災難過後－創傷後壓力症候群之護理

After Disaster-Nursing of Post-Traumatic Stress Syndrome

方嬋娟(Chan-Chuan Fang)

《源遠護理》 11卷3期 (2017/11) Pp. 10-15

https://doi.org/10.6530/YYN/2017.5.9

摘要

全球災難頻傳且難以避免，除災難後的緊急救護能力被重視外，災難後容易產生創傷後壓力症候群，除了影響倖存者的復原或間接影響救難人員後續的救人工作，更進一步造成家庭、社區、社會，甚至國家的災後復原，故災後的心理救援成為災難護理中重要的任務。故本文從個體面對災難後的心理反應、簡介創傷後壓力症候群的症狀、病因、發生率以及治療，接續說明護理人員在災後面對倖存者應及早進行心理評估，發現潛在創傷後壓力症候群患者，並以個案為主，運用以家庭為中心的護理概念，推及與社區的連結，提升個案的復原力，加速災區的復健。

關鍵字

創傷後壓力症候群 ； 護理

並列摘要

Disasters occur frequently all over the world and are difficult to avoid. In addition to evaluating the efficiency of emergency ambulances, disasters may induce posttraumatic stress disorder (PTSD) and impact survivors or affect first responders and rescue personnel indirectly, further delaying the family, community, society, and even the country's post-disaster recovery. Therefore, psychological recovery after a disaster has become an important task in disaster nursing. This article describes the psychological responses of individuals after a disaster, as well as the symptoms, etiology, incidence, and treatment of PTSD. Nurses should conduct early psychological assessments of survivors to detect potential cases of PTSD; then, based on each case, they should use the concepts of family-centered care and push and link with the community to enhance the recovery of the patient, which will accelerate the rehabilitation of the community.

並列關鍵字

post-traumatic stress disorder ； nursing

參考文獻

尹敏、李小麟、李靜、黃雪花、陶慶蘭、羅稀（2015）．蘆山地震住院傷患的緊急心理救援．護理雜誌，62（2），89-95。[Yin, M., Li, X. L., Li, J., Huang, X. H., Tao, Q. L., & Luo, X. (2015). Hospital-based psychological first aid provided to patients injured in the Lushan earthquake. The Journal of Nursing, 62(2), 89–95.] doi:10.6224/JN.62.2.89

李春蘭、蔣立琦（2010）．災難應變—護理人員應有的知能．護理雜誌，57（3），5-10。doi:10.6224/JN.57.3.5

周煌智（2015）．重大災難後燒傷病人的心理重建． 護理雜誌，63（1），36-41。[Chou, F. H. C. (2016). The mental rehabilitation of burn patients after a major disaster. The Journal of Nursing, 63(1), 36-41.] doi:10.6224/JN.63.1.36

林佳慧、孫吟蓁、曾雯琦、蔣立琦（2012）．以家庭為中心的創傷後壓力症候群之照護．護理雜誌，59（3），5-10。[Family-Centered care and Post-Traumatic Stress Disorder. The Journal of Nursing, 59(3), 5-10.] doi:10.6224/JN.59.3.5

林耀盛（2010）．災傷時刻—受創後心理復健的倫理面向思議．護理雜誌，57（6），24-30。[Lin, Y. S. (2010). Calamitous moments: Rethinking the ethics of post disaster psychological reconstruction programs. The Journal of Nursing, 57(6), 24-30.] doi:10.6224/JN.57.6.24