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@@ -0,0 +1,332 @@
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+[
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+ {
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+ "label": "姓名",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Name",
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+ "type": "input",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "性别",
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+ "defaultValue": null,
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+ "span": 24,
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+ "key": "Sex",
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+ "type": "radio",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [
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+ {
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+ "label": "男",
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+ "value": "1"
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+ },
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+ {
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+ "label": "女",
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+ "value": "2"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "年龄",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Age",
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+ "type": "numberInput",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "诊断",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Diagnosis",
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+ "type": "input",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": " 青少年抑郁症是起病于青少年时期,以反复出现的抑郁发作为主要表现的精神障碍。其病因和发病机制尚不完全清晰。遗传因素与该疾病相关,心理社会因素(如应激性生活事件)可能诱发该疾病的发作。\r\n 青少年抑郁发作时主要表现为每天或每天的大部分时间情绪低落、兴趣和愉快感明显减少或丧失,精力下降、言语减少,思考或集中注意力困难、自责、自我评价低、焦虑、易激惹、悲观消极等,并常常存在饮食、睡眠问题及多种躯体不适,持续至少两周。青少年抑郁症严重影响患者的社会功能,甚至会导致部分青少年出现自杀行为,威胁患者的生命,因此亟需全社会共同关注。\r\n 及时发现青少年抑郁症的可疑征象,及时诊断,及早系统干预,防范轻生意外发生,有助于控制疾病,恢复社会功能,确保患者安全,促进身心健康。",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Hint_Label",
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+ "type": "label",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "健康生活方式",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "HealthyLifestyle",
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+ "type": "checkbox",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [
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+ {
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+ "label": "家长应关注青少年的情绪变化。对于出现抑郁症状的青少年,应及时带其到精神专科医院或综合医院精神科就诊,及早诊断,在专科医师指导下系统干预。",
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+ "value": "1"
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+ },
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+ {
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+ "label": "家长需充分了解该疾病,积极配合医生的干预、治疗。",
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+ "value": "2"
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+ },
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+ {
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+ "label": "家长应加强与青少年的沟通交流,了解是否存在课业压力过高、同伴交往受阻等诱因,并帮助青少年去除发病诱因。",
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+ "value": "3"
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+ },
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+ {
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+ "label": "努力营造温馨的家庭氛围,理解、支持、关爱患者,帮助患者建立自信和战胜疾病的信心。",
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+ "value": "4"
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+ },
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+ {
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+ "label": "合理要求患者的生活和学业,避免要求过高而导致患者过大的精神压力。",
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+ "value": "5"
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+ },
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+ {
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+ "label": "合理安排生活内容,生活内容健康、积极,并适合于患者的健康状态。",
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+ "value": "6"
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+ },
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+ {
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+ "label": "合理安排饮食和睡眠,尽可能保证规律、适量、均衡的饮食和规律、充足的睡眠。",
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+ "value": "7"
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+ },
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+ {
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+ "label": "身体状况允许时可在医生指导下进行适量运动,但以不引起劳累和不适为宜。",
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+ "value": "8"
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+ },
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+ {
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+ "label": "禁止吸烟、饮酒或使用其他成瘾物质,尽量避免饮用茶或咖啡。",
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+ "value": "9"
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+ },
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+ {
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+ "label": "避免过度使用网络,限制使用手机等电子设备的时间。",
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+ "value": "10"
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+ },
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+ {
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+ "label": "轻度抑郁症患者可以坚持上学,但需合理安排学业内容,适当减轻学业压力。",
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+ "value": "11"
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+ },
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+ {
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+ "label": "中、重度抑郁症患者,建议休息,可在每日生活内容中,视患者具体情况决定是否少量安排学业内容。待患者病情康复后,逐渐恢复上学。",
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+ "value": "12"
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+ }
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+ ],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "治疗与康复",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "HealthyLifestyle",
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+ "type": "checkbox",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [
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+ {
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+ "label": "心理治疗。根据患者的具体情况,采用个体化的心理治疗方法进行干预。",
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+ "value": "1"
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+ },
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+ {
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+ "label": "药物治疗。轻度抑郁症经过心理治疗症状改善不明显或无法获得心理治疗服务的患者,及中度、重度抑郁症患者,须采用抗抑郁药进行治疗。存在失眠或幻觉妄想症状的患者,也需进行相应的药物治疗。药物治疗需在精神专科医生指导下进行,治疗期间需注意监测药物不良反应,并定期复诊,不可随意自行调整治疗药物种类及其剂量,不能擅自停药。",
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+ "value": "2"
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+ },
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+ {
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+ "label": "康复治疗。对于病情严重的患者,在经系统治疗病情得到部分改善后,可以在精神专科医生指导下进行康复治疗,促进疾病全面康复。",
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+ "value": "3"
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+ },
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+ {
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+ "label": "预防复发。①症状完全缓解后,仍需定期复诊,规律服药,做好药物的巩固期和维持期治疗。②病情缓解后需逐渐恢复学业,合理安排学习,避免过大压力。③病情痊愈后,需注意培养良好人格,增强情绪调控能力,减少心理社会因素可能导致的疾病复发。",
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+ "value": "4"
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+ },
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+ {
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+ "label": "所有患者均应进行自伤、自杀风险评估。存在自伤、自杀风险的患者,必须加强监护,及时到精神专科医院或综合医院精神科就诊。自伤、自杀风险高的患者,需尽快住院系统治疗。",
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+ "value": "5"
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+ }
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+ ],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "急症处理",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "EmergencyTreatment",
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+ "type": "checkbox",
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+ "border": null,
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+ "disabledValue": "",
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+ "options": [
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+ {
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+ "label": "抑郁症患者服药后如果出现明显的药物不良反应,应及时到精神专科医院或综合医院精神科就诊和处理。",
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+ "value": "1"
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+ },
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+ {
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+ "label": "抑郁症患者如果自伤、自杀想法强烈,应严防轻生行为发生,并及时到精神专科医院或综合医院精神科就诊。",
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+ "value": "2"
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+ },
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+ {
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+ "label": "抑郁症患者如果出现自伤、自杀行为,应立即到附近医院进行救治,并在精神专科医院或综合医院精神科系统治疗干预。",
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+ "value": "3"
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+ },
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+ {
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+ "label": "如果出现其他严重情况,及时到医院就诊。",
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+ "value": "4"
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+ }
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+ ],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "其他指导建议",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Other",
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+ "type": "textareaInput",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "医生/指导人员签名:",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Signature",
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+ "type": "signature",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "咨询电话:",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Phone",
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+ "type": "numberInput",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "日期",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "DateTime",
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+ "type": "dateTime",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "脑血管病患者健康教育处方使用说明 \r\n ★使用对象:脑梗死、脑出血等脑血管病患者。 \r\n ★使用方法 \r\n 1.本处方不能替代医务人员开具的医疗处方,主要用于患者健康生活方式指导。 \r\n 2.医务人员应结合患者的病情、健康危险因素等,提供有针对性的健康指导。",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "DescriptionLabel",
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+ "type": "label",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ }
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+]
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