浅析灾疫救治中医务人员道德创伤的发生与治疗*
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1.海军军医大学基础医学院政教室;2.中国人民解放军联勤保障部队第九二四医院药剂科 广西桂林

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国博士后科学基金面上资助项目“道德创伤:一种新的战争创伤范式”(2016M592210);国家社科基金军事学项目“道德创伤:军事创伤的实践转向”(2019-SKJJ-C-022);上海市哲学社会科学规划青年课题“医学生群体道德创伤防治与道德韧性建构研究”(2019EKS005);上海市教育科学一般项目“虚拟现实在医学生道德创伤教育防治中的应用研究(C20038)”


Analysis on the occurrence and treatment of moral injury of medical staffin disaster and epidemic treatment
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1.Basic Medical college,Navy Medical University,Shanghai;2.Department of Pharmacy,The th Hospital of PLA Joint Logistic Support Force

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    摘要:

    道德创伤是反道德行为和事件与个体或群体持守的道德准则发生背离,由此产生的心理、生理等创伤症状。由于它是一个复合型概念,涉及了伦理学、文化学、社会学等多学科。在灾疫情境中,医务人员面对疫情多变、感染率高、病患多等复杂局面,内心遵循的伦理观与外在道德实践很容易发生冲突,由此陷入道德两难。在此境遇中所做出的道德选择,一旦触发不可预料的后果,极易对个体造成道德创伤。基于此,应增强战胜疫情的信心,摒弃错误的道德认知,增强道德韧性。保持良好的道德心理。

    Abstract:

    Moral injury is a kind of psychological and physiological trauma caused by the deviation of anti-moral behavior and events from the moral principles held by individuals or groups. Because it is a complex concept, involving ethics, culture, sociology and other disciplines. In the disaster situation, facing the complicated situation such as the changeable epidemic situation, high infection rate and many patients, medical workers are easily in conflict between internal ethics and external moral practice, and thus fall into the moral dilemma. The moral choice made in this situation, once triggered the unpredictable consequences, is easy to cause Moral injury to the individual. Based on this, we should strengthen the confidence to overcome the epidemic, discard the wrong moral cognition, and strengthen the moral resilience. Maintain good moral psychology.

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  • 收稿日期:2020-04-20
  • 最后修改日期:2020-05-17
  • 录用日期:2021-02-26
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