228例舰潜艇疗养员的宣泄疗法应用效果  

Application effect of catharsis therapy on 228 convalescents of warship submarines

作　　者：韩冷 刘仲霞 王向杰 戴鹍 HAN Leng;LIU Zhong-xia;WANG Xiang-jie;DAI Kun(Special Service Department in Tianjin Sanatorium,Tianjin,300381,China)

机构地区：[1]天津疗养院特勤科

出　　处：《职业与健康》2018年第24期3432-3434,共3页Occupation and Health

基　　金：军委后勤保障部卫生局保健专项课题(17BJZ23)

摘　　要：目的有针对性地研究制定适合舰潜艇疗养员的不同宣泄疗法,探讨宣泄疗法应用于舰潜艇官兵疗养的效果。方法选取入院心理测评时症状自评量表(SCL-90)结果异常的舰潜艇疗养员228人,以开展宣泄疗法时间为节点,将疗养员分为观察组(n=143)与对照组(n=85),观察组在常规心理宣教基础上穿插实施宣泄疗法,包括分享性宣泄、倾诉性宣泄、运动性宣泄、辅助呼吸放松法。在疗养员入院时及离院前分别进行测评,对比测评结果,了解宣泄疗法对疗养员心理状态的影响。结果实施宣泄疗法后,观察组人际关系、抑郁、焦虑、敌对、恐怖、强迫、偏执7项因子得到改善,与对照组比较差异均有统计学意义(t=5.145、6.124、7.975、4.545、6.952、3.042、3.021,均P<0.05);而躯体化及精神病性改善不明显,与对照组比较差异均无统计学意义(t=0.867、0.946,均P>0.05)。结论宣泄疗法对于调节舰潜艇疗养员心理状态具有一定作用,应针对不同个体、不同心理问题,在实际工作中合理运用。[Objective]To make targeted research on different catharsis methods which are suitable for convalescents of warship submarines,discuss the effects of catharsis therapy on recuperation of officers and men in ship submarines. [Methods]A total of 228 convalescents of warship submarines who had abnormal results for the symptom checklist(SCL-90) at psychological assessment of admission,were enrolled in the study. The convalescents were divided into the observation group(n=143) and the control group (n=85) by means of developing cathartic therapy time as a node. The observation group was given catharsis therapy (including shared catharsis,confiding catharsis,exercise catharsis,and assisted breathing relaxation) on the basis of routine psychological education. The evaluation was respectively performed at the admission and before the hospitalization,and the results were compared to understand the influence of catharsis therapy on mental state of convalescents. [Results]After the implementation of cathartic therapy,the seven factors of interpersonal relationship,depression,anxiety,hostility,terror,compulsion and bigotry were significantly improved in the observation group,and the differences were statistically significant between the observation group and the control group (t=5.145,6.124,7.975,4.545,6.952,3.042,3.021,all P<0.05). But the improvement of somatization and psychosis was not significant,and the differences were not statistically significant between the two groups (t=0.867,0.946,both P>0.05). [Conclusion]Cathartic therapy has a certain effect on regulating the psychological state of the convalescents of warship submarines,and should be used in practical work for different individuals and different psychological problems.

关 键 词：宣泄疗法 舰潜艇疗养 心理状态 

分 类 号：R824[医药卫生—临床医学]