"Andy Hospital", for many Beijing citizens, this is one of the most familiar and unfamiliar hospitals. Familiar with its name, sometimes joking with this name. What is strange is its service. No family is willing to have a relationship with this hospital.
The Municipal Hospital Authority's "concerned guarding" activities gave the Morning News reporter a special opportunity for experience. To take this opportunity, the reporter went deep into the Anding Hospital, a top-three psychiatric specialist hospital last week. Visit the patient's life here—one-third of the patients here are not visiting family members for a long time; understand the hard work and confusion of the doctors and nurses here—where the doctors are chased by the patients.
Experience chat ward rounds for the patient's "physical examination"
In the event of “consistent guarding” activities, the experiencers all have “posts”, and the reporter’s position in the Anding Hospital is “expert assistant”. In the morning less than 8 o'clock, when a reporter came to the Second Division III ward, Liu Hui, the director of the ward, and her colleagues were already preparing for work.
One hour of “rounds check” is the beginning of the formal work every day. Liu Hui, with five or six young doctors, and a reporter who was such a "small attendant," walked into a ward. At the Anding Hospital, the most important part of the rounds is to chat with patients and ask them about their recent concerns.
In fact, when the patient is in a stable condition, it looks like no difference from ordinary people. They are usually quiet and lying in their own bed. Only when you hear Liu Hui's dialogue with the sick can you perceive something abnormal.
"Doctor, poisonous in rice!" A middle-aged female patient had just seen Liu Hui pull her hand and asked for help. "How do you know that the food is poisonous?" Liu Hui's dialogue with the patient is mostly a pattern of "climbing along the way." "People who cook are bad! I want to pit me!" "Why do people hurt you? Why do you think people are hurting you?" This is Liu Hui's chat-based rounds, also known as psychological examinations.
Liu Hui said that mentally ill patients do not think they are sick at the onset, they must first integrate into their context, through a period of fragmented dialogue, and then quickly grasp the patient's immediate situation.
It is common for people to chase hard by the patient.
A ward with a population of 50 to 60 people usually has 5 to 6 doctors and 20 nurses. However, even this is obviously not enough. The nurse in the ward told reporters that after some of the children sent the old people to the hospital, they basically did not show up, and more than one-third of the patients' family members did not visit for a long time. In this way, all the burden of taking care of the patient's daily life falls on doctors and nurses.
In addition to physical effort, unlike the general hospitals, the nurses here are under tremendous psychological pressure. For medicine, nurses must not only deliver pills to the hands of every patient, but also have to stare at them. In patients who are disobedient, the nurse must persuade the patient to "endure" the patient's "bad temper." It often takes more than one hour to dispense a medicine.
As an expert in the field of psychiatry for more than 20 years, Liu Hui told reporters that regardless of whether they are doctors or nurses, the situation that the patients are chased by the patients is almost “usual”. "I couldn't stand it!" When a reporter was watching a doctor talk about a patient's condition, a female patient who had just been admitted to the hospital called on the glass next to the doctor's office to force him to rush in and face the patient who suddenly showed his fierce eyes. Several young doctors came forward to appease the patient: "You love to go to you to do procedures, come for a while!" This scene for them almost every day, many young female nurses because they can not afford a huge The mental stress, chose to switch or jump job.
Visits to open wards are free for patients to come and go
With the "Mental Health Law" formally implemented on May 1 this year, the Anding Hospital began trial opening wards. Unlike other wards, inpatients in the open wards are free to move in and out and move around in the hospital. Some of them can even go out of the hospital and go shopping at a nearby commissary. They can all manage themselves, take their own medicine, and arrange visits for themselves. Of course, the premise of all "liberty" is that the patients who live here have a mild illness and must all be voluntary patients.
Yu Jing, the director of the open ward, told reporters that there are 56 beds in this area and all of them are patients with mild to moderate mental illness. Some of them are emotional disorders, some are depression, some are accompanied by psychosomatic diseases. The conditions for staying here must be that there is no "two harms" behavior, which means that you will not harm yourself and will not harm others. Patients have a considerable amount of free time each day. If you want to go out, you just need to sign a fake note, and you can return it before 8 o'clock every night according to the rules of the hospital.
