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在华西医院小儿外科住院治疗的汶川地震中严重伤残儿童有严重心理创伤,表现一系列心理和生理反应。我们参照现有的心理危机干预理论和方法,结合儿童心理发展和心理创伤的特点、身体伤残程度、家长的社会文化背景以及医院的环境,设计了儿童、家长和小儿外科医生共同参与的个别和团体形式的综合性心理危机干预方案,并在实施过程中根据发现的问题调整干预内容,通过对儿童的直接观察、家长和医生的评价,基本达到了干预目的。需要继续危机后的心理干预,并制定中、长期干预计划和切实安排,保持患者具有良好的心理健康状况,降低儿童创伤后应激障碍的发生率。
Severe disabled children in the Wenchuan earthquake hospitalized in pediatric surgery in West China Hospital have serious psychological trauma, showing a series of psychological and physiological responses. We refer to the existing psychological crisis intervention theory and methods, combined with the characteristics of children’s psychological development and trauma, the degree of physical disability, the parents of the social and cultural background and the hospital environment, the design of the children, parents and pediatric surgeons participate in the individual And group forms of comprehensive psychological crisis intervention programs, and in the implementation process based on the problems found in the adjustment of intervention content, through direct observation of children, parents and doctors evaluation, basically reached the purpose of intervention. Need to continue psychological intervention after the crisis, and to develop medium and long-term intervention plan and practical arrangements to maintain patients with good mental health status and reduce the incidence of post-traumatic stress disorder in children.