紧急事件应急晤谈联合针对性心理干预对急诊车祸患者的应用效果  

Application Effect of Critical Incident Stress Debriefing Combined with Targeted Psychological Intervention on Patients with Emergency Car Accidents

作　　者：柯玉香 涂秋婷 许小娟 KE Yu-xiang;TU Qiu-ting;XU Xiao-juan(Department of Emergency,Xiamen Fifth Hospital,Xiamen 361101,China)

机构地区：[1]厦门市第五医院急诊科,厦门361101

出　　处：《四川解剖学杂志》2024年第5期81-84,共4页Sichuan Journal of Anatomy

摘　　要：目的:探讨紧急事件应急晤谈(CISD)联合针对性心理干预对急诊车祸患者的应用效果.方法:选取 2021年 1 月至 2023 年1 月本院收治的108 例急诊车祸患者作为研究对象.按照干预方式,将其分为观察组(n=54,采用CISD联合针对性心理干预)和对照组(n=54,采用常规急诊护理).比较两组患者干预 2 周后创伤后应激障碍(PTSD)发生情况及严重程度以及心理康复、心理弹性、生活质量、幸福感.结果:干预 2 周后,观察组患者PTSD发生率及PTSD症状清单平民版(PCL-C)评分均显著低于对照组,差异均有统计学意义(P<0.05).干预 2 周后,观察组患者症状自评量表(SCL-90)评分低于对照组,心理弹性量表(CD-RISC)、生活质量综合评定量表(GQOL-74)、总体幸福感量表(GWB)评分显著高于对照组,差异均有统计学意义(P<0.05).结论:CISD联合针对性心理干预能够改善急诊车祸患者心理情况,缓解PTSD严重程度,提升患者生活质量及幸福感.Objective:To explore the application of critical incident stress debriefing(CISD)combined with targeted psychological intervention on patients with emergency car accidents.Methods:A total of 108 patients with emergency car accidents admitted to our hospital from January 2021 to January 2023 were selected as research objects.They were divided into observation group(n=54,received CISD combined with targeted psychological intervention)and control group(n=54,received conventional emergency nursing)according to the random number table method.The occurrence of post-traumatic stress disorder(PTSD)and severity of PTSD,and the psychological rehabilitation,psychological resilience,quality of life and well-being were compared between the two groups after 2 weeks of intervention.Results:After 2 weeks of intervention,the incidence rate of PTSD and scores of PTSD checklist-civilian version(PCL-C)in observation group were significantly lower than those in control group,the symptom checklist 90(SCL-90)score in observation group was significantly lower than that in control group,the scores of Connor-Davidson resilience scale(CD-RISC),generic quality of life inventory-74(GQOL-74)and general well-being schedule(GWB)in observation group were significantly higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion:CISD combined with targeted psychological intervention can improve the psychological condition,alleviate the severity of PTSD,and improve the quality of life and well-being of patients with emergency car accidents.

关 键 词：紧急事件应急晤谈 心理干预 急诊车祸 心理康复 生活质量 

分 类 号：R47[医药卫生—护理学]