新型冠状病毒肺炎患者和医务人员的心理社会危机干预
目的:方舱医院是一种能够为新型冠状病毒肺炎轻症患者提供大规模医疗隔离和治疗的可选择方式.由于各种原因,收治入方舱医院的患者反映出较高的心理困扰,医务人员也是如此.本研究旨在介绍一种在武汉武昌方舱医院实施的多方面的心理社会危机干预模型.方法:对武汉武昌方舱医院内200名患者和240名医务人员提供心理社会危机干预模型,包括患者志愿者和有组织的同伴支持、以当事人为中心的文化敏感性支持护理、及时提供有关新型冠状病毒肺炎及其并发症的科学信息、非精神卫生医务人员的心理健康知识获取、团体活动、咨询和教育、心理干预的虚拟化、咨询和联络.使用7项广泛性焦虑障碍量表、2项患者健康问卷、基于精神疾病诊断与统计手册的...
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| Published in | 中南大学学报（医学版） Vol. 48; no. 1; pp. 92 - 105 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
中南大学湘雅二医院精神病学科,国家精神心理疾病临床医学研究中心,精神疾病诊治技术国家地方联合工程实验室湖南省精神病学与精神卫生重点实验室,长沙 410011%西弗吉尼亚大学医学院行为医学与精神病学系,美国 西弗吉尼亚州 摩根城 26505%中南大学湘雅二医院麻醉科,长沙 410011%中南大学湘雅二医院医学心理中心,长沙 410011%中南大学湘雅二医院感染科,长沙 410011%中南大学湘雅二医院儿科,长沙 410011
2023
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1672-7347 |
| DOI | 10.11817/j.issn.1672-7347.2023.210803 |
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| Abstract | 目的:方舱医院是一种能够为新型冠状病毒肺炎轻症患者提供大规模医疗隔离和治疗的可选择方式.由于各种原因,收治入方舱医院的患者反映出较高的心理困扰,医务人员也是如此.本研究旨在介绍一种在武汉武昌方舱医院实施的多方面的心理社会危机干预模型.方法:对武汉武昌方舱医院内200名患者和240名医务人员提供心理社会危机干预模型,包括患者志愿者和有组织的同伴支持、以当事人为中心的文化敏感性支持护理、及时提供有关新型冠状病毒肺炎及其并发症的科学信息、非精神卫生医务人员的心理健康知识获取、团体活动、咨询和教育、心理干预的虚拟化、咨询和联络.使用7项广泛性焦虑障碍量表、2项患者健康问卷、基于精神疾病诊断与统计手册的创伤后应激障碍初级筛查问卷对方舱医院内38名患者和49名医务人员进行干预前评估.48名医务人员完成干预后反馈.结果:心理社会危机干预模型由10名精神卫生专业人员实施,得到方舱医院的患者和医护人员的广泛认可.在干预前,38名患者中焦虑占15.8％,应激占55.3％,抑郁占15.8％;49名医务人员中焦虑占16.3％,应激占26.5％,抑郁占22.4％.48名医务人员完成干预后反馈,认为比较实用占62.5％,非常实用占37.5％;对于缓解自身焦虑与失眠比较有帮助占37.5％,非常有帮助占27.1％;对于识别患者的焦虑与失眠比较有帮助占37.5％,非常有帮助占29.2％;对于处理患者的焦虑与失眠比较有帮助占35.4％,非常有帮助占37.5％.结论:该干预模型是可行且可接受的,并有积极的效果.未来该模式可应用于更大人群和不同环境中. |
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| AbstractList | 目的:方舱医院是一种能够为新型冠状病毒肺炎轻症患者提供大规模医疗隔离和治疗的可选择方式.由于各种原因,收治入方舱医院的患者反映出较高的心理困扰,医务人员也是如此.本研究旨在介绍一种在武汉武昌方舱医院实施的多方面的心理社会危机干预模型.方法:对武汉武昌方舱医院内200名患者和240名医务人员提供心理社会危机干预模型,包括患者志愿者和有组织的同伴支持、以当事人为中心的文化敏感性支持护理、及时提供有关新型冠状病毒肺炎及其并发症的科学信息、非精神卫生医务人员的心理健康知识获取、团体活动、咨询和教育、心理干预的虚拟化、咨询和联络.使用7项广泛性焦虑障碍量表、2项患者健康问卷、基于精神疾病诊断与统计手册的创伤后应激障碍初级筛查问卷对方舱医院内38名患者和49名医务人员进行干预前评估.48名医务人员完成干预后反馈.结果:心理社会危机干预模型由10名精神卫生专业人员实施,得到方舱医院的患者和医护人员的广泛认可.在干预前,38名患者中焦虑占15.8％,应激占55.3％,抑郁占15.8％;49名医务人员中焦虑占16.3％,应激占26.5％,抑郁占22.4％.48名医务人员完成干预后反馈,认为比较实用占62.5％,非常实用占37.5％;对于缓解自身焦虑与失眠比较有帮助占37.5％,非常有帮助占27.1％;对于识别患者的焦虑与失眠比较有帮助占37.5％,非常有帮助占29.2％;对于处理患者的焦虑与失眠比较有帮助占35.4％,非常有帮助占37.5％.结论:该干预模型是可行且可接受的,并有积极的效果.未来该模式可应用于更大人群和不同环境中. |
| Abstract_FL | ABSTRACT Objective: Shelter hospital was an alternative way to provide large-scale medical isolation and treatment for people with mild coronavirus disease 2019 (COVID-19). Due to various reasons, patients admitted to the large shelter hospital was reported high level of psychological distress, so did the healthcare workers. This study aims to introduce a comprehensive and multifaceted psychosocial crisis intervention model.Methods: The psychosocial crisis intervention model was provided to 200 patients and 240 healthcare workers in Wuhan Wuchang shelter hospital. Patient volunteers and organized peer support, client-centered culturally sensitive supportive care, timely delivery of scientific information about COVID-19 and its complications, mental health knowledge acquisition of non-psychiatric healthcare workers, group