主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (7): 888-894.doi: 10.3969/j.issn.1672-1756.2018.07.007

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灾害救援护士的“自我心理调适”与心理危机干预对策

程艮   

  1. 首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,100088 北京市
  • 出版日期:2019-01-07 发布日期:2019-01-07

Self-psychological adjustment and psychological crisis intervention strategies for disaster rescue nurses

  • Online:2019-01-07 Published:2019-01-07

摘要: 我国是一个灾害频发的国家,护士是一线灾害救援队伍中最大的一支救援力量,他们在防灾、减灾以及灾后救援方面发挥着巨大的作用。然而,在灾害救援过程中,以及灾害救援结束后,一些灾害救援护士出现了急性应激障碍、创伤后应激障碍等心理问题。于是,许多学者提出“自我心理调适”应当成为灾害救援护士的核心能力之一。而目前围绕灾害救援护士“自我心理调适”的教育/培训未能满足实际需求。提高心理弹性水平是灾害救援护士进行“自我心理调适”的基础,也是预防心理危机出现的有效方法之一;当灾害救援护士出现心理危机时,“稳定情绪技术”“放松训练”以及“减压+紧急事件应激晤谈”等方法是便捷有效的干预措施。除此之外,政府部门还需要构建一个专业的心理危机干预社会支持系统。

关键词: 灾害救援护士, 心理危机, 急性应激障碍, 创伤后应激障碍, 自我心理调适, 心理弹性, 心理危机干预

Abstract: China is a country with frequent disasters. Nurses are the largest force in the first-line disaster rescue team and play an important role in disaster prevention, reduction and post-disaster rescue. However, a number of disaster rescue nurses have developed acute stress disorder, post-traumatic stress disorder and other psychological problems during or after disaster rescue. Therefore, scholars recommend that "self-psychological adjustment" is supposed to become one of the core competences of disaster rescue nurses. To date, education/training on "self-psychological adjustment" of disaster rescue nurses fails to meet the actual needs. The improvement of psychological resilience is the basis of "self-psychological adjustment" of disaster rescue nurses, as well as one of the effective methods to prevent psychological crisis. When disaster rescue nurses have psychological crisis, "emotional stabilization technology", "relaxation training" and "stress reduction & critical incident stress debriefing" are convenient and effective interventions. In addition, the government also is expected to build a social support system of professional psychological crisis intervention.

Key words: disaster rescue nurse, psychological crisis, Acute Stress Disorder, Post-Traumatic Stress Disorder, self-psychological adjustment, psychological resilience, psychological crisis intervention