中医治未病理论在意外伤害学生心身调治中的运用
|
摘要
[目的]探析中医治未病的理念及方法在意外伤害学生治疗过程中的作用,为降低意外伤害对学生的影响提供新策略,为实践中医治未病思想开拓新领域。[方法]通过文献回顾法,论述了在中医治未病思想指导下对意外伤害学生采用心身抚慰、情绪调节、非药物疗法等措施及其效果。[结果]在意外伤害学生心身调治过程中,运用中医治未病理论构筑三道防线:"未病先防",及时进行就诊告知与心理减压,提升伤者认知评价;"已病防变",运用五行学说等方式,改善调节伤者情绪;"已变防渐",采用针刺、药枕等非药物疗法,减轻创伤后应激障碍程度。[结论]科学运用中医治未病理念,对促进意外伤害学生的心身调治具有重要意义。
[Objective]To propose new strategies on enhancing effectiveness of accidental damage and pioneer new realms for disease prevention strategy, this paper emphasized on analyzing the way and function of disease prevention strategy in therapeutic process of accidental damage.[Method]Literature review was applied to summarize and discuss the effect of some approaches guided by disease prevention strategy, including relieving the emotional tension and none-drug treatment.[Result]Three psychological defense lines were constructed during the therapeutic process which were under the guidance of disease prevention strategy, resulting in contribution to improve cognitive evaluation of patients, improve mood and relieve stress disorder. [Conclusion]Disease prevention strategy plays an important role in the psychosomatic recovery of injured students.
[Objective]To propose new strategies on enhancing effectiveness of accidental damage and pioneer new realms for disease prevention strategy, this paper emphasized on analyzing the way and function of disease prevention strategy in therapeutic process of accidental damage.[Method]Literature review was applied to summarize and discuss the effect of some approaches guided by disease prevention strategy, including relieving the emotional tension and none-drug treatment.[Result]Three psychological defense lines were constructed during the therapeutic process which were under the guidance of disease prevention strategy, resulting in contribution to improve cognitive evaluation of patients, improve mood and relieve stress disorder. [Conclusion]Disease prevention strategy plays an important role in the psychosomatic recovery of injured students.
引文
[1]朱文玉,李仿.高校学生意外伤害事故的现状及预防管理对策[J].成人教育,2014(11):64-67.
[2]苗丹民,石茹.心身疾病防御机制、预防与康复[J].现代康复,1999,3(10):16-20.
[3]张玉辉,陈延滨,王欣彬,等.《黄帝内经》养生思想研究[J].中医药学报,2010,38(6):53-54.
[4]World Health Organization.The World Health Report2001:Mental health:new understanding,new hope[M].World Health Organization,2001:5-7.
[5]曾祥岚,茄学萍,王惠惠.认知评价对青少年地震应激反应的中介作用[J].中国学校卫生,2010,31(4):408-410.
[6]梁丽婵,李欢欢.大学生应激性生活事件与自杀意念的关系:归因方式和心理求助的调节效应[J].中国临床心理学杂志,2011,19(5):625-627.
[7]王庆其.中医心理健康观刍议[J].中医文献杂志,2006,9(3):34-36.
[8]郑文贵,徐凌忠,周成超,等.凯斯勒心理疾患量表在意外伤害与心理健康关系研究中的应用[J].中国心理卫生杂志,2009,23(3):175-178.
[9]姚如真.人格特征与心身疾病[J].临床心身疾病杂志,2006,12(2):160-161.
[10]李培培,陈青萍,梁颖,等.膜拜成员特质焦虑与心理健康水平的机理及干预转归[J].中国健康心理学杂志,2015,23(1):93-96.
[11]邵祺腾,李黎,杜渐,等.中医心理学情志概念及分类[J].中国中医基础医学杂志,2014,20(2):150-152.
[12]阮鹏,伍兴阶,祁红,等.灾后群众情志特点与中医情志疗法干预[J].中华中医药杂志,2014,29(10):3279-3282.
[13]史永刚.浅论《内经》的心理治疗[J].世界中医药,2007,2(4):236-237.
[14]Jonathan I.创伤后应激障碍[J].英国医学杂志:中文版(BMJ),2016,19(11):645-650.
[15]郑成强,周天秀,金睿,等.近五年国内外针刺治疗创伤后应激障碍研究进展[J].四川中医,2014,32(7):189-190.
[16]金睿,李西云,郑成强,等.针灸治疗创伤后应激障碍研究进展[J].中华中医药杂志,2014,29(9):2883-2885.
[17]张虹,冉连辉,袁秀丽,等.针灸治疗“5·12”地震后创伤后应激障碍的临床观察[J].成都中医药大学学报,2010,33(1):21-24.