According to the procedure, it is necessary to go through preliminary screening of the outpatient clinic and double evaluation of the ward to determine whether the patient is eligible for living in the "open ward." When the patient has detected self-mutilation and injury behavior, the hospital will use involuntary hospital management measures to implement hospitalization.
Features the country's first elderly ward
The Anding Hospital has a special elderly ward. It is understood that this is also the country's first mental senile ward. The patients currently living here are mainly elderly depressed, anxious, and some suffer from Alzheimer's disease. If the patient is over the age of 60, he will not be able to enter the open ward and will only enter this special elderly ward.
The hospital said that the elderly have a slower pace of life. If they are “mixed” with young people, accidents such as bruising can easily occur. At the same time, there are many kinds of diseases for the elderly, and doctors should give special consideration to medication and treatment. Some patients with Alzheimer's disease will not find the house they live in, but also need to concentrate on care.
The reporter noticed that the hospital had two locked doors in the ward, and there were door locks between the outside of the ward to the dining room and between the dining room and the ward. Patients can only leave the ward at a specified time and eat together. When eating, there are nurses in different positions on each table. This is done to prevent possible emergencies such as fainting and difficulty swallowing, as well as quarrels and fights between patients.
The nurse here not only has to observe changes in the patient's condition, decide whether to inform the doctor, but also deal with the general situation of the patient's cold, diarrhea, etc. If the patient does not call for a nursing worker, he must take care of the patient to scrub, help the patient to buy things, buy fruits and so on.
Difficult mental patients stay for 20 years without answer
The reporter learned that at present, the average hospitalization day for patients in the city’s psychiatric medical institutions is generally 150 to 160 days. The reason is that due to various reasons, family members or relatives who are not able to contact them are not willing to go through the discharge procedures for them. The tense bed resources were occupied for a long period of time. There were no shortage of hospital stays for 10 or 20 years. “Our patients here have lived for 20 years without any control.” Especially in the high incidence of mental illness in the spring, many patients who come to the clinic can only go home and wait for a bed. In this regard, the doctors of the Anding Hospital are also very helpless.
Since patients cannot be transferred to the corresponding secondary hospitals and community medical institutions, patients can only stay in tertiary hospitals and become veritable “press” patients. In particular, some elderly people with mental illnesses are characterized by difficult to cure, repetitive, and poor care. Even if they meet the hospital discharge standards, their families do not want to be discharged. As a result, psychiatric specialist hospitals such as the Anding Hospital and Huilongguan Hospital have become shelter for elderly people with mental illness who are left unattended.
In this regard, the relevant person in charge of the Municipal Health Bureau revealed that it is currently measuring the average length of stay in a psychiatric hospital, regulating the treatment of various common types of mental illness, and the length of hospital stay, and promoting it to the city.
The current status of serious mental patients with 6,000 beds
According to data from the Beijing Municipal Health Bureau in May this year, there are 150,000 severe mental patients in Beijing, and about 15,000 patients are in urgent need of hospitalization. About 9000 open beds in the psychiatric department in Beijing and about 6,000 beds are missing. The number of psychiatric beds exceeds 4 per 10,000 people.
According to a survey conducted by the Ministry of Health, there are currently more than 100 million people with various types of mental disorders in the country, of whom about 16 million are severe mental patients. Correspondingly, there are only 20,500 registered psychiatrists nationwide and 30,000 nurses. The ratio of doctors to patients is as high as 1:840, which is far below the world average. The fact that the proportion of doctors and patients is seriously out of balance has led to 70% of severe mental patients failing to receive standardized treatment.
Behind the shortage of psychiatrists is the fact that there is a strong contrast between occupational specificity and income levels. The consequence of lack of talent is that the treatment of mental patients is not adequately protected. In order to change the status quo, the new “Mental Health Law” clearly stated that occupational protection of mental health workers should be strengthened to raise the level of treatment. In addition, the government urgently needs to increase investment to build a variety of forms of transitional mental rehabilitation institutions.
"Andy Hospital", for many Beijing citizens, this is one of the most familiar and unfamiliar hospitals. Familiar with its name, sometimes joking with this name. What is strange is its service. No family is willing to have a relationship with this hospital. 
