PTSD Is In Urgent Need Of Active Intervention After The Epidemic Has Not Yet Reached The Peak Of Psychological Problems.

"Third nights in Wuhan, 11 o'clock in the evening, dad died without waiting for a diagnosis. In less than a week, my mother also walked away from the new coronavirus pneumonia. I should have my father diagnosed earlier, and I should insist on giving my mother an injection. During isolation, Zhang Tingting was full of self accusation and regretted that he had not taken good care of his parents. But every day he was trying to cooperate with the doctor's examination and treatment. She said she didn't want to let her parents down.

Zhang Tingting has been cured and discharged from hospital more than half a month ago. Recently, she told the twenty-first Century business reporter that he could go shopping now, but when he carried a slightly heavier dish, he would go for a walk and stop in the middle for several times. She wants to return to normal life, but always can think of her parents. She often thinks of people falling down when they queue up in hospital, dreaming of finding their beds everywhere.

In March 9th, Hu Sanhong, Secretary General of the Guangdong provincial mental health association, told an economic reporter in twenty-first Century that many people were quarantined in the epidemic, especially in Wuhan, where the epidemic was more serious. Some even watched their loved ones leave, resulting in anxiety, panic and depression. According to past experience, every time a public health emergency occurs, the affected population will have varying degrees of psychological problems. Whether these psychological problems can be effectively solved will affect the progress of solving public health emergencies.

"I hope you understand that even if the epidemic is over, it does not mean that the impact of this incident is over. There are still some psychological problems that need to be intervened. On the other hand, people with mental disorders must learn to seek help, and even consult professional psychologists. We need to prevent some people from developing post-traumatic stress disorder (PTSD). Hu Sanhong told reporters on twenty-first Century economic report.

"Regret, blame oneself"

"I try to eat and I work hard every day, because this is my parents' chance to give me." Zhang Tingting said.

She said she regretted that she had not taken care of her parents. Zhang Tingting's father began to feel sick in the middle of January. She thought it was a cold. At that time, no new crown pneumonia could be heard. After her father began to have a fever, he only asked his father to give an injection, and he didn't pay much attention to it. It was not until her father was breathing very quickly that she realized that his father might not have caught a cold, so he hurried to the hospital.

The results showed that Zhang Tingting's father had lung infection, but the doctor just opened the ordinary oral medicine, because there was no symptomatic drug at the time, every hospital opened the same prescription, and from interrogation to get the treatment drugs, the interval was nearly two days.

Later, the condition was serious. Zhang Tingting's father was completely unable to breathe and could not walk. She had to dial 120. At that time, the staff told her that the hospital might not have collected the patient's place, and that he might have gone away. But Zhang Tingting insisted on going to the hospital, hoping to have good luck. When the hospital pays the bill, someone will fall down in the queue, and Zhang Tingting tells himself to be strong.

But in the end, Zhang Tingting's father left. In the Wuhan Red Cross Hospital out-patient clinic, observation room, ICU for nearly 10 days, and even until the death, the father has not been diagnosed. Less than a week later, her mother was diagnosed and died second days after diagnosis. "I neglected my mother, she should insist on infusion."

At the beginning of his father's "cold", Zhang Tingting's mother also showed some signs of pneumonia. He went to the hospital to take CT, showing a unilateral lung infection, but the doctor only prescribed a box of medicine. She was still happy at the time, thinking that her mother had little problem. Later, when the mother said she was not feeling well, Zhang Tingting took her mother to the community hospital and took a picture. She found that the disease was developing again. It had been infected by one side of the lungs. She went to the hospital with the result. The doctor continued to take the medicine and observe it for another two days. Hospitals are still hard beds, and nucleic acid testing still needs queuing. "When the father died nearly a week, the mother finally diagnosed, but on the second day, she left."

Zhang Tingting was also infected. The hospital shot CT showed her unilateral lung infection. "I was in hospital after my mother died." So far, Zhang Tingting feels that if they can treat them in time, they can recover as well as she can, and she can go shopping with her mother now.

Liu Yu also wants to have "if" exist.

