渐进式暴露结合引导式干预对急诊科自杀未遂青少年的影响

Effect of graduated exposure combined with guided nursing in adolescent suicide patients in emergency department

目的提高急诊科自杀未遂青少年心理弹性,预防再自杀。方法将158例自杀未遂青少年随机分为对照组78例、干预组80例。对照组采取常规心理护理;干预组采取渐进式暴露结合引导式心理干预,干预至患者出院时评价效果。结果干预后,干预组患者自杀意念、焦虑、抑郁评分显著低于对照组,心理弹性评分显著高于对照组(均P<0.05)。结论渐进式暴露结合引导式护理可降低青少年自杀意念,缓解焦虑抑郁情绪,增强心理弹性,有利于预防青少年再自杀。

Objective To improve the resilience of adolescent suicide patients in emergency department,and prevent them suicide again.Methods A total of 158 adolescent suicide patients were randomized into a control group(n=78)and an intervention group(n=80).The control group received routine psychological nursing,while the intervention group received graduated exposure combined with guided psychological intervention,and the effect was evaluated at discharge.Results After the intervention,the score of the Positive And Negative Suicide Ideation,the Self-rating Anxiety Scale and the Self-rating Depression Scale in the intervention group were significantly lower than those in the control group,while its score of the Adolescent Resilience Scale and each subscale score were significantly higher than those of the control group(all P<0.05).Conclusion Graduated exposure combined with guided nursing can reduce adolescent suicidal ideation,relieve anxiety and depression,improve psychological resilience,and prevent adolescent suicide again.