解放军小汤山医院患者及一线医护人员心理干预模式研究

发布时间：2018-02-16 00:01

本文关键词： 危机干预躯体语言行为训练应激 SARS 医护人员心理健康　出处：《中国人民解放军军医进修学院》2005年硕士论文　论文类型：学位论文

【摘要】：目的 1、对解放军小汤山医院SARS患者实施整体心理危机干预措施并评估疗效和影响因素,探索对危机人群进行临床心理干预的有效模式。 2、对解放军小汤山医院一线医护人员进行心理干预并评估疗效,探索对急性应激事件下的人员进行临床心理干预的有效模式。方法 1、680名SARS患者(其中男性379名,女性301名),对483名干预组患者进行综合心理干预,包括电话心理咨询(主动和被动)、文字材料、自我调适以及面对面危机干预(主要由临床医务人员和心理医生实施)。采用SCL-90对干预组和对照组进行入院时和出院前的心理健康状况评估,并采用自编的“心理干预效果评定表”对各种干预方法的干预效果进行评定。 2、轮休期SARS一线医护人员265人,对实验组131名一线医护人员进行心理行为训练,对照组134人不进行心理行为训练,用SCL-90评估干预效果。结果 1、实验组和对照组患者入院时SCL-90各因子分值均明显高于地方常模的分值,差异有显著性;入院时干预组和对照组的SCL-90各因子均分没有明显差异,而出院时干预组和对照组患者SCL-90各因子均分相比,在多个因子上干预组均分均显著低于对照组(t=2.1～5.7,P0.01～0.05),两组人员的各因子得分仍然显著高于地方常模。各种干预方式中患者主动电话咨询的有效率最高(95.7%),文字材料的有效率最低(19.5%),经过培训后的临床主管医生与心理医生进行心理干预的干预有效率都很高(80%),两者之间的有效率比较无显著性差异;主动求助、被动求助以及文字干预对文化程度较低的
[Abstract]:Purpose. 1. To carry out the whole psychological crisis intervention to SARS patients in Xiaotangshan Hospital of PLA, to evaluate the curative effect and the influencing factors, and to explore the effective mode of clinical psychological intervention to the people in crisis. 2. Psychological intervention and evaluation of the curative effect of first-line medical staff in Xiaotangshan Hospital of PLA were carried out to explore the effective mode of clinical psychological intervention for the personnel under acute stress events. Method. 1,680 patients with SARS (1,680 males and 301females) underwent comprehensive psychological intervention, including telephone counseling (active and passive, text materials). Self adjustment and face to face crisis intervention (mainly carried out by clinical medical staff and psychiatrist. Mental health status of intervention group and control group were evaluated by SCL-90 at admission and before discharge. The psychological intervention effect evaluation table was used to evaluate the intervention effect of various intervention methods. 2. During the rest period, 265 first-line medical staff of SARS were trained in psychological behavior in the experimental group, while those in the control group were not trained in psychological behavior. SCL-90 was used to evaluate the effect of intervention. Results. 1. The scores of SCL-90 factors in the experimental group and the control group were significantly higher than those of the local norm at admission, and there was no significant difference between the intervention group and the control group at admission. When discharged from hospital, the mean scores of SCL-90 factors in the intervention group and the control group were compared. In many factors, the average score of intervention group was significantly lower than that of control group. The scores of each factor of the two groups were still significantly higher than that of the local norm. The highest effective rate of patient active telephone consultation was 95.7% and the effective text material was effective. The lowest rate was 19.5%. The effective rate of psychological intervention between the clinical doctor and the psychologist after training was very high, and there was no significant difference between the two. Active, passive and written interventions were associated with lower literacy
【学位授予单位】：中国人民解放军军医进修学院
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R82

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