[18]Young-Dae Kim,In Heo,Byung-Cheul Shin,et al.Acupuncture for posttraumatic stress disorder:a systematic review of randomized controlled trials and prospective clinical trials[J].Evidence-Based Complementary and Alternative Medicine,2013:1-12.
[19]王秦豫,马玲,刘扬.中药药枕结合穴位按摩施护改善焦虑患者睡眠障碍的护理观察[J].新疆中医药,2013,31(5):93-94.
[20]Broadhead J,Abas M,Khumalo Sakutukwa G,et al.Social support and life events as risk factors for depression amongst women in an urban setting in Zimbabwe[J].Social Psychiatry and Psychiatric Epidemiology,2001,36(3):115-122.
[21]刘云波,罗亚莉.1764名军人应激性生活事件与抑郁的关系:社会支持的中介和调节效应[J].解放军预防医学杂志,2016,34(3):338-341.
[22]凌宇,杨娟,章晨晨,等.社会支持调节青少年应激与抑郁症状的追踪研究[J].中国临床心理学杂志,2010,18(5):610-613.
[2]苗丹民,石茹.心身疾病防御机制、预防与康复[J].现代康复,1999,3(10):16-20.
[3]张玉辉,陈延滨,王欣彬,等.《黄帝内经》养生思想研究[J].中医药学报,2010,38(6):53-54.
[4]World Health Organization.The World Health Report2001:Mental health:new understanding,new hope[M].World Health Organization,2001:5-7.
[5]曾祥岚,茄学萍,王惠惠.认知评价对青少年地震应激反应的中介作用[J].中国学校卫生,2010,31(4):408-410.
[6]梁丽婵,李欢欢.大学生应激性生活事件与自杀意念的关系:归因方式和心理求助的调节效应[J].中国临床心理学杂志,2011,19(5):625-627.
[7]王庆其.中医心理健康观刍议[J].中医文献杂志,2006,9(3):34-36.
[8]郑文贵,徐凌忠,周成超,等.凯斯勒心理疾患量表在意外伤害与心理健康关系研究中的应用[J].中国心理卫生杂志,2009,23(3):175-178.
[9]姚如真.人格特征与心身疾病[J].临床心身疾病杂志,2006,12(2):160-161.
[10]李培培,陈青萍,梁颖,等.膜拜成员特质焦虑与心理健康水平的机理及干预转归[J].中国健康心理学杂志,2015,23(1):93-96.
[11]邵祺腾,李黎,杜渐,等.中医心理学情志概念及分类[J].中国中医基础医学杂志,2014,20(2):150-152.
[12]阮鹏,伍兴阶,祁红,等.灾后群众情志特点与中医情志疗法干预[J].中华中医药杂志,2014,29(10):3279-3282.
[13]史永刚.浅论《内经》的心理治疗[J].世界中医药,2007,2(4):236-237.
[14]Jonathan I.创伤后应激障碍[J].英国医学杂志:中文版(BMJ),2016,19(11):645-650.
[15]郑成强,周天秀,金睿,等.近五年国内外针刺治疗创伤后应激障碍研究进展[J].四川中医,2014,32(7):189-190.
[16]金睿,李西云,郑成强,等.针灸治疗创伤后应激障碍研究进展[J].中华中医药杂志,2014,29(9):2883-2885.
[17]张虹,冉连辉,袁秀丽,等.针灸治疗“5·12”地震后创伤后应激障碍的临床观察[J].成都中医药大学学报,2010,33(1):21-24.
[18]Young-Dae Kim,In Heo,Byung-Cheul Shin,et al.Acupuncture for posttraumatic stress disorder:a systematic review of randomized controlled trials and prospective clinical trials[J].Evidence-Based Complementary and Alternative Medicine,2013:1-12.
[19]王秦豫,马玲,刘扬.中药药枕结合穴位按摩施护改善焦虑患者睡眠障碍的护理观察[J].新疆中医药,2013,31(5):93-94.
[20]Broadhead J,Abas M,Khumalo Sakutukwa G,et al.Social support and life events as risk factors for depression amongst women in an urban setting in Zimbabwe[J].Social Psychiatry and Psychiatric Epidemiology,2001,36(3):115-122.
[21]刘云波,罗亚莉.1764名军人应激性生活事件与抑郁的关系:社会支持的中介和调节效应[J].解放军预防医学杂志,2016,34(3):338-341.
[22]凌宇,杨娟,章晨晨,等.社会支持调节青少年应激与抑郁症状的追踪研究[J].中国临床心理学杂志,2010,18(5):610-613.