「我家人好像有些身心狀況，但覺得自己沒病不去就醫。」，許多身心科醫師都會遇到類似的情況，當患者缺乏病識感，家屬常苦惱不知如何協助他就醫。
病識感分4種等級 提升有助治療與協助
台南市立醫院身心科醫師粟寧醫師表示，個案對於自己「有病」或「沒病」的認識，以及對待自身疾病的態度稱為「病識感」，將影響其就醫態度。一般人生理病痛會想就醫診治，但許多時候當心理疾患時，就常被忽視或逃避。
病識感可以分為4個等級，(1)缺乏病識感：完全否認自己生病，也不認為需要接受治療；(2)部份病識感：承認自己有症狀，但歸咎於其他原因，不願意接受自己生病，也可能不願意接受治療；(3)理智病識感：理智上承認自己生病並需要接受治療，但情感上還無法接受，對於治療的動機較弱與被動。(4)情感病識感：承認自己生病並需要接受治療，且情感上能接受，較願意積極尋求治療與協助。
病識感和個案本身的教育程度、文化背景、認知功能，甚至疾病本身的症狀都有相關。當個案處於「缺乏病識感」或「部份病識感」的階段，家屬就會苦惱如何讓病人了解自己生病，如何提升個案的病識感。
用同理、溫情的態度回應病患
粟寧醫師建議，家人協助個案提升病識感，可以從個案的角度出發，了解個案內心真正在乎的是什麼。讓個案注意到自己的價值觀和目前行為的落差，多用同理、溫情的態度回應，少用質問、比較、講大道理。讓個案相信，只要自己願意開始，一定有機會能改變、進步。
將身心疾病視為一種能治療的慢性病，主動與身心科醫師好好溝通，選擇最適合自己的治療模式（包括藥物與配合藥物的心理治療），不輕易採取非正統醫療，就可以將疾病對自己和他人的影響降到最低。
"My family seems to have some physical and mental conditions, but I feel that I am not sick and I am not going to see a doctor." Many physical and mental doctors will encounter similar situations. When patients lack a sense of illness, their families often worry about how to help him.
The disease is divided into 4 levels. The promotion helps the treatment and assistance.
Dr. Su Ning, a psychologist at the Tainan City Hospital, said that the attitude of the case to his "illness" or "no illness" and his attitude towards his own disease are called "sickness" and will affect his attitude towards medical treatment. In general, people with physical ailments will want to seek medical treatment, but many times when they are psychologically ill, they are often ignored or evaded.
The sense of disease can be divided into four levels, (1) lack of awareness: completely denied that they are sick, do not think that treatment is needed; (2) partial knowledge: admit that they have symptoms, but blame for other reasons, Reluctant to accept that they are ill, may also be unwilling to receive treatment; (3) Sense of Sense: Sense of Sense of ill and need to receive treatment, but emotionally unacceptable, weak and passive for treatment. (4) Emotional illness: I admit that I am sick and need treatment, and I am emotionally acceptable, and I am more willing to actively seek treatment and assistance.
The sense of illness is related to the educational level, cultural background, cognitive function, and even the symptoms of the disease itself. When the case is in the stage of "lack of illness" or "partial knowledge", family members will be distressed about how to let patients know that they are ill and how to improve the patient's sense of illness.
Respond to patients with the same reason and warm attitude
Dr. Su Ning suggested that family members can help patients to improve their sense of illness. From the perspective of individual cases, they can understand what the family really cares about. Let the case notice the difference between its own values ??and the current behavior, respond with more reasonable and warm attitudes, and use less questions, comparisons, and rational principles. Let the case believe that as long as you are willing to start, you will have the opportunity to change and progress.
Think of physical and mental illness as a chronic disease that can be treated. Take the initiative to communicate with the psychologists and choose the treatment mode that suits you best (including psychotherapy with drugs and drugs). If you don't take unorthodox medical treatment, you can treat the disease yourself. And the impact of others is minimized.
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