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本文目的是为服务于本次新型冠状病毒肺炎(COVID-19)的广大心理援助者提供专业的指导和建议。根据临床工作和既往危机干预经验,本文详细介绍了进行危机干预的Response模型。Response模式包括8个步骤:建立治疗关系、评估、制定解决方案、优先排序、实证方法、价值中立、主观判断和退出。该模式在强调建立良好治疗关系的前提下,也强调心理援助者需要具备和疫情相关的基础知识,并进行准确评估、运用循证的心理治疗方法对求助者的核心诉求进行干预。本文将逐一讨论Response模型的干预步骤,供专业同行参考。 相似文献
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目的调查新型冠状病毒肺炎疫情期间护士的焦虑情绪及影响因素,为对其给予心理支持提供参考。方法采用方便取样方法,于2020年1月29日-2月5日通过电子问卷的形式对2 104名护士进行调查。采用自制调查表收集护士的一般资料,使用广泛性焦虑障碍量表(GAD-7)评估其焦虑症状。结果 GAD-7评分总体情况:无焦虑症状1 186人(56. 4%),轻度665人(31. 6%),中度149人(7. 1%),重度104人(4. 9%)。不同婚姻状况、工作年限、工作省份(是否在湖北省)、是否在新型冠状病毒肺炎专门收治病房工作和是否曾接受心理调适的护士GAD-7评分差异均有统计学意义(P均<0. 01)。回归分析显示,婚姻状况(β=0. 597,95%CI:0. 156~1. 038,P<0. 01)、工作省份(是否在湖北省)(β=3. 119,95%CI:1. 967~4. 272,P<0. 05)和曾接受过心理调适(β=0. 508,95%CI:0. 083~0. 934,P<0. 05)是影响GAD-7评分的因素。结论新型冠状病毒肺炎疫情期间,护士群体普遍出现不同程度的焦虑情绪,尤其应关注已婚、在疫情爆发地区工作以及曾经接受过心理调适的易感个体。 相似文献
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新型冠状病毒肺炎疫情已爆发1个月余,虽有所减轻,但仍有反弹风险,相关防控措施预计不会很快解除,非急、危、重症患者尽量避免去医院就诊的指导意见仍将持续一段时间。帕金森病(Parkinson disease,PD)是老年人常见的慢性非传染性疾病(后文简称“慢病”),其诊断需要与时俱进的修正,治疗中出现的剂末恶化、异动症、幻觉等病情变化需要及时调整治疗方案,疫情期间对PD等慢病患者的管理带来挑战。为了更好地指导PD患者居家管理,减少感染新型冠状病毒风险,及时识别和处理PD可能的异常情况与急症,中华医学会神经病学分会帕金森病及运动障碍学组、中国医师协会帕金森病及运动障碍专业委员会撰写了本共识,旨在帮助PD患者平稳度过疫情,减缓疫情对生活质量的影响。 相似文献
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Xiubin Lin Joshua Swift Yin Cheng Qin An Hong Liang Yangsheng Wang Xiaoming Jia 《International Journal of Mental Health Promotion, The》2020,22(3):109-113
The outbreak of the COVID-19 pandemic has provoked a significant amount of panic due to dramatic changes in daily routines for residents all over China. In response, more than 600 psychological hotlines have been built ormodified and have supplied mental health services for the public. Regarding the service quality of the hotlines, a survey has been conducted to investigate the running of hotline services during the COVID-19 pandemic. The results reveal that the more successful hotlines all had better trained hotline counselors, and in the meanwhile, the key features of providing supervision arrangements and training resources. Moreover, the referral list should be adjusted according to the accessibility of the recourses during the pandemic. 相似文献
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Background: In crisis intervention sites such as infectious disease disasters, counselors are repeatedly exposed,
directly or indirectly, to the traumatic experiences of victims. Disaster counseling has a negative effect on counselors, which can eventually interfere with the counseling process for disaster victims. Therefore, exploring and
understanding the experiences of counselors is necessary to ensure that qualitative counseling for disaster victims
can be continuously and efficiently conducted. Objectives: This study investigated the experiences of counselors
who participated in mental health counseling as psychological support for victims of the COVID-19 disaster in
Korea. Design: This is a qualitative study. Participants: The study participants comprised 18 counselors who had
mental health professional qualifications of level 2 or higher and who had provided mental health counseling for
COVID-19 confirmed cases and quarantined persons. Methods: Data were collected using focus group interviews
from February 21 to May 29, 2021. The duration of each interview was 60–90 min, and the data were analyzed
using content analysis. Results: The final theme was “Continuing to walk this road anytime, anywhere.” The participants’ experiences were identified in four sub-themes: “being deployed to unprepared counseling,” “encountering various difficulties,” “feeling full of meaning and value,” and “hoping to become a better counselor.”
Conclusions: In order to continuously provide qualitative counseling in case of an infectious disease disaster such
as COVID-19, it is important to develop a qualification and competency strengthening program through education and training to secure the crisis intervention expertise of counselors according to the characteristics of the
disaster. In addition, a psychological support manual for each disaster should be prepared at the national level
according to the type of disaster. 相似文献
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《L'Encéphale》2022,48(4):477-479
In their effort to prevent the spread of infections, retirement homes have been forced to limit physical interaction between residents and the outside world and to drastically reduce their residents’ activities, decisions which are likely to increase loneliness in residents. To investigate this issue, we evaluated loneliness in patients with Alzheimer's disease (AD) living in retirement homes in France during the COVID-19 crisis. The study included 63 participants with mild AD. Participants were invited to complete the following statement “During the social distancing, I feel” with one of the three options: not at all alone, somewhat alone, or very alone. Most of the participants answered “somewhat alone”, suggesting a significant level of loneliness during the crisis. While it serves to prevent infections, social distancing in retirement homes is likely to result in significant loneliness in residents. Because loneliness may increase cognitive decline in AD, it to pressing to prepare social programs/activities that promote contact between residents of retirement homes and the outside world as soon as the confinement is lifted. 相似文献
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目的调查新型冠状病毒肺炎疫情下非一线医务人员的焦虑、抑郁情绪,并探讨其可能原因及对策。方法采用随机抽样方法选取四川省某三甲医院432名医务人员作为研究对象,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对其焦虑、抑郁症状进行评定,并通过单因素分析寻找高危人群。结果非一线医务人员SAS评分为(39. 04±8. 47)分,焦虑症状检出率为12. 3%;SDS评分为(42. 57±11. 29)分,抑郁症状检出率为22. 2%。单因素分析显示,女性SAS、SDS评分均高于男性(t=3. 119,P=0. 002;t=3. 233,P=0. 001),女性焦虑症状检出率高于男性(χ2=6. 391,P=0. 012),护士SAS、SDS评分高于医生(t=3. 477,P=0. 001;t=2. 733,P=0. 007)。结论在新型冠状病毒肺炎疫情下,非一线医务人员的焦虑、抑郁症状检出率较高,女性和护士是出现焦虑、抑郁情绪的高危人群。 相似文献