浅析灾疫救治中医务人员道德创伤的发生与治疗

Analysis on the occurrence and treatment of moral injury of medical staff in disaster and epidemic treatment

道德创伤是反道德行为和事件与个体或群体持守的道德准则发生背离,由此产生的心理、生理等创伤症状。由于它是一个复合型概念,涉及了伦理学、文化学、社会学等多学科。在灾疫情境中,医务人员面对疫情多变、感染率高、病患多等复杂局面,内心遵循的伦理观与外在道德实践很容易发生冲突,由此陷入道德两难。在此境遇中所做出的道德选择,一旦触发不可预料的后果,极易对个体造成道德创伤。基于此,应增强医务人员战胜疫情的信心,摒弃错误的道德认知,增强道德韧性,保持良好的道德心理。

Moral injury is a kind of psychological and physiological trauma caused by the deviation of anti⁃moral behaviors and events from the moral principles held by individuals or groups.Since it is a complex concept,involving ethics,culturology,sociology and other disciplines.In the disaster situation,facing the complicated situation such as the changeable epidemic situation,high infection rate and large number of patients,medical workers are easily in conflict between internal ethics and external moral practice,and thus fall into a moral dilemma.Once the moral choice made in this situation triggers the unpredictable consequences,it is easy to cause moral injury to the individuals.Based on this,we should help medical workers strengthen the confidence to overcome the epidemic,discard the wrong moral cognition,enhance the moral resilience,and keep good moral psychology.