正念减压对消防救援人员负性情绪的干预研究  

Intervention Study on Negative Emotions of Fire Rescue Personnel by Mindfulness Stress Reduction

作　　者：郑琰婷[1] 刘民楼 胡嘉[1] 张良 吴贻明 Zheng Yanting;Liu Minlou;Hu Jia;Zhang Liang;Wu Yiming(Yangpu District Mental Health Center,Shanghai 200090,China;Huangpu District Fire Rescue Detachment,Shanghai 200010,China;Yangpu District Fire Rescue Detachment,Shanghai 200093,China)

机构地区：[1]上海市杨浦区精神卫生中心,上海200090 [2]上海市黄浦区消防救援支队,上海200010 [3]上海市杨浦区消防救援支队,上海200093

出　　处：《健康教育与健康促进》2023年第4期398-400,共3页Health Education and Health Promotion

基　　金：上海市杨浦区医学重点学科项目(22YPZB10);上海健康医学院精神卫生临床研究中心项目(20MC2020005)。

摘　　要：目的了解消防救援队员的负性情绪状况,探索正念减压对消防救援人员负性情绪的干预效果,促进消防救援人员的心理健康。方法采用病人健康问卷—9(PHQ-9)、广泛性焦虑障碍量表(GAD-7)对某消防救援支队的一线队员进行筛查,再根据筛查结果抽取60名阳性者随机分为干预组和对照组,进行为期8周的正念减压干预,并作效果评估。结果在270名一线消防救援人员中,有轻度、中度以及中重度和重度抑郁者的分别为37人(13.7%)、15人(5.56%)和11人(4.08%);焦虑筛查有轻度、中度和重度焦虑者的分别为36人(13.33%)、14人(5.19%)和6人(2.22%)。干预后,干预组的PHQ-9减分值为(-2.00±1.77)、对照组为(-0.32±0.94),干预组抑郁症状的改善更加明显(t=-4.529,P<0.01);干预组的GAD-7减分值为(-1.41±1.72)、对照组为(0.39±1.09),干预组焦虑症状的改善更加明显(t=-4.808,P<0.01)。结论应关注消防人员的心理健康。正念减压干预能有效降低消防救援人员的轻—中度焦虑和抑郁状况,从而提高消防人员的抗压与应对能力。Objective To understand the negative emotional status of fire rescue personnel,explore the intervention effect of mindfulness stress reduction on negative emotions,and promote the psychological health of fire rescue personnel.Methods Patient Health Questionnaire(PHQ-9)and Generalized Anxiexy Disorde-7(GAD-7)were used to screen the first-line members of a fire rescue detachment.According to the screening results,60 positive subjects were randomly divided into intervention group and control group.An 8-week mindfulness-based stress reduction intervention was carried out and the effect was evaluated.Results Among the 270 fire rescuers,37(13.7%)had mild depression,15(5.56%)had moderate depression,and 11(4.08%)had moderately severe or severe depression,and there were 36(13.33%),14(5.19%),and 6(2.22%)patients with mild,moderate,and severe anxiety in anxiety screening.After intervention,the PHQ-9 reduction score in the intervention group was(-2.00±1.77),while the control group was(-0.32±0.94),and the improvement of depressive symptoms in the intervention group was more significant(t=-4.529,P<0.01);the GAD-7 reduction score of the intervention group was(-1.41±1.72),while the control group was(0.39±1.09),and the improvement of anxiety symptoms in the intervention group was more significant(t=-4.808,P<0.01).Conclusion It is necessary to pay attention to the mental health of firefighters,and the mindfulness stress reduction intervention can effectively reduce the mild to moderate anxiety and depression of firefighters,thereby improving their stress resistance and coping ability.

关 键 词：正念减压 负性情绪 消防救援人员 

分 类 号：R395.6[哲学宗教—心理学]