集中认知心理教育对抗甲流医护人员负性情绪影响的对照研究

Comparative Study on the Effect of Cognitive Psychological Education in Group on Negative Emotion of Medical Staff against Influenza A(H1N1)

目的探讨抗甲型H1N1流感医护人员负性情绪的干预方法。方法将60名医护人员随机分为实验组和对照组,实验组进行连续7次集中认知心理教育,对照组同期常规处理,利用焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)分别在干预前、干预后、干预后2周进行测评,评定干预效果。结果1医护人员负性情绪与全国常模比较有显著差异(SAS:t=13.347,P<0.01;SDS:t=3.905,P<0.01;SCL-90:t=11.793,P<0.01);2干预后两组SAS、SDS、SCL-90总分和5个因子减分值差异显著,实验组明显减少(P<0.05);3干预2周后负性情绪呈现上升趋势,SCL-90抑郁因子分与干预后比较差异显著(P<0.05)。结论集中认知心理教育能够短期内集中改善抗甲流医护人员负性情绪,有较好的实用价值,但需要坚持开展。

Objective To explore intervention methods of the negative emotion of medical staff against Influenza A（H1N1）. Methods Sixty medical staff were divided into experimental and control groups randomly,the experimental group was given continuous cognitive psychological education for seven times,the control group was given conventional treatment simultaneously. SAS,SDS and SCL-90 were used to evaluate the intervention efficacy before intervention,after intervention and two weeks after intervention respectively.Results ①There was significant difference in negative emotion between the national norm and the scores of medical staff（SAS：t=13.347,P〈0.01;SDS：t=3.905,P〈0.01;SCL-90：t=11.793,P〈0.01）.②After intervention,significant difference was noted between the two groups in the reduction of SAS,SDS,the total SCL-90 score and the scores of five SCL-90 factors,scores of the experimental group reduced significantly（P〈0.05）.③Two weeks after intervention,the negative emotion showed an upward trend,significant difference was found in the SCL-90 score of depression factor between after intervention and two weeks after intervention（P〈0.05）.Conclusion Cognitive psychological education in group can improve the negative emotion of medical staff against the Influenza A（H1N1）as a whole in short period of time,present good practical value,but we need to insist on carrying out it.