突发公共事件现场心理危机干预策略初探

A preliminary study on psychological crisis intervention strategies used in public emergencies

目的探索突发公共事件现场心理危机干预策略。方法前期通过文献研究和质性研究方法形成心理危机干预理念和行为反应条目体系。运用三轮德尔菲法咨询26位从事危机干预工作相关领域专家意见。研究采用积极系数、权威程度、协调程度3个指标检验专家咨询的可靠性。结果269个条目中通过条目239条。第一轮通过条目210条,修改条目18条,未通过条目41条;第二轮新增条目8条,通过条目24条,删除条目22条;第三轮通过条目5条,删除条目16条。专家权威系数为0.859,三轮德尔菲法协调系数分别为0.464、0.696和0.407(P均<0.001)。结论本研究形成的突发公共事件现场心理危机干预策略获得了国内心理危机干预专家的认可,这将为系统、全面而有效地开展此工作提供依据。

Objective To explore the strategies of using psychological crisis intervention in public emergencies. Methods In the early stage, psychological crisis intervention concepts and behavioral responses were formed through literature research and qualitative research methods. Use three rounds of Delphi for expert advice. Three indexes including positive coefficient, authority and coordination were used to test the reliability of expert consultation. Results Overall, it passed 239 out of 269 entries. The first round passed item 210, modified item 18, no consensus item 41;In the second round,8 new entries were added, and 22 entries were deleted through 24 entries. In the third round, there were 5 entries and 16 entries were deleted. The authority coefficient was 0.859, indicating that the experts were very familiar with the items. The coordination coefficient of three rounds of consultations were 0.464,0.696,and 0.407 (P<0.001) respectively, showing that the coordination degree of experts was excellent, the credibility of feedback was high, and results were highly reliable. Conclusions The strategies of field psychological crisis intervention for public emergencies developed in this study received the consensus by domestic psychological crisis intervention experts, it is will provide a basis for systematic, comprehensive and effective guidance for this work.