護(hù)生臨床實(shí)習(xí)的壓力及應(yīng)對(duì)

護(hù)生臨床實(shí)習(xí)的壓力及應(yīng)對(duì)Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.課程目標(biāo)了解壓力、壓力源等概念掌握護(hù)生臨床實(shí)習(xí)的壓力源掌握護(hù)生臨床實(shí)習(xí)的壓力應(yīng)對(duì)Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.第一節(jié)概述

一、壓力的概念二、壓力源的概念三、壓力的意義Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.

壓力是指?jìng)€(gè)體對(duì)作用于自身的內(nèi)外環(huán)境刺激做出認(rèn)知評(píng)價(jià)后引出的一系列非特異性的生理及心理緊張性反應(yīng)狀態(tài)的過程。

一定強(qiáng)度stimulate特異性反應(yīng)組織壞死化膿酸中毒非特異性適應(yīng)反應(yīng)焦慮恐懼血液重分布心率增加Stress手術(shù)考試感染缺氧強(qiáng)光噪音與刺激因素性質(zhì)無直接關(guān)系一、壓力的概念（Stress）Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.一、壓力的概念（Stress）

刺激認(rèn)知評(píng)價(jià)反應(yīng)：生理、心理、行為壓力無處不在噢！壓力是一個(gè)動(dòng)態(tài)過程Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.二、壓力源概念（stressor）任何能使個(gè)體產(chǎn)生壓力反應(yīng)的內(nèi)外環(huán)境的刺激

生活中常見的壓力源有哪些是否都會(huì)對(duì)個(gè)體造成影響是否構(gòu)成壓力取決：?個(gè)體本身的感受當(dāng)時(shí)所處的情景支持系統(tǒng)個(gè)體應(yīng)對(duì)方式壓力源本身Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.二、壓力源概念（stressor）

軀體性壓力源心理性壓力源社會(huì)性壓力源文化性壓力源壓力源分類Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.三、壓力的意義

積極作用消極作用請(qǐng)你舉例說明之壓力對(duì)個(gè)體的雙重作用Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.三、壓力的意義

適當(dāng)?shù)拇碳な蔷S持正常人體活動(dòng)的必要條件

適當(dāng)?shù)膲毫τ欣谔岣呷梭w的適應(yīng)能力適當(dāng)?shù)拇碳つ苁箼C(jī)體處于應(yīng)對(duì)刺激的緊張狀態(tài)壓力的積極作用Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.三、壓力的意義

突然的心理壓力對(duì)健康的影響

持久而慢性的壓力對(duì)健康的影響壓力對(duì)個(gè)體社會(huì)功能的影響壓力的消極作用Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.護(hù)生面臨的特殊境況

隨著醫(yī)學(xué)護(hù)理模式的改變，人們對(duì)護(hù)理服務(wù)提出更高的要求，因此，對(duì)實(shí)習(xí)護(hù)生各方面的要求也相應(yīng)提高。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.第二節(jié)、護(hù)生臨床實(shí)習(xí)的壓力源1、學(xué)習(xí)環(huán)境與要求的改變Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.2、期望與現(xiàn)實(shí)不符

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.3、溝通能力欠缺

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.

4、自身因素

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.5、患者突發(fā)病情變化

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.6、就業(yè)問題

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.

實(shí)習(xí)不同時(shí)期的壓力源不同

實(shí)習(xí)初期壓力源以工作性質(zhì)與內(nèi)容及知識(shí)技能需求壓力為主,實(shí)習(xí)末期以考試和就業(yè)的壓力顯著Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.護(hù)生實(shí)習(xí)壓力的應(yīng)對(duì)措施1、加強(qiáng)心理素質(zhì)教育

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.2、加強(qiáng)培訓(xùn)

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.3、建立良好的人文關(guān)懷及有效溝通

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.4、增強(qiáng)自我調(diào)節(jié)能力

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.5、正確的就業(yè)指導(dǎo)

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.—增強(qiáng)自我心理減壓能力—第三節(jié)

Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.為什么會(huì)這樣……面包會(huì)有的……1、傾訴表達(dá)：釋放不良情緒Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.哈哈我有炸彈拖拉機(jī)2、娛樂放松：增強(qiáng)心理張力Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.對(duì)不起沒關(guān)系3、理解他人：減少人際壓力Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.4、寬容自己：減輕自我負(fù)擔(dān)爽啊Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.受不了啦！5、量力而行：避免身心透支Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.6、妥協(xié)放棄：權(quán)衡利弊得失別開槍Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.7、暫避獨(dú)處：療傷等待機(jī)會(huì)好累啊歇會(huì)兒再說吧Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.幫幫我!8、積極呼救：正確尋求幫助Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.要錢沒有，要命有一條9、不要財(cái)迷：端正金錢態(tài)度Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.ZZZ...10、好好睡覺：迎接美好明天Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile.Copyright2004-2011AsposePtyLtd.

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