服毒自杀未遂患者积极心理干预方案的构建与应用  

Formulation and application of a positive psychology intervention program for patients following suicide attempt by self-poisoning

作　　者：宋文静[1] 胡颖颖[1] 叶铭惠 何春雷[1] 项俊之 卢中秋[1] Song Wenjing;Hu Yingying;Ye Minghui;He Chunlei;Xiang Junzhi;Lu Zhongqiu(Emergency Department of The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China)

机构地区：[1]温州医科大学附属第一医院急诊科,浙江温州325015 [2]温州医科大学附属第一医院护理部,浙江温州325015

出　　处：《护理学杂志》2025年第6期76-80,共5页Journal of Nursing Science

基　　金：温州市科学技术局基础性公益科研项目(Y2023756)。

摘　　要：目的 探讨积极心理干预方案对服毒自杀未遂患者焦虑、抑郁及幸福感的影响,避免患者出院后再自杀。方法 将96例成年服毒自杀未遂患者按住院号分为对照组与观察组各48例。对照组采用常规护理,观察组在此基础上构建并实施成年服毒自杀未遂患者积极心理干预方案。比较干预前、出院时及干预后3个月两组焦虑、抑郁及总体幸福感评分。结果 干预后观察组患者抑郁、焦虑评分显著低于对照组,幸福感评分显著高于对照组,两组时间、组间及交互效应差异有统计学意义(均P<0.05)。结论 积极心理干预方案的实施可降低成年服毒自杀未遂患者的焦虑、抑郁水平,提升其幸福感。Objective To investigate the effects of a positive psychology intervention program on anxiety,depression,and well-being in patients who had attempted suicide by poisoning,so as to prevent subsequent suicides post-discharge.Methods A total of 96 adult patients who had attempted suicide by poisoning were allocated into a control group and an observation group,with 48 in each,based on their admission sequence.The control group received standard care,whereas the observation group additionally received a positive psychology intervention program.Anxiety,depression,and overall well-being were compared between the two groups before the intervention,at discharge,and three months post-intervention.Results The observation group exhibited significantly reduced depression and anxiety scores,but significantly increased well-being scores compared to the control group.Statistically significant differences were observed in the time,group,and interaction effects between the two groups(all P<0.05).Conclusion The implementation of a positive psychology intervention program can alleviate anxiety and depression levels and improve well-being in adult patients who had attempted suicide by poisoning.

关 键 词：急诊 服毒 自杀未遂 积极心理学 焦虑 抑郁 幸福感 叙事护理 

分 类 号：R473.74[医药卫生—护理学]