【摘要】： 研究背景:以前對(duì)PTSD(創(chuàng)傷后應(yīng)激障礙)的研究主要集中在戰(zhàn)爭(zhēng)、地震、洪災(zāi)等特定的災(zāi)難性事故,對(duì)特殊人群研究較少。對(duì)醫(yī)務(wù)人員特別是鄉(xiāng)鎮(zhèn)衛(wèi)生院醫(yī)護(hù)人員的PTSD研究更少見報(bào)道。鄉(xiāng)鎮(zhèn)醫(yī)院醫(yī)護(hù)在醫(yī)療條件簡(jiǎn)陋的大背景下,同樣承擔(dān)著救死扶傷的神圣使命,職業(yè)特殊性決定了他們工作具有更高的應(yīng)激危險(xiǎn)性。對(duì)鄉(xiāng)鎮(zhèn)醫(yī)護(hù)人員的PTSD研究,具有更大的緊迫性和現(xiàn)實(shí)意義。 PTSD起源于戰(zhàn)爭(zhēng)創(chuàng)傷后,其原因通常為異乎尋常的戰(zhàn)斗事件,后來戰(zhàn)爭(zhēng)創(chuàng)傷的概念擴(kuò)展到其它事件,如大的災(zāi)難,軀體的攻擊等。DSM-IV對(duì)應(yīng)激重新定義后增加了體驗(yàn)到的應(yīng)激事件的數(shù)目,許多醫(yī)學(xué)事件如生孩子、流產(chǎn)、癌癥或住院等也可導(dǎo)致PTSD,還有一些人經(jīng)歷了長(zhǎng)時(shí)間的精神痛苦,在沒有特殊事件發(fā)生時(shí)也會(huì)出現(xiàn)PTSD。近年來,個(gè)體的主觀反應(yīng)及其經(jīng)歷的事件也可作為出現(xiàn)PTSD的應(yīng)激源。并且,由自然災(zāi)害引起的心理創(chuàng)傷逐漸為我國(guó)精神醫(yī)學(xué)界和心理醫(yī)學(xué)界所重視,其中有關(guān)地震和洪災(zāi)后PTSD的流行病學(xué)研究報(bào)告最多。 研究目的:通過調(diào)查鄉(xiāng)鎮(zhèn)衛(wèi)生院醫(yī)護(hù)人員職業(yè)應(yīng)激與壓力水平的現(xiàn)狀,分析其PTSD的誘發(fā)因素,提出相應(yīng)的預(yù)防措施和建議,從而提高鄉(xiāng)鎮(zhèn)醫(yī)護(hù)人員的整體健康水平,使他們能更好地為廣大的人民群眾服務(wù)。 研究對(duì)象與方法:以大連金州地區(qū)的醫(yī)護(hù)人員為研究對(duì)象,采取分層隨機(jī)抽樣方法進(jìn)行了調(diào)查。對(duì)11個(gè)鄉(xiāng)鎮(zhèn)89例(平均每鄉(xiāng)8例,開發(fā)區(qū)1例)醫(yī)護(hù)人員發(fā)放問卷89份,收回89份,其中有效問卷84份。 研究工具:采用訪談和問卷調(diào)查的心理測(cè)量工具5個(gè),包括自設(shè)的基本情況問卷,創(chuàng)傷后應(yīng)激障礙檢查量表平時(shí)版(PCL-C),明尼蘇達(dá)人格問卷(MMPI),癥狀自評(píng)量表(SCL-90),特質(zhì)應(yīng)對(duì)方式量表
[Abstract]:Background: previous studies on PTSD (post-traumatic stress disorder) focused on specific catastrophic accidents such as war, earthquake, flood, etc. PTSD studies on medical personnel, especially in township hospitals, are rare. Under the background of poor medical conditions, township hospitals also undertake the sacred mission of rescuing the dead and helping the wounded. The occupational particularity determines that their work has a higher risk of stress. The study of PTSD for township health care workers is of greater urgency and practical significance. The PTSD originated from war trauma and usually resulted from unusual combat events. Later the concept of war trauma expanded to other events, such as catastrophe, physical aggression, and so on. DSM-IV redefined stress and increased the number of stress events experienced, many medical events such as having children, miscarriages, Cancer or hospitalization can also cause PTSD, and some people experience prolonged mental pain, and PTSD. occurs when no particular event occurs. In recent years, individual subjective reactions and events can also be used as stressors for the emergence of PTSD. In addition, psychological trauma caused by natural disasters has been paid more and more attention in the field of mental medicine and psychological medicine in China, among which the epidemiological studies on PTSD after earthquake and flood are the most. Objective: to investigate the status quo of occupational stress and stress level of medical staff in township health centers, analyze the inducing factors of PTSD, and put forward corresponding preventive measures and suggestions, so as to improve the overall health level of medical staff in township hospitals. To enable them to better serve the broad masses of the people. Methods: a stratified random sampling method was used to investigate the medical staff in Jinzhou area of Dalian. 89 cases (8 cases per township, 1 case in development zone) of 11 townships were given out 89 questionnaires, 89 of which were recovered, 84 of which were valid. Research tools: 5 psychological measurement tools using interviews and questionnaires, including self-designed basic situation questionnaire, posttraumatic stress disorder scale (PCL-C), Minnesota Personality questionnaire (MMPI), symptom Checklist (SCL-90), trait coping style scale (TCSL).
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2006
【分類號(hào)】：R395

【引證文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前4條

1 黃婧;手術(shù)室護(hù)士創(chuàng)傷后應(yīng)激障礙癥狀及相關(guān)因素[D];山東大學(xué);2011年

2 林琳;長(zhǎng)沙市三級(jí)綜合性醫(yī)院急診科護(hù)士創(chuàng)傷后應(yīng)激障礙研究[D];中南大學(xué);2008年

3 邢月梅;臨沂市院前急救護(hù)士創(chuàng)傷后應(yīng)激障礙癥狀及其與生存質(zhì)量的關(guān)系[D];山東大學(xué);2010年

4 王令花;院前急救護(hù)士PTSD發(fā)生現(xiàn)狀及相關(guān)因素分析[D];山東大學(xué);2012年

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本文編號(hào)：2251153