平衡模式心理干预在芦山地震伤员早期心理干预中的应用研究

The Effect of Equilibrium Psychological Intervention in Wounded Patients in Lushan Earthquake

目的探讨平衡模式心理干预对灾害事件中受伤人员的早期心理干预效果。方法采用平衡模式心理干预对芦山地震受伤人员进行早期心理干预,干预前后分别运用一般健康问卷(GHQ-12)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)进行评估。结果平衡模式心理干预后伤员的GHQ量表由(3.488±2.900)分减至(1.610±0.840)分,差异有统计学意义(P<0.001);HAMA量表躯体焦虑因子分、精神焦虑因子分和总分均较干预前显著下降,差异均有统计学意义(P均<0.001),HAMD阻滞因子分、躯体化和睡眠障碍因子分及总分在干预后均较干预前下降(P均<0.05)。结论平衡模式心理干预对灾害事件中的受伤人员的早期心理干预有积极的作用,值得推广。

Objective To investigate the early psychological effect of the equilibrium psychological intervention on the person who were injured in the disaster incident. Methods The equilibrium psychological intervention was used to the injured person in the Lushan earthquake during the early period. The GHQ-12, HAMA and HAMD were used before and after the evaluation. Results The score of the GHQ-12 decreased from （3. 488=1= 2. 900） to （1. 610＋0. 840）, which showed the significant differences （P〈0. 001）. The total score of the HAMA and the score of the somatic anxiety factor and mental anxiety factor decreased significantly, compared with the base line （P〈0. 001 respectively）. The total score of the HAMD and the score of the sretardation factor, somatization factor and sleep disorder factor also decreased significantly, compared with that of the base line （P〈0. 005 respectively）. Conclusion The equilibrium psychological intervention has the positive effect on the persons who were injured in the disaster incident during the early period.