摘要
目的探讨空降医疗队员赴四川地震灾区救治伤病员第20~69d期间的心理状况及心理干预的效果。方法采用心理症状自评量表(SCL-90)和心理应激症状调查表,调查参加抗震救灾空降医疗队员44名。心理干预前与中国军人常模和中国正常人常模进行对照;医疗队员心理干预前后进行比较。结果空降医疗队员心理干预前与中国军人常模比较,除抑郁和恐怖症状因子分均值较高外,(P<0.01),其它因子分差异均无统计学意义(P>0.05);与中国正常人常模比较,躯体化、强迫症状、抑郁、焦虑、恐怖、精神病性等因子评分均高(P<0.05或P<0.01)。心理干预后医疗队员的心理症状严重程度有明显减轻(P<0.05),个体症状数虽然有减少,但差异无统计学意义(P>0.05)。结论空降医疗队员抗震救灾早期心理应激症状人数多,程度重者少,属正常的心理应激表达。随队针对性地开展心理干预后,医疗队员及时、有效的摆脱了负面情绪,团体心理得到重构。
Objective To explore the psychological stress status and the psychotherapy effect of the parachutists ambulance corps in the front against earthquake at 20th day to 69th day. Methods 44 cases were determined by Symptom Checklist(SCL-90) and the symptom list of psychological stress reaction. Results The factors score "suppress terror" of the parachutists ambulance corps before they had psychotherapy was higher than that of the Chinese Army,while other factors score had no distinct difference(P〉 0.05) ;and the factors score including "somatization force suppress anxiety terror mental illness" was clearly higher than that of Chinese Normal. The severity of psychological symptom was clearly released after psychotherapy:the symptom number was decreased but there was no significant difference. Conclusions In the early time during the battle against earthquake,a large number of parachutists ambulance corps have slight psychological symptoms,which was the normal psychological stress expression. After psychotherapy they effectively free from negative emotions and have a psychological reconstruction.
出处
《中华保健医学杂志》
2009年第1期36-38,共3页
Chinese Journal of Health Care and Medicine
关键词
应激心理
心理重构
空降医疗队员
抗震救灾
Psychological stress
Psychological reconstruction
Parachutists ambulance corps
Battle against earthquake