玉树地震伤员心理干预效果的相关性分析

Correlation analysis on the effect of psychology intervention on the Yushu earthquake wounded

目的探讨玉树地震灾区伤员心理干预前与干预后的情绪变化。方法对25例某院收治的玉树地震灾区伤员分别在心理干预前及干预后0,2,3,4周进行汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HRSD）调查和评分;采用合理情绪疗法（Rational-Emotive Therapy RET）：每次10~15分钟,每天2次,方法是：以开放性询问开始,使用倾听技术,进行必须的释义,使咨询的问题具体化。同时加入影响性技术,给予解释、指导,并使其情感得以表达、内心世界自我开放,观察效果并进行评分比较。结果 25例伤员干预前HAMA评分为（24.7±5.1）、HRSD评分为（18.9±1.5）;干预后HAMA为（10.7±2.1）、HRSD为（10.6±2.0）。焦虑伤员共23例（92%）,其中轻度焦虑15例（60%）,中度6例（24%）、重度2例（8%）;抑郁伤员共22例（88%）,轻度抑郁13例（52%）、中度8例（32%）、重度1例（4%）;伤员评分与干预前呈负相关（r=-0.35,-0.28;Ps〈0.001）,与干预后正相关（r=0.29,0.27;Ps〈0.001）。结论玉树灾区伤员心理干预后焦虑、抑郁评分下降。

Objective To study the emotion change of the Yushu earthquake wounded before and after psychology intervention.Methods A total of 25 case of Yushu earthquake wounded who were in hosptal were tested by HAMA and HRSD before and afte psychology intervention,and 0,2,3,4 week after hospitalization;intervene means：the central part of Rational-Emotive Therapy RET,10-15 minutes every time,twice each day;began with opening enquiry,used hearken technic,conducted necessary paraphrase,materialize the consultative question;at one time acceded influence technic,administered explain and direction to sensibility get expression and self dispark incenter world.The effect was observed and compared.Results The score of HAMA was（24.7±5.1）,HRSD was（18.9±1.5）.in the 25 wounded before intervention;that of HAMA was（10.7±2.1）,HRSD（10.6±2.0） after intervention.The anxiety wounded were 23（92%）,in which the mild were 15（60%）,middle 6（24%）,severe 2（8%）;the depression wounded were 22（88%）,in which the mild were 13（52%）,middle 8（32%）,severe 1（4%）.The scores of the wounded showed negative correlation with fomer（r=-0.35,-0.28;Ps0.001） and positive correlation after intervention（r=0.29,0.27;Ps0.001）.Conclusion Anxiety and depression scores of the Yushu earthquake wounded drop after psychology intervention.