activities, counseling and education, virtualization of psychological intervention, consultation and liaison were exhibited respectively in the model. Pre-service survey was done in 38 patients and 49 healthcare workers using the Generalized Anxiety Disorder 7-item (GAD-7) scale, the Patient Health Questionnaire 2-item (PHQ-2) scale, and the Primary Care PTSD screen for the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (PC-PTSD-5). Forty-eight healthcare workers gave feedback after the intervention. Results: The psychosocial crisis intervention model was successfully implemented by 10 mental health professionals and was well-accepted by both patients and healthcare workers in the shelter hospital. In pre-service survey, 15.8％ of 38 patients were with anxiety, 55.3％ were with stress, and 15.8％ were with depression; 16.3％ of 49 healthcare workers were with anxiety, 26.5％ were with stress, and 22.4％ were with depression. In post-service survey, 62.5％ of 48 healthcare workers thought it was very practical, 37.5％ thought more practical; 37.5％ of them thought it was very helpful to relief anxiety and insomnia, and 27.1％ thought much helpful; 37.5％ of them thought it was very helpful to recognize patients with anxiety and insomnia, and 29.2％ thought much helpful; 35.4％ of them thought it was very helpful to deal with patients ' anxiety and insomnia, and 37.5％ thought much helpful.Conclusion: Psychological crisis intervention is feasible, acceptable, and associated with positive outcomes. Future tastings of this model in larger population and different settings are warranted. |
| Author | 柳进 高雪屏 罗兴伟 程鹏 许丽芝 李凌江 郑万宏 王小平 徐军美 谭立文 张小崔 张丽 陈旭东 李卫晖 陈琼妮 唐娟娟 文川 田沂 张燕 何莉 |
| AuthorAffiliation | 中南大学湘雅二医院精神病学科,国家精神心理疾病临床医学研究中心,精神疾病诊治技术国家地方联合工程实验室湖南省精神病学与精神卫生重点实验室,长沙 410011%西弗吉尼亚大学医学院行为医学与精神病学系,美国 西弗吉尼亚州 摩根城 26505%中南大学湘雅二医院麻醉科,长沙 410011%中南大学湘雅二医院医学心理中心,长沙 410011%中南大学湘雅二医院感染科,长沙 410011%中南大学湘雅二医院儿科,长沙 410011 |
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| Author_FL | TANG Juanjuan LI Weihui LI Lingjiang TAN Liwen WANG Xiaoping WEN Chuan GAO Xueping CHEN Qiongni CHENG Peng LUO Xingwei XU Junmei LIU Jin XU Lizhi ZHANG Li ZHANG Xiaocui CHEN Xudong HE Li ZHANG Yan ZHENG Wanhong TIAN Yi |
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| Author_xml | – sequence: 1 fullname: 张丽 – sequence: 2 fullname: 李凌江 – sequence: 3 fullname: 郑万宏 – sequence: 4 fullname: 张燕 – sequence: 5 fullname: 高雪屏 – sequence: 6 fullname: 谭立文 – sequence: 7 fullname: 王小平 – sequence: 8 fullname: 陈琼妮 – sequence: 9 fullname: 徐军美 – sequence: 10 fullname: 唐娟娟 – sequence: 11 fullname: 罗兴伟 – sequence: 12 fullname: 陈旭东 – sequence: 13 fullname: 张小崔 – sequence: 14 fullname: 何莉 – sequence: 15 fullname: 柳进 – sequence: 16 fullname: 程鹏 – sequence: 17 fullname: 许丽芝 – sequence: 18 fullname: 田沂 – sequence: 19 fullname: 文川 – sequence: 20 fullname: 李卫晖 |
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| Keywords | 心理社会支持 anxiety 焦虑 危机干预 shelter hospital depression 抑郁 psychosocial support crisis intervention 方舱医院 |
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| Title | 新型冠状病毒肺炎患者和医务人员的心理社会危机干预 |
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