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对48例地震伤员震后心理体验的质性观察

Post-earthquake psychological experience of the earthquake injured:Qualitative observation of 48 cases

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【作者】 李玉刚王娟娣傅东辉申萍

【Author】 LI Yu-gang1,WANG Juan-di1,FU Dong-hui2,SHEN Ping3(1.Training Center for Medical Professionals,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China;2.Clinic of the Headquarters of Nanjing Military Region,Nanjing 210016,Jiangsu,China;3.Department of Quality Control,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China)

【机构】 南京军区南京总医院训练中心南京军区司令部门诊部南京军区南京总医院质量管理科

【摘要】 目的深入了解和研究人的心理体验是心理危机干预工作的重要步骤,文中对地震伤员出现的震后心理体验进行探究。方法运用质性研究中的现象学知识和心理晤谈技术,对48例四川地震伤员进行一对一的个别晤谈。结果伤员均有不同程度的急性应激反应,可分为情绪异常、认知功能缺损、行为能力改变等3个方面的结构概念。结论作为心理危机干预者,应站在"当事人"的角度去深刻了解伤员内心深处的真实感受,以科学方法分析其根源、成因和特点,达到缓解甚至纠正其心理危机的目的 。

【Abstract】 Objective A deep insight into human psychological experience is essential for psychological crisis intervention.This article aims at a comprehensive exploration of the post-earthquake psychological experience of those injured from the earthquake.Methods One-to-one interviews were held with 48 of the injured from the Wenchuan earthquake using phenomenological knowledge and psychological interview techniques of qualitative studies.Results All the patients showed different degrees of stress reaction,which fell into 3 constitutional concepts: emotional abnormality,cognitive deficiency and capacity alteration.Conclusion A psychological intervention should try to obtain deep insights into the exact feelings of the earthquake injured from the angle of the patients themselves,and scientifically analyze the roots,causes and characteristics of their feelings,so as to relieve or correct their psychological crisis.

【关键词】 地震心理真实体验质性观察
【Key words】 EarthquakePsychologyReal experienceQualitative observation
  • 【文献出处】 医学研究生学报 ,Journal of Medical Postgraduates , 编辑部邮箱 ,2010年11期
  • 【分类号】R395
  • 【被引频次】6
  • 【下载频次】67
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