International Open Access Journal Platform

重建希望之路——神经源性膀胱患者的焦虑管理与心理支持服务案例

Rebuilding the Path of Hope —A Case Study on Anxiety Management and Psychological Support Services for Patients with Neurogenic Bladder

Theory and Practice of Psychological Counseling / 2025,7(9): 685-694 / 2025-10-13 18 6

View Download PDF

• Authors: 韩佳佳 陆静 刘瑞
• Information:

  上海市浦东新区公利医院社工部，上海

• Keywords:
  Neurogenic bladder; Anxiety management; Psychological support; Medical social work
  神经源性膀胱; 焦虑管理; 心理支持; 医务社工
• Abstract: A 72-year-old Chinese-Canadian male developed urination disorders due to neurogenic bladder complicated by lumbar spine surgery. After multiple treatments with poor results, he planned to undergo bladder pacemaker surgery (i.e., sacral nerve stimulation). During this period, coupled with financial pressure and the difficulty of living alone, the patient fell into a state of severe anxiety. Guided by the cognitive-behavioral theory, medical social workers conducted 8 sessions of professional interventions to help the patient reconstruct cognition, strengthen the support network, and enhance self-efficacy. Negative emotions were alleviated by adjusting irrational attribution and carrying out meditation training; the patient was encouraged to strengthen communication with his son living overseas to obtain emotional support; meanwhile, anxiety was relieved throughout the pre-operative period, and mutual assistance resources among patients were connected. In addition, medical social workers collaborated with the medical team to optimize the treatment plan, assisted in dealing with post-operative complications, and improved the patient’s treatment compliance. After the intervention, the total score of the patient’s Hospital Anxiety and Depression Scale (HAD) decreased from 28 to 13, his sleep quality was significantly improved, and he took the initiative to establish a patient support network and re-established the belief of “active coping”. This case highlights the multi-dimensional role of medical social workers in chronic disease management. Through cognitive intervention and resource integration, a path of hope for the patient’s physical and mental recovery has been built. 一名72岁华裔加拿大籍男性，因腰椎术后并发神经源性膀胱出现排尿障碍，经多次治疗效果不佳后，拟接受膀胱起搏器手术（即骶神经刺激术）。期间叠加经济压力与独居困境，该患者陷入严重焦虑状态。医务社工以认知行为理论为指导，开展8次专业干预，协助患者重构认知、强化支持网络并提升自我效能。通过调整非理性归因、开展冥想训练缓解负面情绪，推动患者与海外儿子加强沟通以获取情感支持，同时在术前全程疏导焦虑情绪，并链接病友互助资源。此外，医务社工协同医疗团队优化治疗方案，协助处理术后并发症，提升患者治疗依从性。干预后，患者的医院焦虑抑郁量表（Hospital Anxiety and Depression Scale，HAD）总分由28分降至13分，睡眠质量明显改善，还主动建立病友支持网络，重新树立“积极应对”的信念。本案例凸显了医务社工在慢性病管理中的多维角色，通过认知干预与资源整合，为患者构建起身心康复的希望之路。
• DOI: https://doi.org/10.35534/tppc.0709076
• Cite: 韩佳佳, 陆静, 刘瑞. (2025). 重建希望之路——神经源性膀胱患者的焦虑管理与心理支持服务案例. 心理咨询理论与实践, 7(9), 685-694.