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1、护生临床实习的压力及应对重庆市第五人民医院消毒供应中心Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.课程目标n了解压力、压力源等概念n掌握护生临床实习的压力源n掌握护生临床实习的压力应对Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.第一
2、节 概述 一、压力的概念一、压力的概念二、压力源的概念二、压力源的概念三、压力的意义三、压力的意义Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd. 压压力力是是指指个个体体对对作作用用于于自自身身的的内内外外环环境境刺刺激激做做出出认认知知评评价价后后引引出出的的一一系系列列非非非非特特特特异异异异性性性性的的的的生生生生理理理理及及及及心心心心理理理理紧张性反应紧张性反应紧张性反应紧张性反应状态的过程。状态的过程。
3、 一定强度一定强度stimulatestimulate特特特特异异异异性性性性反反反反应应应应组织坏死组织坏死化脓化脓酸中毒酸中毒非特异性适应反应非特异性适应反应非特异性适应反应非特异性适应反应焦焦 虑虑恐恐 惧惧血血液液重重分分布布心心率率增增加加StressStress手术考试感染缺氧强光噪音与刺激因素性与刺激因素性与刺激因素性与刺激因素性质无直接关系质无直接关系质无直接关系质无直接关系一、压力的概念(Stress)Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright
4、 2004-2011 Aspose Pty Ltd.一、压力的概念(Stress) 刺激刺激 认知评价认知评价 反应:生理、心理、行为反应:生理、心理、行为压力无压力无处不在处不在噢!噢!压力是一个动态过程压力是一个动态过程Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.二、压力源概念(stressor)任何能使个体产生压力反应的内外环境的刺激任何能使个体产生压力反应的内外环境的刺激 生活中常见的压力源有哪些生活中常
5、见的压力源有哪些是否都会对个体造成影响是否都会对个体造成影响是否构成压力取决:是否构成压力取决:个体本身的感受个体本身的感受当时所处的情景当时所处的情景支持系统支持系统个体应对方式个体应对方式压力源本身压力源本身Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.二、压力源概念(stressor) 躯体性压力源躯体性压力源心理性压力源心理性压力源社会性压力源社会性压力源文化性压力源文化性压力源压力源分类压力源分类Eval
6、uation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.三、压力的意义 积极作用积极作用 消极作用消极作用请你举例请你举例说明之说明之压力对个体的双重作用压力对个体的双重作用Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.三、压力的意义 适当的刺激是维持正
7、常人体活动的必要条件适当的刺激是维持正常人体活动的必要条件 适当的压力有利于提高人体的适应能力适当的压力有利于提高人体的适应能力 适当的刺激能使机体处于应对刺激的紧张状态适当的刺激能使机体处于应对刺激的紧张状态压力的积极作用压力的积极作用Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.三、压力的意义 突然的心理压力对健康的影响突然的心理压力对健康的影响 持久而慢性的压力对健康的影响持久而慢性的压力对健康的影响 压力对
8、个体社会功能的影响压力对个体社会功能的影响压力的消极作用压力的消极作用Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.护生面临的特殊境况n 随着医学护理模式的改变,人们对护理服务提出更高的要求,因此,对实习护生各方面的要求也相应提高。Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004
9、-2011 Aspose Pty Ltd.第二节、护生临床实习的压力源1、学习环境与要求的改变 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.2、期望与现实不符 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.n3、沟通能力欠缺 Eval
10、uation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd. 4、自身因素 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.5、患者突发病情变化 Evaluation only.Created with Aspose.Slides for .NET 3.5 C
11、lient Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.6、就业问题 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd. 实习不同时期的压力源不同n 实习初期压力源以工作性质与内容及知识技能需求压力为主,实习末期以考试和就业的压力显著Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Pr
12、ofile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.护生实习压力的应对措施n1、加强心理素质教育 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.n2、加强培训 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose
13、Pty Ltd.n3、建立良好的人文关怀及有效沟通 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.n4、增强自我调节能力 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.n5、正确的就业指导 Evaluation only.Created
14、 with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd. 增强自我心理减压能力增强自我心理减压能力 第三节 Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.为什么会这样面包会有的1、倾诉表达:释放不良情绪倾诉表达:释放不良情绪Evaluation only.Created with Aspos
15、e.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.哈哈我有炸弹拖拉机2、娱乐放松:增强心理张力娱乐放松:增强心理张力Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.对不起对不起没关系3、理解他人:减少人际压力理解他人:减少人际压力Evaluation only.Created with Aspose.Slid
16、es for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.4、宽容自己:减轻自我负担宽容自己:减轻自我负担爽啊爽啊Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.受不了啦受不了啦 !5、量力而行:避免身心透支量力而行:避免身心透支Evaluation only.Created with Aspose.Slides for .NE
17、T 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.6、妥协放弃:权衡利弊得失妥协放弃:权衡利弊得失别开枪别开枪Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.7、暂避独处:疗伤等待机会暂避独处:疗伤等待机会好累啊好累啊歇会儿再说吧歇会儿再说吧Evaluation only.Created with Aspose.Slides for .NE
18、T 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.帮帮我帮帮我帮帮我帮帮我! !8 8、积极呼救积极呼救积极呼救积极呼救:正确寻求帮助正确寻求帮助正确寻求帮助正确寻求帮助Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.要钱没有,要命有一条9、不要财迷:端正金钱态度不要财迷:端正金钱态度Evaluation only.Created with
19、 Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.Z Z Z .Z Z Z .10、好好睡觉:迎接美好明天好好睡觉:迎接美好明天Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd. 结语 你我共勉: 不要自找压力不要自找压力 徒增烦恼徒增烦恼 不要排斥压力不要排斥压力 变废为宝变废为宝 学会自我调节学会自我调节 轻装上阵轻装上阵享享 受受 生生 活活Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.谢谢!Evaluation only.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Copyright 2004-2011 Aspose Pty Ltd.