以“新起点”健康理念对地震伤员实施心理健康教育的效果探讨
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摘要
目的探讨"新起点"健康教育活动对经历重大创伤后伤员心理康复的影响。方法对30名来自四川灾区的伤员采用"新起点"健康教育活动,疗效评估采用急性应激障碍量表和创伤经验症状量表,在入院时、住院中和出院时共进行5次测量。结果所有伤员两项量表得分出院时较入院时均有明显改善(P<0.01),在5次测量之间均有显著降低(P<0.01)。结论在创伤救治护理时使用心理健康教育是很有必要的,其中"新起点"护理理念更值得重视。
Objective To study the effect of psychological-health education based on "NEW START" health theory for the earthquake casualties.Methods Thirty casualties were educated with "NEW START" heath education.All the casualties were scaled by acute stress disorder scale(ASDS)and trauma experience symptoms scale(TESS)for 5 times before the treatment,after the treatment and in the course of the treatment.Results The scores of ASDS and TESS in all the casualties were higher after the treatment than those before the treatment(P<0.01).The scores among the fifth test were significantly reduced(P<0.01).Conclusion Psychological health education plays an vital role in nursing for casualties after trauma.The n"NEW START" nursing theory deserves far more focus.
Objective To study the effect of psychological-health education based on "NEW START" health theory for the earthquake casualties.Methods Thirty casualties were educated with "NEW START" heath education.All the casualties were scaled by acute stress disorder scale(ASDS)and trauma experience symptoms scale(TESS)for 5 times before the treatment,after the treatment and in the course of the treatment.Results The scores of ASDS and TESS in all the casualties were higher after the treatment than those before the treatment(P<0.01).The scores among the fifth test were significantly reduced(P<0.01).Conclusion Psychological health education plays an vital role in nursing for casualties after trauma.The n"NEW START" nursing theory deserves far more focus.
引文
[1]姚林燕,吴卫利,章迎春.45例地震伤员的心理健康状况评估及护理[J].中华护理杂志,2008,12(43):1067-1069.
[2]陈美英,张仁川.“桑美”台风心理应激反应调查与居丧干预[J].福建医药杂志,2007,29(3):142-144.
[3]刘伟志,严进,沈兴华,等.“5.12”大地震茂县灾民急性应激反应的统计调查[J].解放军护理杂志,2008,25(6B):1-2.
[4]Averina M,Nilssen O,Bren T,et al.Social and lifestyle determinants of depression,anxiety,sleeping disorders and self-evaluated quality of life in Russia[J].Soc Psychi-atry Psychiatr Epidemiol,2005,40(5):511-518.
[5]姜丽萍,王玉玲.不同人群在灾害事件中的心理行为反应及干预的探讨[J].中国卫生事业管理,2007(10):691-697.
[6]陈新华.灾害事件后心理应激社会支持与心血管病关系研究[J].健康心理学杂志,2008,8(2):176-179.
[7]贾晓明.从民间祭祀到精神分析关于丧失哀伤的过程[J].中国心理卫生杂志,2005,8(19):569-571.
[8]岳玲梅,马文有,王丽萍,等.焦虑症状防御方式与人格特征的研究及护理对策[J].中国心理健康杂志,2007,7(15):592-594.
[9]张卫兵.特勤疗养学[M].北京:人民军医出版社,2009:19-20.
[10]张晓明.综合医院心理危机患者心理干预的护理研究[J].解放军护理杂志,2008,25(9A):77-78.
[11]蒋菊芳,吴晓梅,吴宗萍,等.以“新起点”健康理念为基础的健康教育对抑郁症患者的效果分析[J].中华护理杂志,2009,3(44):254-256.
[2]陈美英,张仁川.“桑美”台风心理应激反应调查与居丧干预[J].福建医药杂志,2007,29(3):142-144.
[3]刘伟志,严进,沈兴华,等.“5.12”大地震茂县灾民急性应激反应的统计调查[J].解放军护理杂志,2008,25(6B):1-2.
[4]Averina M,Nilssen O,Bren T,et al.Social and lifestyle determinants of depression,anxiety,sleeping disorders and self-evaluated quality of life in Russia[J].Soc Psychi-atry Psychiatr Epidemiol,2005,40(5):511-518.
[5]姜丽萍,王玉玲.不同人群在灾害事件中的心理行为反应及干预的探讨[J].中国卫生事业管理,2007(10):691-697.
[6]陈新华.灾害事件后心理应激社会支持与心血管病关系研究[J].健康心理学杂志,2008,8(2):176-179.
[7]贾晓明.从民间祭祀到精神分析关于丧失哀伤的过程[J].中国心理卫生杂志,2005,8(19):569-571.
[8]岳玲梅,马文有,王丽萍,等.焦虑症状防御方式与人格特征的研究及护理对策[J].中国心理健康杂志,2007,7(15):592-594.
[9]张卫兵.特勤疗养学[M].北京:人民军医出版社,2009:19-20.
[10]张晓明.综合医院心理危机患者心理干预的护理研究[J].解放军护理杂志,2008,25(9A):77-78.
[11]蒋菊芳,吴晓梅,吴宗萍,等.以“新起点”健康理念为基础的健康教育对抑郁症患者的效果分析[J].中华护理杂志,2009,3(44):254-256.
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