liver and second liver virus to carry. Disease acknowledge had overall raise knowledge to gain ground to still need to strengthen of 70% sufferring the person that visit to be able to realise second liver is treated correctly is a long-term course, of 98% suffer the person that visit to be able to understand correctly " be able to bear or endure medicine can affect second liver to treat " . Nevertheless, still have nearly 50% suffer the person that visit to think erroneously " the treatment that protect liver is the most serious " , of 30% suffer the person that visit to think second liver " can heal " , of 20% suffer the person that visit to think " it is normal to want liver function only, do not have infectivity " , and of 5% suffer the person that visit even abominably thinks second liver " basically treat also be equal to Bai Zhi " . Face so huge cognitive drop, the authoritative expert of domain of domestic second liver, ministry of medicine of academician of Chinese Academy of Engineering, Beijing University teachs Zhuang Hui to point out, chronic second liver is the disease of long-term progress sex that duplicate ceaselessly by second liver virus and causes, because this refuses ill poisonous treatment,be crucial, and be not what think like partial patient place to protect liver to treat is essential. Liver of each country second treats a guideline to all point out clearly, the first goal that slow second liver treats is utmost ground be restrained for a long time or eliminate second liver virus, defer and prevent a disease to make progress. Virus is only duplicate get inhibition, virus carries a quantity to fall to detect be restricted the following, ability reduces the patient's infectivity, and lower the occurence rate of patient liver cirrhosis and liver cancer. On the other hand, if second liver patient undertakes nucleotide (acerbity) kind the disease-resistant poison of medicaments is treated, need time 2 years at least, and in fact, the patient of 88% needs to treat longer time. In the process that treats for a long time in this, be able to bear or endure the stumbling block on the way that medicine already made patient implementation treat first goal. Be able to bear or endure medical generation can cause patient disease progress, or the illness relapses wait for undesirable and clinical consequence, limitted the choice that patient follow-up treats, accordingly, the part suffers mistake of the person that visit to be " second liver basically is treated also be equal to Bai Zhi " . Zhuang Hui academician expresses, "As a result of cognitive to the disease lack, caused the exceeding and hopeful or exceeding pessimism of a few patients, and oversight the formulate with proper initiative politic treatment. Accordingly, the education of accurate second liver knowledge gains ground to still need to be strengthened energetically. " overall cure satisfaction spends to take initiative cure precaution seriously not high to be able to bear or endure medical happening investigates discovery, nucleotide kind disease-resistant poison is treated is current patient use most remedial method, the patient of 71% is compared or worry about nucleotide very much however kind of medicaments be able to bear or endure property of a medicine. In the Fudan University that second liver has rich experience on clinical cure science and education of contagion of hospital of accessary Mount Hua awards Weng Xinhua to be analysed, in clinical cure, be able to bear or endure medicine worries for major patient place really, because be able to bear or endure,basically be medicine can cause serious clinical consequence not only, still meet a patient bring additional economy and time cost. Accordingly, professor Weng Xinhua points out, "No matter be a doctor, or the alternative that the patient wants to take initiative cure strategy seriously highly. If the condition allows, should be when initiative cure, adopt actively ' precaution is able to bear or endure medicine ' politic, choose to fall namely virus capability is strong, be able to bear or endure the tall sex price with medical low occurence rate is like than disease-resistant bane content favour wait for Ka Wei, active and active reduce be able to bear or endure medical risk, avoid to cause additional economy and time cost, conduce to raise a patient to be opposite second liver ' overall cure ' satisfaction is spent. " make a diagnosis and give treatment of Doctor fixed raises of sex of the comply with that use drug this investigation returns discovery, only the second liver patient of 40% has fixed hospital and doctor, and the patient of 60% can change the doctor sees a doctor, among them the patient of 45% has treated disease in a few hospitals early or late, the patient of 15% can secure a hospital but not fixed doctor sees a doctor. Doctors and patients communicates a respect, the patient of 43% decides taken remedy completely by the doctor. In addition, concern in doctors and patients promotional respect, the patient hope doctor of 52.8% " offer more the treatment with effective economy " , the patient of 43.5% thinks doctor ought to " negotiate remedial plan with the patient, make the patient understands adequately and cooperate cure actively " . In clinical cure, relationship of not stable doctors and patients brings about sex of the patient's poorer the comply with that use drug easily, increase thereby be able to bear or endure the risk of medical happening. Accordingly, earnestly of stable relation of doctors and patients needs to strengthen. Weng Jiao is awarded point out, "On one hand, the doctor should strengthen the communication with the patient and communication, when negotiating remedial plan with the patient, understand patient requirement adequately, help patient is offerred more the remedial program that price of effective, tall sex compares economy. On the other hand, the patient also should enhance the trust to the doctor, establish true remedial cause, comply with uses sex of medical comply with goodly. " overturns 3 " big hill " help patient returns to of normal life the patient of 25% is informed him to suffer from on panic of the generation after second liver and fear. Because still be put in certain error and discrimination socially, of 81% suffer the person that visit to express to won't tell friend, colleague and fellow student the illness, because worry,be repelled estrange by them. Second liver patient carries this investigation, express to long to pass the channel such as governmental orgnaization, doctor in charge of a case and commonweal organization to obtain all-around help, include a government to increase strength to lead the community correctly, reduce social discrimination, the protective; doctor in charge of a case that strengthens legitimate to second liver patient rights and interests offers comprehensive second liver to treat organization of proposal; commonweal to provide knowledge of disease of more second liver for the patient, strengthen the acknowledge of the public and patient. Face discrimination of the disease panic that is pressed in patient mentally, society and economic burden these 3 big hill, standing vice-president Wang Zhao appeals foundation of Chinese hepatitis prevention and cure, "We ought to be in pay attention to a patient while the disease is treated, give at the patient all-around consideration, help patient establishs the state of mind of active health, abiding powerful effect ground controls virus, regression lives normally. In the society at the same time each honest effort falls, strengthen the propagandist promotion of knowledge of accurate second liver prevention and cure, the medicaments that also hopes more is better can enter cure to protect " . Besides 3 " take seriously " outside, appeal of expert attending the meeting makes patient edition " second liver treats a guideline " , hold water " club of second liver patient " , add in the lecture that the doctor continues to teach " lecture of relation of doctors and patients " etc, strive to be patient of broad second liver to create more friendly, more perfect medical treatment and surroundings. (the exercitation edits: Plum apricot)
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