Clinical Effectiveness, Guidelines and Policies Development 临床成效、指引及政策制定

1. Effectiveness of Psychological First Aid training in improving self-efficacy and mental health outcomes for Chinese emergency responders: a randomized controlled trial
随机对照实验:探讨心理急救能否有效改善中国前线紧急救援人员的自我效能和精神健康


Disaster emergency responders are often the first to arrive at the front line during a disaster, witnessing the traumatic scene and facing life-threatening situations. They often experience the intensity of the disaster directly and may experience psychological effects for prolonged periods. They also have the opportunity to offer psychological comfort to survivors in emergency settings; therefore knowledge and skills for so doing are necessary.

在灾难中,紧急救援人员通常第一时间到达现场,目睹灾后的创伤及震撼情景,生命也随时受到威胁。他们直接经历灾难的冲击,长远来说可能产生不良的心理反应。救援人员有机会安慰幸存者,为其提供心理上的支持,因此有关心理救急的知识和技巧是不可或缺的。

Similar to the concept of physical first aid in its focus on stabilizing a person’s condition and avoiding further trauma, “Psychological First Aid” (PFA) has been proposed by the World Health Organization and other leading medical and psychological institutes as the intervention model of choice to be applied immediately after disasters and emergencies. Despite the advocacy of these leading organizations, there is a lack of direct research to demonstrate the application and effectiveness of this approach in emergency settings among both victims and disaster responders.

「心理急救」与生理急救相似,两者同样需要稳定急救对象的情况,避免进一步的创伤。世界卫生组织及其它顶级医疗和心理机构建议使用「心理急救」作为灾后的急救干预措施之一。虽然权威机构大力倡议,但是对于救援人员在紧急情况下实施此干预的实际效果等方面的研究却是不足。

We partner with the HKSAR Auxiliary Medical Service (AMS), an organization that trains physical first aid responders to assist in local disaster and emergency situations. We train AMS members to apply PFA as part of their work as well as to protect their own mental health.

因此,我们与香港特区医疗辅助队合作。香港特区医疗辅助队为培训本地灾害及前线紧急救援人员的组织。我们为其成员提供心理急救培训,使其在工作中予以实践,同时保障其个人的精神健康。

This project aims to achieve three objectives:
项目旨在达到以下三个目的:

  • To provide Psychological First Aid (PFA) training to Chinese emergency responders;
    为中国紧急救援人员提供心理急救培训;
  • To support the development of staff programs within AMS.
    支持医疗辅助队制定员工计划。
  • To evaluate systematically the effectiveness of training in enhancing responders’ self-efficacy in delivering PFA and in protecting their own psychological well-being; and
    系统地评估培训的有效性,包括对于救援人员进行心理急救的自我效能,以及保障其个人心理健康等范畴;以及

By evaluating the PFA program, the project will provide direct evidence regarding the effectiveness of PFA training among first responders. This study will inform both academics and practitioners whether this program enhances the mental health and pre-disaster preparedness for trainees and how it influences post-disaster coping and mental health. The results could serve as evidence for further development and promotion of PFA training programs among first responders.

本项目通过评估心理急救计划为心理急救培训是否有效提供证据。此研究将向学术界及实践者表达计划能否加强受训者的精神健康和灾前防备,以及这将如何影响灾后应对及精神健康。有关结果可成为有效循证,进一步拓展和推广一线救援人员的未来心理急救培训。

Project Duration 项目推行时段

2 Years (2011-2012)
两年 (2011-2012)

Funding 资金来源

This project is supported by The Chinese University of Hong Kong (CUHK) Direct Grant for Research 2009 / 2010, the School of Public Health and Primary Care Student Research Grant, and the CUHK Global Health and Disaster Studies Research Development Fund.

