玉树地震伤员本土化心理干预效果分析
|
摘要
目的了解玉树地震后赴外地治疗的藏族伤员急性应激反应(acute stress reaction,ASR)发生状况和心理干预的效果。方法采用创伤后应激障碍症状清单平民版(PTSD Checklist-Civilian Version,PCL-C),对地震后的伤员在来院的第1天(心理干预前)及心理干预后1、2周分别进行问卷调查,根据评估得分情况提供结合西藏文化的本土化心理干预,比较在不同阶段心理干预的效果。结果心理干预前及干预后1、2周效果比较差异均有统计学意义(P<0.05)。结论及时为玉树伤员提供心理辅导,实施结合西藏文化的本土化心理干预能减轻ASR。
Objective To understand the condition of acute stress reactions and investigate the effects of psychological intervention on casualties from Yushu earthquake.Methods The casualties of Yushu earthquake who were transferred to Sichuan for treatment were involved in the study.The subjects were questionnaire surveyed on the time of the first day after the casualty arriving at the hospital(before psychological intervention) and 1 week,2 weeks after psychological intervention.The psychological intervention was performed by combining with Tibetan culture based on the evaluation scores.Post-traumatic stress disorder symptoms civilian version(PTSD,Checklist-Civilian Version,PCL-C) was used to collect data.The effects among different stages were compared.Results Before the psychological intervention,and 1 week,2 weeks after the intervention,the intervention effect was significantly different.Conclusions Timely psychological counseling and implementation of psychological intervention combined with Tibetan culture for the casualties from Yushu could reduce the incidence of acute stress reaction.
Objective To understand the condition of acute stress reactions and investigate the effects of psychological intervention on casualties from Yushu earthquake.Methods The casualties of Yushu earthquake who were transferred to Sichuan for treatment were involved in the study.The subjects were questionnaire surveyed on the time of the first day after the casualty arriving at the hospital(before psychological intervention) and 1 week,2 weeks after psychological intervention.The psychological intervention was performed by combining with Tibetan culture based on the evaluation scores.Post-traumatic stress disorder symptoms civilian version(PTSD,Checklist-Civilian Version,PCL-C) was used to collect data.The effects among different stages were compared.Results Before the psychological intervention,and 1 week,2 weeks after the intervention,the intervention effect was significantly different.Conclusions Timely psychological counseling and implementation of psychological intervention combined with Tibetan culture for the casualties from Yushu could reduce the incidence of acute stress reaction.
引文
[1]Bodvarsdottir I,Elklit A.Psychological reactions in Icelandicearth-quake survivors[J].Scand J Psycho,2004,45(1):3-13.
[2]刘新民.重大灾难性事件的心理救助——突发事件心理救援与心理干预手册[M],北京:人民卫生出版社,2008.
[3]McKibben JB,Bresnick MG,Wiechman Askay SA,et al.Acutes tressdisorder rand posttraumatic stress disorder:a prospective study ofprevalence,course,and predictors in a sample with major burning ju-ries[J].Burn Care Res,2008,29(1):22-35.
[4]马筠,张焱,包黎,等.心理危机干预对地震灾难受害者的效果研究[J].医学与社会,2009,22(3):66-67.
[5]沈兴华,叶小飞,彭云丽,等.地震灾区茂县成人震后急性应激心理反应及干预研究[J].中国健康心理学杂志,2009,17(4):479-480.
[6]李兴鑫,姚一民,张聪,等.玉树地震31例伤残藏民创伤后应激障碍分析[J].实用医院临床杂志,2011,8(4):153-154.
[7]吴景芬,肖军,陈祥慧,等.住院地震伤残人员创伤后应激障碍及相关因素分析[J].实用医院临床杂志,2009,6(1):25-26.
[8]魏庆燕,王大伟,张天博.佛教生死观在灾后心理抚慰中的应用[J].大众文艺,2008,(12):155.
[9]古道.“心理救灾”在行动[J].中国减灾,2006,10:26-27.
[10]李权超,王应立.军人心理应激反应与心理危机干预[J].临床心身疾病杂志,2006,12(2):136-138.
[11]吴芳.浅谈跨文化心理学与心理学的本土化[J].湖南工业职业技术学院学报,2008,8(6):82-84.
[12]吕建国,刘勇,杨曦,等.汶川地震灾后26例急性应激反应心理危机干预综合分析[J].成都医学院学报,2008,6(2):82-88.
[13]向莹君,熊国玉,董毅强.汶川地震灾区1960名中学生创伤后应激障碍症状调查[J].中国心理卫生杂志,2010,24(1):17-20.
[2]刘新民.重大灾难性事件的心理救助——突发事件心理救援与心理干预手册[M],北京:人民卫生出版社,2008.
[3]McKibben JB,Bresnick MG,Wiechman Askay SA,et al.Acutes tressdisorder rand posttraumatic stress disorder:a prospective study ofprevalence,course,and predictors in a sample with major burning ju-ries[J].Burn Care Res,2008,29(1):22-35.
[4]马筠,张焱,包黎,等.心理危机干预对地震灾难受害者的效果研究[J].医学与社会,2009,22(3):66-67.
[5]沈兴华,叶小飞,彭云丽,等.地震灾区茂县成人震后急性应激心理反应及干预研究[J].中国健康心理学杂志,2009,17(4):479-480.
[6]李兴鑫,姚一民,张聪,等.玉树地震31例伤残藏民创伤后应激障碍分析[J].实用医院临床杂志,2011,8(4):153-154.
[7]吴景芬,肖军,陈祥慧,等.住院地震伤残人员创伤后应激障碍及相关因素分析[J].实用医院临床杂志,2009,6(1):25-26.
[8]魏庆燕,王大伟,张天博.佛教生死观在灾后心理抚慰中的应用[J].大众文艺,2008,(12):155.
[9]古道.“心理救灾”在行动[J].中国减灾,2006,10:26-27.
[10]李权超,王应立.军人心理应激反应与心理危机干预[J].临床心身疾病杂志,2006,12(2):136-138.
[11]吴芳.浅谈跨文化心理学与心理学的本土化[J].湖南工业职业技术学院学报,2008,8(6):82-84.
[12]吕建国,刘勇,杨曦,等.汶川地震灾后26例急性应激反应心理危机干预综合分析[J].成都医学院学报,2008,6(2):82-88.
[13]向莹君,熊国玉,董毅强.汶川地震灾区1960名中学生创伤后应激障碍症状调查[J].中国心理卫生杂志,2010,24(1):17-20.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心