以护士为主导的网络心理疏导专线建设与实践  

Construction and practice of a nurse-led internet-based psychological counseling hotline

作　　者：胡梦云 鲁才红[2] 胡德英 孙晖[4] 刘义兰 庄伟[5] 王伟仙 李燕玲 熊丹莉 Hu Mengyun;Lu Caihong;Hu Deying;Sun Hui;Liu Yilan;Zhuang Wei;Wang Weixian;Li Yanling;Xiong Danli(Department of Ophthalmology,Union Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院五官片,湖北武汉430022 [3]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022 [4]华中科技大学同济医学院附属协和医院党委办公室,湖北武汉430022 [5]华中科技大学同济医学院附属协和医院计算机中心,湖北武汉430022 [6]华中科技大学同济医学院附属协和医院感染科,湖北武汉430022 [7]华中科技大学同济医学院附属协和医院消化内科,湖北武汉430022 [8]华中科技大学同济医学院附属协和医院外科,湖北武汉430022

出　　处：《护理学杂志》2021年第15期70-73,共4页Journal of Nursing Science

基　　金：湖北省技术创新专项软科学项目(2019ADC074);华中科技大学自主创新研究基金资助项目(2020kfyXGYJ001)。

摘　　要：目的探索网络心理健康服务路径,维护大众心理健康水平。方法建设以护士为主导的网络心理疏导专线,选取具有国家二级心理咨询师资格证的高年资护士作为网络心理疏导专线的心理疏导专员,对来访者进行心理评估、心理护理诊断、心理疏导、高危患者转介等心理健康服务。结果 2020年1月30日至12月1日,对来访者实施心理评估1 403例次,心理健康知识宣教1 246例次,认知行为疗法953例次,渐进肌肉放松法894例次,音乐疗法642例次,转介至神经内科继续治疗38例次。92.5%来访者对心理疏导专线表示满意。结论建立以护士为主导的网络心理疏导专线提高了心理疏导服务的可及性,推动了网络心理疏导专线规范发展。Objective To explore an internet-based mental health service pathway,and to maintain the mental health of the public.Methods We constructed a nurse-led internet-based psychological counseling hotline.Senior nurses with national second-class psychological counselor qualification certificate were selected as hotline operators.They provided for internet visitors a slew of psychological health services,such as running psychological assessment,determining psychological nursing diagnosis,giving psychological counseling and making referral of high-risk patients.Results Over the span of January 30th through December 1st,2020,the hotline visitors received 1403 counts of psychological assessment,1246 counts of mental health education,953 sessions of cognitive behavioral therapy,894 sessions of progressive muscle relaxation training,642 sessions of music therapy.At the last count,38 visitors were referred to the neurology department,and 92.5%of the visitors were satisfied with the internet-based psychological counseling hotline.Conclusion Construction of the nurse-led internet-based psychological counseling hotline improves the accessibility of psychological counseling service and promotes the standardized development of online psychological counseling.

关 键 词：护士 网络门诊 心理疏导专线 心理护理 心理评估 认知行为疗法 心理护理诊断 

分 类 号：R47[医药卫生—护理学] R849[医药卫生—临床医学]