| Chen Weibo,Liu Yulong,Bian Huahui,Wang Youyou,Li Yuan,Zheng Xu,Bao Mingyue,Guo Kailin.Nervous behavior and mental health changes in a case exposed to 192Ir source at “5.7” accident in Nanjing[J].Chinese Journal of Radiological Medicine and Protection,2016,36(5):372-376 |
| Nervous behavior and mental health changes in a case exposed to 192Ir source at “5.7” accident in Nanjing |
| Received:February 05, 2016 |
| DOI：10.3760/cma.j.issn.0254-5098.2016.05.013 |
| KeyWords:192Ir Acute radiation injury Psychological assessment Psychological intervention Cognitive function assessment |
| FundProject:江苏省临床医学科技专项(BL2014040);江苏省卫生计生委2014-2015年度预防医学科研项目(Y2015024) |
| Author Name | Affiliation | E-mail | | Chen Weibo | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Liu Yulong | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | yulongliu2002@126.com | | Bian Huahui | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Wang Youyou | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Li Yuan | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Zheng Xu | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Bao Mingyue | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Guo Kailin | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | |
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| Abstract:: |
| Objective To explore the changes in nervous behavior and mental health caused by radiation damage, and to provide clinical data and experience for the similar cases, based on the treatment process of the patient exposed to Iridium-192 source accident in Nanjing, Methods The changes in the mental status of the patient was observed closely in a manner of "one to one", or "several to one", gave psychological intervention and drug treatment. The psychological evaluation for the patient was carried out by using Cattell 16 personality factors test (16PF), self-rating depression scale (SDS) and self-rating anxiety scale(SAS). The cognitive function assessment was carried out by using mini-mental state scale (MMSE) and Montreal cognitive assessment (MoCA) Beijing version. Results The patient showed tension, fear, upset, etc., in hospital, and psychological evaluation results showed that he had the emotions such as anxiety, depression and worry. The mental health was improved after a positive psychological counseling and treatment by using sertraline and olanzapine. Cognitive function assessment results showed that he had moderate-severe cognitive dysfunction for a time, which gradually returned to normal with the improvement of general condition. Conclusions Attention should be paid to the synchronization of physical therapy and psychological treatment in the process of clinical treatment of patients with radiation injury. Improvement to psychological problems is possible using reasonable intervention and treatment, and the cause of neurobehavioral changes still need further research. |
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