地震腹部外伤患者心理问题的分析及护理
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摘要
目的:分析汶川8.0级大地震致腹部外伤的患者的心理问题并探索其护理对策。方法:以汶川8.0级大地震致腹部外伤的19名患者为暴露组,普通患者20名和医务人员19名作为对照组。由3名医护人员运用汉密顿抑郁量表进行调查和分析。结果:地震伤员在睡眠质量、精神焦虑、抑郁情绪等3个方面与普通患者及医务人员比较有明显异常。结论:地震致腹部外伤患者的心理影响明显大于普通患者及医务人员,应进行及时有效的心理干预护理,以控制和减缓其心理问题。
Objective:To investigate the psychological problems and explore the treatment strategies of patients with abdominal injury during the Wenchuan M 8.0 earthquake.Methods:Nineteen patients with abdominal injury during the Wenchuan M 8.0 earthquake were recruited as study group,twenty general patients and nineteen medical workers were recruited as control groups.Investigation and evaluation was administrated by Hamilton Depression Scale.Results:There was significant difference between earthquake patients and the patients of control group in sleep disorder,anxiety and depression.Conclusion:The influence of the Wenchuan M8.0 earthquake on the patients with abdominal injury is more serious than that of the normal patients and the medical workers,therefore mental intervention should be practiced promptly to control and reduce the psychological problems of the earthquake victims.
Objective:To investigate the psychological problems and explore the treatment strategies of patients with abdominal injury during the Wenchuan M 8.0 earthquake.Methods:Nineteen patients with abdominal injury during the Wenchuan M 8.0 earthquake were recruited as study group,twenty general patients and nineteen medical workers were recruited as control groups.Investigation and evaluation was administrated by Hamilton Depression Scale.Results:There was significant difference between earthquake patients and the patients of control group in sleep disorder,anxiety and depression.Conclusion:The influence of the Wenchuan M8.0 earthquake on the patients with abdominal injury is more serious than that of the normal patients and the medical workers,therefore mental intervention should be practiced promptly to control and reduce the psychological problems of the earthquake victims.
引文
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[2]HAMILTON M.A rating scale for depression[J].J Neurol Neuro-surg sychiatry,1960,23:56-62.
[3]姚玉红.地震灾后心理危机干预[J].现代预防医学,2008,35(12):2403-2404.
[4]郑日昌.灾难的心理应对与心理援助[J].北京师范大学学报(社会科学版),2003,5:28-31.
[5]董惠娟,李小军,杜满庆,等.地震灾害心理伤害的相关问题研究[J].自然灾害学报,2007,16(1):153-158.
[6]邹文卫.地震社会心理与防震减灾宣传[J].灾害学,2006,21(3):114-119.
[7]SHARAN P,CHAUHARY G,KAVATHEKAR SA,et al.Pre-liminary report of psychiatric disorders in survivors of a severeearthquake[J].Am Psychiatry,1996,153:556-558.
[8]李淑然,彭新盛,尹其羽,等.云南省澜沧县地震灾区人群心理健康状况调查[J].中国心理卫生杂志,1991,5(1):11-4.
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[10]张本,张均正,王学义,等.经历大地震的开滦矿离退休干部心身健康状况调查[J].健康心理学杂志,1999,7(1):51-4.
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[12]张本,王学义,孙贺祥,等.唐山大地震远期神经症抽样调查和病因学探讨[J].神经疾病与精神卫生杂志,2001,1(1):8-11.
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