74例地震伤员的心理反应与护理支持

Psychological reaction and nursing support of earthquake-induced traumatic patients

目的探讨地震伤员的心理反应，为做好护理支持提供依据。方法采用自制的地震伤员心理反应调查表，对74例年龄≥17岁的因地震灾难所致创伤性骨折的伤员进行问卷调查，内容包括心理反应、躯体症状和心理需求。结果本组伤员均存在不同程度的心身反应，以害怕、焦虑、没有安全感、失眠和噩梦为多；100％的伤员希望早日康复，89．19％的伤员希望不丧失劳动力。结论地震伤员的心理反应不容忽视，应及早给予护理支持。

Objective To discuss the psychological reaction of the patients with earthquake injuries so as to provide basis for the nursing support. Methods A questionnaire survey was conducted among 74 patients （aged above 17） with traumatic fracture caused by the earthquake using a self-designed psychological reaction scale. Results The earthquake-induced traumatic patients had different degrees of psychosomatic reactions, predominantly fear, anxiety, loss of safety, insomnia and nightmare. 89.19% of the injured patients hoped that they wouldn＇ t lose the working ability when they recovered, and 100% of them hoped for the early rehabilitation. Conclusions The psychological problems of the earthquake-induced traumatic patients can not be ignored, and in whom early nursing support is much needed.