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目的探讨认知行为干预对部队军事训练伤伤员心理应激反应的影响。方法前瞻性纳入80例部队军事训练伤伤员,按照随机数字表法分为试验组(n=40)和对照组(n=40)。对照组给予常规心理护理,试验组在常规心理护理的基础上给予认知行为干预,时间为3周。干预前,干预开始后3、6周时采用意外创伤病人早期心理他评量表(early psychological rating scale,EPRS)从焦虑、抑郁和退缩行为3个维度来评估两组伤员心理应激反应状况。结果与干预前比较,试验组干预开始后3、6周3个维度评分和总分均显著降低,前后比较差异具有统计学意义(P<0.05);对照组干预后6周后各维度评分和总分降低,前后比较差异均具有统计学意义(P<0.05)。与对照组比较,试验组干预3、6周后各维度评分和总分显著降低,组间比较差异具有统计学意义(P<0.05)。结论认知行为干预有助于减轻部队军事训练伤伤员心理应激反应水平,缩短心理应激反应持续时间。
Objective To investigate the effect of cognitive behavioral intervention on psychological stress response of military training casualties. Methods 80 cases of military training injuries were prospectively included and divided into experimental group (n = 40) and control group (n = 40) according to random number table. The control group was given routine psychological care, and the experimental group was given cognitive behavioral intervention on the basis of routine psychological nursing for 3 weeks. Before the intervention, the psychological stress response of the two groups was evaluated from the three dimensions of anxiety, depression and withdrawal behavior by using the early psychological rating scale (EPRS) at 3 and 6 weeks after the intervention began. Results Compared with those before intervention, the score and total score of 3 dimensions at 3 and 6 weeks after intervention in intervention group were significantly decreased (P <0.05), and the difference of scores in each dimension after 6 weeks in control group Total score decreased, before and after the difference was statistically significant (P <0.05). Compared with the control group, the score and total score of each dimension in the experimental group decreased significantly after 3 and 6 weeks of intervention, with significant difference between the two groups (P <0.05). Conclusion Cognitive and behavioral interventions can help to reduce the level of psychological stress response in military trained casualties and shorten the duration of psychological stress response.