利比里亚维和人员恶性疟疾患者心理分析及对策(1)
【摘要】 目的：探讨在利比里亚工作的维和人员患恶性疟疾时存在的不良心理状态，寻求心理干预的措施。方法：对60例患恶性疟疾的维和人员进行分组，A组人员为来自非疟疾流行国，B组人员为来自疟疾流行国，采用问卷方式调查其在疟疾不同阶段存在的心理问题，并给予心理干预。结果：两组观察对象在疟疾治疗的不同阶段均存在不同方面、不同程度的心理问题，来自非疟疾流行国维和人员心理问题存在情况明显高于来自疟疾流行国维和人员，两组比较差异有统计学意义(P<0.01)，有效的心理干预可明显改善患者的心理状况。结论：维和人员，特别是来自非疟疾流行国的维和人员患恶性疟疾时，在疟疾治疗过程中存在较明显的心理问题，应密切观察，认真分析，并给予心理干预，可提高维和人员恶性疟疾治疗效果，保障维和人员身心健康，为后续赴利医疗分队在疟疾综合治疗方面提供一定帮助。
【关键词】 恶性疟疾； 心理分析； 心理干预； 维和人员
Psychological Analysis and Methods of 60 Cases of Falciparum Malaria for Liberia Peacekeepers/YANG Bian-zhuan，LI Kun，CHANG Cheng，et al.//Medical Innovation of China，2015，12(24)：101-104
, 百拇医药
【Abstract】 Objective：To explore the psychological characteristics of falciparum malaria for Liberia peacekeepers and to seek the measures of psychological intervening these problems.Method：Questionnaire survey was performed for psychological characteristics of 60 cases of falciparum malaria for Liberia peacekeepers who were divided into tow groups including group A from non-epidemic country of malaria and group B from epidemic country of malaria and did statistical analysis and psychological intervention.Result：Many of the 60 cases had psychological problems in process of treatment in different stage， asept and degree. There was significant difference in the amount of the patients who had psychological problems between two groups(P<0.01)，effective psychological intervention could improve the status for patients with falciparum malaria.Conclusion：The patients with falciparum malaria for Liberia peacekeepers ，especially from non-epidemic country of malaria had many psychological problems in process of treatment and it couldn’t be ignore.In order to increase the effect of treatment and guarantee physical and psychoiogical health of peacekeepers， these psychological problems should be observed， analysed and intervened.It will provide some support in treatment of falciparum malaria for next medical contigent.
, 百拇医药
【Key words】 Falciparum malaria； Psychological characteristics； Psychological intervention； Peacekeeper
First-author’s address：The 264th Hospital of PLA，Taiyuan 030001，China
doi：10.3969/j.issn.1674-4985.2015.24.037
疟疾是最常见和危害最严重的热带虫媒传染病之一，目前全球每年有超过30亿人受到疟疾传播的威胁，每年新发患者超过2亿人，导致的死亡病例超过100万[1]，西非利比里亚是疟疾高发区，其中恶性疟占90%以上，部分恶性疟疾患者发病凶险，2～3 d即可出现严重并发症，威胁生命[2]。降低恶性疟疾凶险发作及病死率对稳定维和官兵的情绪十分重要[3]。从2003年开始联合国成立驻利比里亚特派团(UNMIL)，简称联利团，多个国家派遣维和人员来该国维护社会秩序，疟疾成为身处该肆虐区的联合国维和人员健康的极大威胁，特别是来自非疟疾流行国的维和人员，尽管联利团有较完善的医疗体制和有效的治疗方法，但患恶性疟疾的维和人员在疟疾治疗的不同阶段均存在不同方面、不同程度的心理问题，个别病例非常严重，影响疟疾的临床疗效，为准确了解患恶性疟疾维和人员心理情况，笔者在参加中国赴利比里亚维和医疗分队(中国二级医院)驻绥德鲁地区工作期间，对2014年3-11月诊治的60例维和人员恶性疟疾患者用问卷形式对其临床不同时期出现的不同心理问题进行调查及分析，总结其心理特点，并给予有效的心理干预措施，结果报告如下。, 百拇医药(杨变转 李坤 常诚 等)
【关键词】 恶性疟疾； 心理分析； 心理干预； 维和人员
Psychological Analysis and Methods of 60 Cases of Falciparum Malaria for Liberia Peacekeepers/YANG Bian-zhuan，LI Kun，CHANG Cheng，et al.//Medical Innovation of China，2015，12(24)：101-104
, 百拇医药
【Abstract】 Objective：To explore the psychological characteristics of falciparum malaria for Liberia peacekeepers and to seek the measures of psychological intervening these problems.Method：Questionnaire survey was performed for psychological characteristics of 60 cases of falciparum malaria for Liberia peacekeepers who were divided into tow groups including group A from non-epidemic country of malaria and group B from epidemic country of malaria and did statistical analysis and psychological intervention.Result：Many of the 60 cases had psychological problems in process of treatment in different stage， asept and degree. There was significant difference in the amount of the patients who had psychological problems between two groups(P<0.01)，effective psychological intervention could improve the status for patients with falciparum malaria.Conclusion：The patients with falciparum malaria for Liberia peacekeepers ，especially from non-epidemic country of malaria had many psychological problems in process of treatment and it couldn’t be ignore.In order to increase the effect of treatment and guarantee physical and psychoiogical health of peacekeepers， these psychological problems should be observed， analysed and intervened.It will provide some support in treatment of falciparum malaria for next medical contigent.
, 百拇医药
【Key words】 Falciparum malaria； Psychological characteristics； Psychological intervention； Peacekeeper
First-author’s address：The 264th Hospital of PLA，Taiyuan 030001，China
doi：10.3969/j.issn.1674-4985.2015.24.037
疟疾是最常见和危害最严重的热带虫媒传染病之一，目前全球每年有超过30亿人受到疟疾传播的威胁，每年新发患者超过2亿人，导致的死亡病例超过100万[1]，西非利比里亚是疟疾高发区，其中恶性疟占90%以上，部分恶性疟疾患者发病凶险，2～3 d即可出现严重并发症，威胁生命[2]。降低恶性疟疾凶险发作及病死率对稳定维和官兵的情绪十分重要[3]。从2003年开始联合国成立驻利比里亚特派团(UNMIL)，简称联利团，多个国家派遣维和人员来该国维护社会秩序，疟疾成为身处该肆虐区的联合国维和人员健康的极大威胁，特别是来自非疟疾流行国的维和人员，尽管联利团有较完善的医疗体制和有效的治疗方法，但患恶性疟疾的维和人员在疟疾治疗的不同阶段均存在不同方面、不同程度的心理问题，个别病例非常严重，影响疟疾的临床疗效，为准确了解患恶性疟疾维和人员心理情况，笔者在参加中国赴利比里亚维和医疗分队(中国二级医院)驻绥德鲁地区工作期间，对2014年3-11月诊治的60例维和人员恶性疟疾患者用问卷形式对其临床不同时期出现的不同心理问题进行调查及分析，总结其心理特点，并给予有效的心理干预措施，结果报告如下。, 百拇医药(杨变转 李坤 常诚 等)