Liu Yu had some fever in the new year's Eve. He was asked to go to a designated hospital for examination after attending a nearby community health service center. The doctor drew blood and made CT for his father. After he finished the needle, he let his father go home. He thought it was not serious. But on the morning of the second morning, his father was in a hurry and difficulty in bed. He called 120 and 110, but he could not respond. He tried every means to send his father to Hankou hospital, but the doctor directly announced his father's death.

Liu Yu still can not believe that the idea of self accusation has not been broken. He thought that if he could send his father to the hospital earlier, there would be no accident.

"When I was in quarantine, I was particularly afraid of infecting my son and my parents, and their resistance was even weaker." Jahnke said he was lucky that his family was safe, but when he was quarantined, he was full of fear. Think of their possible onset, there is no specific medicine, whether it can be healthy to reunite with family members, whether the family will be discriminated and isolated because of their own, often think, "at the beginning, if not... Will not... ".

Prevention of post infectious PTSD

"In a short period of time, the outbreak of new crown pneumonia suddenly occurred, and because of the many unknown nature of the new crown virus, people would be particularly frightened. At the beginning, because of the shortage of medical resources, many people could not get hospitalized in time. Some close contacts were isolated and helpless. Others watched their families die and they could not help themselves. These people will experience sadness, guilt, self blame, anxiety and even depression. These are our natural emotional responses, but also a sad response. Each emotion has its own functions. We need to express them. We can pour out and cry to our friends and relatives. We can also seek professional psychological doctors for help when serious. Hu Sanhong told the twenty-first Century economic news reporter that letting negative emotions come out is a process of self healing and a way to deal with psychological problems.

? ? In fact, as the Secretary General of the Guangdong provincial mental health association and the founder of the Guangzhou heart neighbouring medical care center of the green leaf medical group, Hu Sanhong, immediately after seeing the news of the city of Wuhan, he immediately realized that the tense atmosphere would only become more obvious in a short time, and psychological intervention must be given in time to alleviate it. He signed up for the first time. The psychological assistance hotline of man long medical care and the online psychological consultation organized by the Guangdong Communist Youth League and Guangdong Mental Health Association.

In Hu Sanhong's psychological counseling case, many patients were isolated from anxiety and depression. After the city was sealed in Wuhan, many people in Wuhan and other parts of Hubei suffered a very big psychological impact. They experience extreme anxieties, fears, and constant isolation from reality. Isolation is unusual for ordinary people. In the face of a strange and uncertain situation, often due to self control of the environment is limited to produce discontent, and because space is closed, the fear of isolation is easy to expand.

Hu Sanhong pointed out that, after the outbreak, we should prevent some people from having post traumatic stress disorder, such as having close contact with the segregated people, having experienced fear and helplessness, and so on. This leaves them many painful memories in their later lives. They may often not sleep at night and suffer painful dreams frequently. Even during the day, the brain can not control the painful memories, or often maintain a very high vigilance, often because of minor incidents and so on.

Deng Xiaohong, a member of the Chinese Psychological Association's psychological Counsellor's working committee and a group leader of the Chinese Psychological Association's "fight against epidemics and ease of action", and professor of psychology at Hubei University, pointed out that the peak period of psychological problems after disasters usually occurs in about 3 months. However, when the stressor is eliminated, the symptoms of 2/3 patients with acute stress disorder can be alleviated within one month, and the symptoms of 80% patients can be alleviated within six months.

? ? ? Deng Xiaohong said that whether individuals suffer from post-traumatic stress disorder after intense stress or trauma is related to many factors. The main high risk factors include the severity of stress, the risk of life, the casualties of family members, the duration of exposure to stressful environment, the family genetic history of individuals, the characteristics of bad personality, and the lack of good social support. The new PNP has potential post-traumatic stress disorder, including those who lose family members, who are exposed to stressful conditions for a long time, first-line rescuers and medical personnel, women, children, the elderly, disabled persons, singles, lose or lack of ability to earn their living, lack of social support and family support. Therefore, we need to increase the psychological care for these people in order to reduce the incidence or reduce the severity of PTSD.

"We hope that after the end of the epidemic, the government and the relevant public welfare organizations can provide them with some long-term, regular psychological intervention. If the trauma is not effectively intervened, it is likely that PTSD will have an indelible negative impact on their lives, and even serious depressive emotions and suicidal behavior." Hu Sanhong pointed out. (Editor: Zhang Weixian)

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