The "round table psychological dialogue" in the cabin.

Li Jin, the leader of the tenth batch of the Psychological Medical Team of Sichuan Province.

The tenth batch of Sichuan medical team members assisted Zhang Bo, a member of the Hubei medical team.

"Hurry up! Add oxygen, lower your temperature, control the development of your lungs, and rescue the patient ..."

In this new crown pneumonia epidemic, everyone has their own story. Or through hardships, struggling for survival, or around the clock, cure disease and save people. No matter what happened, in the two months after the city was closed, people living in this city were still heartbroken, even if they were wrapped in layers.

During the days of closing the city, he assisted the Sichuan Sichuan Psychological Medical Team to listen and witnessed 5827 heartbreaks in Wuhan and tried to repair them.

【patient】

He had wanted to jump from the tenth floor

I ca n’t give my parents the ultimate knot

He is about 50 years old and does not like to talk. After entering the cabin for a week, she had a shameful face all day long, otherwise she would shrink to her own side as if crying. You question, he doesn't tell you anything.

He remembered the death of his parents. After the outbreak of the new crown pneumonia, the family had been infected. When he was sent to the cabin of the National Expo in Hanyang, his parents had already died. He often lay alone on the bed, motionless, and the medical staff talked to him as if he hadn't heard it. Chen Rende, a doctor of the Third People ’s Hospital of Panzhihua, arrived in Wuhan with the sixth batch of assistance to the Hubei medical team, entered the cabin, and soon noticed him.

"The first step in psychological intervention, nothing else, is often chatting." Chen Rende was wearing a heavy protective suit sitting next to the bed, and the conversation between the two men began difficultly. "His biggest knot was the death of his parents. He Being locked up in a cabin, he could n’t go to the funeral home, he could n’t send it off. ”When he was most desperate, the man was at home alone, and he wanted to jump off the 10th floor and end everything.

Sichuan Putonghua and Wuhan Putonghua have strong accents. They talked and talked. Chen Rende stood up and said goodbye. "Now in a special period, except you, you see, in this cabin, 900 people are locked here. No The only solution is to relax your mind. As for the end of the event, the so-called burial care, as long as you take good care of your parents, you don't need to worry about this moment of necessity. "

A week later, Chen Rende returned for a visit, and he was already willing to speak, he could take the initiative to communicate with the medical staff, and often walked by himself. "The improvement of the slow-moving 'Asian tree' status is one of the important signs of psychological improvement." Chen Rende felt relieved.

Roundtable conversation in the cabin

She cried and said, "I regret giving up the bed"

As more cases were found, Chen Rende decided to open a "round-table psychological dialogue" in the cabin. On February 18th, the Sichuan medical team in the Fangcai Hospital of Wuhan International Expo Center started to work from 2 pm, trying to find a stool, and then one ward and one ward notified the "patient team leader"-"We have It ’s a psychological consultation meeting, everybody talks and tells everyone in the group. "

At 5 o'clock in the afternoon, 13 chairs form a circle. In addition to the seated people, there are also a bunch of spectators around, mostly women. Chen Rende was wearing a full protective suit, holding a loudspeaker in his hand, and started talking to his elder sisters. Some people are willing to say something in their hearts. More people don't speak. When the horn reaches into their hands, they wave to the next. Passed to the fifth person, tears began to flow as soon as Yu Juan (pseudonym) spoke.

"At the beginning of the epidemic, both my dad and I were diagnosed. Friends working in the health system tried to find a bed for me. I was thinking of so many people getting sick at the time. We were not serious and we were embarrassed to take that. Bed, it's not necessary. "Her tears fell from behind her glasses, onto the mask, and became wet." Later, when I was the worst, there were more than a hundred people in a queue of 120. I was alone at home and took the air The purifier was opened to the maximum, and I couldn't drink a single sip of water. I thought I was going to die. I really regretted that I didn't want that bed. "

Sometimes she wakes up and remembers the huge yellow chrysanthemum in the dream. She often cries, misses her 4-year-old son, and is worried about her students in the kindergarten.

Fortunately, the pain slowly healed in the gentle hands of time. After talking with Chen Rende several times, Yu Juan began to try to set off again. She volunteered to join the party's volunteer team and changed from the rescued to the rescuer.

【healer】

Medical staff who do not want to speak:

"How can a hero go wrong?"

The virus ignores identity, and so does the pressure. Patients have their own sufferings, and healers have their own knots. In Wuhan, the latter is often more hidden and difficult to intervene. Qiu Changjian, a well-known psychologist from the West China Hospital of Sichuan University, arrived in Wuhan in early February as the "pioneer" of the Sichuan Psychological Medical Team. After working, he found that the most obvious manifestation was insomnia.

