团体心理干预对初中生生存质量的疗效研究

发布时间：2019-08-04 08:59

【摘要】：目的探讨团体心理干预对目睹班级成员车祸身亡后初中生的创伤后应激症状及生存质量的影响。方法在某班1名同学突遇车祸身亡后d 2,对目睹事件的54名同学实施团体心理干预方案(3周5次)。并采用创伤后应激障碍自评量表(PCL-C)、世界卫生组织生存质量量表简表(WHOQOL-BREF)在团体心理干预前及6个月后分别进行心理评估。结果初中生在团体心理干预前及6个月后创伤后应激障碍各个症状群中B组阳性率最高,其次是D组,C组最低;团体心理干预6个月后与干预前各症状群阳性例数及得分情况比较差异均有统计学意义(P0.01);在团体心理干预前及6个月后,初中生生存质量4个领域及总的健康状况与生存质量得分均高于常模,差异有统计学意义(P0.01),团体心理干预6个月后生理、社会关系、环境3个领域得分均高于干预前,差异有统计学意义(P0.01)。结论团体心理干预能有效缓解初中生的创伤后应激障碍症状,提高其生存质量。
[Abstract]:Objective to explore the effect of group psychological intervention on posttraumatic stress symptoms and quality of life of junior high school students after witnessing the death of class members. Methods after one classmate died in a car accident, 54 students who witnessed the accident were treated with group psychological intervention program (5 times in 3 weeks). The self-rating scale of post-traumatic stress disorder (PCL-C) and the World Health Organization quality of Life scale (WHOQOL-BREF) were used to evaluate the psychology before and 6 months after group psychological intervention. Results the positive rate of group B was the highest in group psychological intervention before and 6 months after group psychological intervention, followed by group D and group C, and the number and score of each symptom group after 6 months of group psychological intervention were significantly different from those before intervention (P 0.01). Before and 6 months after group psychological intervention, the scores of quality of life and total health status and quality of life of junior high school students were higher than those of norm, the difference was statistically significant (P 0.01). After 6 months of group psychological intervention, the scores of physiology, social relations and environment were all higher than those before intervention, the difference was statistically significant (P 0.01). Conclusion Group psychological intervention can effectively alleviate the symptoms of post-traumatic stress disorder and improve the quality of life of junior high school students.
【作者单位】：石河子大学医学院护理系;石河子大学医学院第一附属医院康复医学科;
【基金】：“十二五”兵团医药卫生重点领域科技攻关项目(2012BA023)
【分类号】：R749.5;R395

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