以持續性健康促進活動關懷風災地區學童之實務經驗分享

A Call for a Sustained Health Promoting Program for Primary School Students in a Typhoon-Affected Area

為協助受莫拉克風災造成衝擊之學校與地區，教育部於2009年起，開始鼓勵大專青年對中小學展開多元主題的關懷行動。本文主要描述結合二所專科學校青年志工力量，投入關懷屏東地區某國小學童及辦理健康促進增能活動之過程。針對風災地區學童進行評估，透過建立夥伴關係，結合校園與社區資源，設計多元增進壓力調適之健康促進活動，並定期檢測學童風災後創傷壓力的改變情形，最後回饋給學校做為繼續輔導與關懷個案之參考。經由10個月持續地實施健促活動，高風險族群由30名學童（佔54.5％）降至10人（佔27.8％），然因季節因素，爾後又上升至11人（佔37.9％）。被關懷之學童學習增進健康與壓力調適之方法，並與青年志工建立支持網絡，參與學童期待此活動模式可以持續。建議政府相關單位持續鼓勵和支持大專青年積極投入偏遠地區學童之輔導關懷行動，並對帶領災區關懷團體之領導志工，進行培訓計畫，融入健康促進概念，以能有效且長期地幫助災變後受創者的復原需求。

To help care for primary school children suffering from trauma after the Typhoon Morakot in 2009, the Ministry of Education advocated for college students to participate in care programs in the disaster area. This paper describes how two junior college students developed a sustained health promotion program for a primary school in the southern area of Taiwan. The primary school children participated in multiple health activities and learned health promotion concepts to cope with the trauma of such a disaster. During the program, school children answered a stress questionnaire 3 times. At the beginning of the program, 37 students (54.5%) were placed in the high-risk anxiety group. After the 10-month stress-reducing program, only 10 students (27.8%) remained in the anxiety group. However, with the impending typhoon season, the number in the high-risk group increased to 11 (37.9%) at the end stage of the program. The screening result was used as a reference to provide further assistance and case management for students with high anxiety. This program focused on promoting a healthy life-style and coping with stress for primary school children. In addition, the program focused on the development of a supportive network system with young volunteers. Most of the primary school children hoped that the program would be continued. We searched for related organizations to provide subsidies to promote and train young volunteers to conduct these programs. The care program with health promotion concepts may be an effective strategy to help children suffering from anxiety due to trauma.