绵阳市第三人民医院148例汶川地震外科转出伤员心理危机干预效果评价
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摘要
目的针对地震伤员存在的心理问题,实施紧急心理危机干预,顺利完成对地震伤员的转送。方法随机抽取在"5.12"汶川大地震中受伤、且在我院住院治疗并拟转至外地救治的伤员148例,在转出前7天、转出前1天分别进行一般自制调查问卷、焦虑自评量表(SAS)和抑郁自评量表(SDS)的评定。在初次评定后,给予相应的紧急心理危机干预(包括宣泄、疏导、解释、认知重建等技术)。结果实施紧急心理危机干预后,转送至外地伤员的SAS、SDS总粗分及标准分均明显下降(P<0.01)。结论地震灾后转送至外地救治伤员存在明显的心理问题,在实施紧急心理危机干预后,可明显减轻转送至外地伤员的抑郁、焦虑及恐惧等心理障碍,主动配合转运,且有利于其康复治疗。
Objective To evaluate the effect of urgent psychological crisis intervention for 148 patients who were transferred to other provinces to receive treatment after the Wenchuan earthquake. Methods We randomly selected 148 patients from the disaster area who received treatment in The Third Hospital of Mianyang City and then transferred to other provinces. A self-designed questionnaire, SAS, and SDS scales were administered to all patients 7 days and 1 day before their transfer. After the initial assessment, all patients received urgent psychological interventions including catharsis, leading, explanation, and cognition reconstruction. Results After psychological intervention, both the full score and the standardized score of SAS and SDS declined signi cantly (P<0.01). Conclusion Earthquake sufferers who were transferred to other provinces to receive treatment had psychological problems. Crisis psychological intervention may have improved their psychological status effectively.
Objective To evaluate the effect of urgent psychological crisis intervention for 148 patients who were transferred to other provinces to receive treatment after the Wenchuan earthquake. Methods We randomly selected 148 patients from the disaster area who received treatment in The Third Hospital of Mianyang City and then transferred to other provinces. A self-designed questionnaire, SAS, and SDS scales were administered to all patients 7 days and 1 day before their transfer. After the initial assessment, all patients received urgent psychological interventions including catharsis, leading, explanation, and cognition reconstruction. Results After psychological intervention, both the full score and the standardized score of SAS and SDS declined signi cantly (P<0.01). Conclusion Earthquake sufferers who were transferred to other provinces to receive treatment had psychological problems. Crisis psychological intervention may have improved their psychological status effectively.
引文
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2季建林.主编.医学心理学.上海:复旦大学出版社,2001,222-224.
3Santini MT,Rainaldi G,Indovina PL.Multicelluar tumour spheroids radiation biology.Int J Radiat Biol,1999,7:787.
4中华医学会精神科分会.中国精神障碍分类与诊断标准.济南:山东科学技术出版社,2001:97-98.
5Davidson JRT,Chief editor.Posttraumatic stress disorder and acute stress disorder.In:Kaplan HI,SMock BJ.Comprehensive Textix-ok of Psychiatry/1/I.willian1S&wilk,Baltimore,1995,1227-1236.
6Madakasira S,O’Brien KF.Acute Posttraumatic stress disorder in victirns of a natural disaster.J Nerv Ment Dis,1987,175:286-290.
7Goeniian AI,Najarian LM,Pynoos RS,et al.Posttraumatic stress disorder in elderly and younger adults after the1988earthquake in Armenia.Am J Psychiatry,1994,151:895-901.
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