"Front-line medical staff are too busy and under pressure." Qiu Changjian said that under such circumstances, the Sichuan Psychological Medical Team has taken the simplification as far as possible to advance the work. "Either the phone or the Internet, we are trying to make them able to Have more time to rest. "On the other hand, a key point in his opinion is that he does not want to use heroism to wrap the flesh and blood of doctors and nurses." It may be possible within a few days, but if two or three weeks or even one or two The state of the monthly cycle cannot be tolerated by individuals because it is abnormal. "

"Psychological consultation requires the subject to voluntarily voluntarily, but most medical staff are unwilling to open this mouth and are unwilling to take the initiative to consult, saying that I'm okay, I'm okay." As the tenth batch of Sichuan Medical Assistance Hubei team members, from West China University of Sichuan Zhang Bo of the Mental Health Center of the hospital, together with about 50 colleagues from the province, arrived in Wuhan on February 21st. The core work includes psychological counseling for patients and medical staff.

However, in practice, the psychological counseling work has not been carried out smoothly. "One reason is that most Chinese people are indeed taboo about 'psychological problems' and think they are weak and unwilling to accept psychological assistance. , The medical staff were lifted to the position of 'heroes', so how can heroes have psychological problems? "

Zhang Bo understands that this kind of address comes from the people ’s heartfelt gratitude and sincere praise. “But the word hero has always been placed on them. From the perspective of the parties, some psychological and emotional problems will be forcibly suppressed or Cover it down and get no timely guidance. "

The crashed doctor walked out of the cabin ahead of time

"I'm going to see that kid right away"

But in fact, medical staff are facing great psychological pressure. Li Shuiying, a member of the psychological medical team who arrived in Wuhan with Zhang Bo, encountered a very impressive case of medical staff.

This is a field support doctor working in Hubei working in a cabin. "I can't tell you which cabin and what's the name, let's call her Doctor Wu. Let's talk with a patient for a while during a normal rounds visit, and talk about the patient's situation." Li Shuiying later I learned that the patient was a mother, her child was less than 10 years old, and her, her husband, and her parents-in-law were all isolated. Although he entered the cabin on a mild basis, some people in the family were seriously ill and someone died. In such extreme cases, the children who were spared the infection were placed alone in another isolation point.

At that time, Dr. Wu "feel okay", but after checking her room, she "can't hold herself up", so she ended her work early and hurried out of the cabin. "As soon as she got out of the cabin, she was sitting on the bus from the cabin back to the station alone, crying and crying, while calling the nurses in the team, asking the nurse to quickly clean up the food and drink in the station. She was going to see That child who was isolated. "

Colleagues noticed her abnormality and asked Li Shuiying for help, but Dr. Wu refused all conversations and returned to the station to lock herself in the room. "We can only ask the nurse to knock on the door after a while, ask her if she needs something to eat, and leave her alone. After a while, she may calm down." After 2 hours, Dr. Wu started to communicate, but still Obsessed with going to the quarantine point, Li Shuiying thought about it and said a word to her: "Even if we do our best protection, there are risks. If you go, what if you bring risks to your child?"

In that sentence, Dr. Wu stopped walking.

【data】

5827 psychological interventions

Necessary for long-term observation and intervention

The situation of Dr. Wu is not a rare case. According to the data provided by Li Jin, the leader of the tenth batch of psychological aid teams in Sichuan Province, as of March 19, the tenth batch of psychological aid teams of Sichuan aids Hubei has completed 149 crisis interventions. Among them, 55 were doctors, 79 were nursing patients, and 15 were patients; 1635 were individual psychological consultations, including 304 doctors, 561 nurses, and 770 patients; 807 offline and 828 online), 49 group treatments, covering 869 Number of patients, including 219 patients, 404 medical staff, 269 support staff, and 5 journalists; 3,146 patients for patrols and liaison consultations; and 32 popular science and mental health knowledge topics, covering 29,187. According to statistics, the total number of psychological interventions was 5,827.

Zhang Bo said that psychological counseling should be a long-term topic. Taking Dr. Wu as an example, Li Shuiying still keeps in touch with her and returns from time to time. "The mental health problems of a large number of rehabilitation patients require long-term observation and intervention, and the mental health of medical staff, especially the local medical staff in Wuhan, is the same." According to Li Jin, we should be more conscious of the toughness of human beings Confident: "Everyone will have their own psychological problems, but everyone also has their own way of solving and resolving. Most of the problems can be solved slowly by individuals, and only a small number of doctors must be involved in psychological intervention."

West China Metropolis Daily-Cover News Reporter Yang Xue Photography Wang Hongbin