资源描述：
《华盛顿大学压力管理》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、StressManagementAllanSanders,MN,ARNPasanders@wsu.eduObjectivesExplorethebiological,psychological,andsocialaspectsofthehumanstressresponse.Describethedifferencebetweenadaptiveandmaladaptivecopingstrategies.Understandcopingstrategiesthatincreaseresiliencetopromoteproductivelivingandhealthyaging.C
2、ommonStressAssociatedDiseasesDiminishedImmunityHeadacheFatigueWeightgainDyslipidemiaHypertensionHeartDiseasePsoriasis/EczemaDigestiveproblemsAnxietyDepressionAlcoholismSubstanceabuseInsomniaIrritablebowelsyndromeFibromyalgiaDecreasedsexdriveOverviewofTerminologyStress:Astateofdisharmonyorathrea
3、ttohomeostasisPhysiologicalchangesincreasealertness,focus,andenergyPerceiveddemandsmayexceedtheperceivedresourcesCoping:Theabilitytomaintaincontrol,thinkrationally,andproblemsolveResilience:ResistantqualitythatpermitsapersontorecoveryquicklyandthriveinspiteofadversityStressEustressManageableStr
4、esscanleadtogrowthandenhancedcompetenceDistressUncontrollable,prolonged,oroverwhelmingstressisdestructive.AcuteStressImmediateresponsetoathreatorchallengeChronicStressOngoingexposuretostress,mayseemunrelentingCausesofStressExternalcausesFamily,work,economics,work,school,majorlifechanges,unfores
5、eenevents,etc.InternalcausesWorry,uncertainty,fear,attitudes,unrealisticexpectations,etc.SourcesofClinicalStressForpatientsUncertaintyFearPainCostLackofknowledgeRiskforharmUnknownresourcesFornursesPoorpatientoutcomesRiskofmakinganerrorUnfamiliarsituationsExcessiveworkloadInadequateresourcesStag
6、esoftheStressResponseGeneralAdaptationSyndromeofHansSelye(1907-1982)Alarm—whenonefeelsthreatenedActivationofthefightorflightreactionResistance—mobilizationofresourcestosolvetheproblemContinuedstresscausesadaptationExhaustionAdaptationfailsandleveloffunctiondecreasesALARM:ActivationofHypothalami
7、cPituitaryAdrenalAxisCatecholaminesIncreasescardiacoutputDilatesairwaysDilatespupilsMobilizesglucoseCausesvasomotorchangesDecreasesdigestionEnhancescoagulationCorticalSteroidsElevatesglucoseIncreasesaminoacidsIncreasesNAresorption