此项目由香港中文大学Direct Grant for Research 2009 / 2010、公共卫生及基层医疗学院学生研究基金、香港中文大学全球卫生及灾害学研究发展基金慷慨支持。

2. Case studies in disaster and medical humanitarian relief in Asia-Pacific region
亚太区灾害及人道救援个案研究

While Asia is ranked as the most disaster-prone region of the world in both natural and man-made disasters, research and training in the Asia-Pacific region is limited. There is a lack of printed educational materials on the epidemiological profile of disasters and its human health impact using case studies from the Asia-Pacific region.

亚洲是全球最容易出现天灾和人祸的地区,然而相关研究和培训却十分有限。另外,以亚太区个案为实例阐释灾害流行病学及其对人类健康影响的教学资料也十分有限。

This project aims to achieve three objectives:
此项目旨在达到以下三个目的:

  • To develop a series of case studies in disaster and medical humanitarian response;
    开展一系列关于灾害和人道救援的个案研究;
  • To publish a monograph series for education and training purposes; and
    出版专题论文以做教学和培训用途;以及
  • To understand better the epidemiological profile of disasters and their human health impact in the region.
    进一步了解区内灾害流行病学的情况以及其对人类健康的影响。

The case studies include literature review, stakeholder interviews, and retrospective data analysis. Ongoing projects include the 2005 Pakistan-Kashmir earthquake, the 2008 Wenchuan earthquake in China, the 2010 Forgotten Fire in Bhutan, and the 2000-2010 floods in the Mekong Delta.

个案研究涵盖文献回顾、利益相关者访谈以及回顾性数据分析。正在实施的项目包括2005年的巴基斯坦克什米尔大地震、2008年中国汶川大地震、2010年被遗忘的不丹火灾以及2000至2010年湄公河三角洲水灾。

Project Duration 项目实施时间

6 Years (2010-2015)
六年 (2010-2015)

Funding 资金来源

This project is supported by the ZeShan Foundation, The Chinese University of Hong Kong (CUHK) Global Health and Disaster Studies Research Development Fund, the School of Public Health and Humanitarian Initiative, and the CUHK Development Fund.

此项目由择善基金会、香港中文大学全球卫生及灾害学研究发展基金、公共卫生人道支持计划及公共卫生硕士发展基金慷 慨支持。

3. Use of pre-flight screening in elderly to prevent in-flight medical emergencies: a pilot study
预实验研究:为老年人进行航行前评估,以避免飞行期间发生紧急医疗事故

Previous studies indicated that in-flight medical emergencies are common in Hong Kong. It was found that the elderly are at a higher risk of adverse health outcomes, and some have suggested that pre-flight medical clearance may be effective in reducing in-flight medical events.

过去的研究发现,香港在航机飞行期间的医疗紧急事故屡有发生。其中发现,老年人发生负面情况的风险较大,部份学者建议航行前的医疗筛查可有效减低航行期间的医疗事故。

This project aims to achieve three objectives:
此项目旨在达到以下三个目的:

  • To screen and detect elderly passengers with chronic medical illness which may give rise to medical emergencies during commercial flights and travel;
    筛查和检测罹患慢性疾病的老年人,其可能较大机会在航机飞行及旅游期间出现紧急医疗事故;
  • To reduce the number of in-flight medical emergencies among elderly passengers; and
    减少老年乘客在航行期间的紧急医疗事故;以及
  • To promote the concept of pre-travel preparation and increase awareness among the general population about the hazards of air travel.
    向广大市民推广旅游前的准备,以及提高市民的警觉,使其明白乘坐飞机的潜在危机。

The aim of this pre-flight screening research project is to reduce in-flight medical emergencies through a pre-flight screening program.

此航行前评估研究项目旨在避免和减低航行期间所发生的紧急医疗事故。

Project Duration 项目实施时间

3 Years (2011-2013)
三年 (2011-2013)

Funding 资金来源

This project is supported by the CCOUC seed grant.
此项目由CCOU 灾害与人道救援研究所种子基金慷概支持。

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