CAJ | 학술논문

目的通过快速评估四川汶川大地震中外转伤员心理状况,从而推广综合评价心理危机干预的评估系统的应用.方法对转运到我院的44名伤员和37名家属采用三维筛选评估模型进行评定,此外结合汉密尔顿抑郁他评量表(HAMD)、汉密尔顿焦虑他评量表(HAMA)来进行心理健康方面的相关分析,从而验证三维筛选评估模型的有效性.结果79名外转伤员及家属采用三维筛选评估模型进行评估,伤员组在情感方面得分平均为(3.07±1.38)分,认知方面平均为(2.34±1.39)分,行为方面平均为(2.71±1.47)分,总分平均为(8.12±3.69)分;家属组在情感方面得分平均为(2.51±1.27)分,认知方面平均为(1.57±0.85)分,行为方面平均为(1.71±1.02)分,总分平均为(5.80±2.61)分.伤员组与家属组之间在认知、行为和总分方面差异均有统计学意义(t认知=2.853,P=0.006;t行为=3.366,P=0.001;t总分=3.116,P=0.003).伤员组与家属组在HAMD和HAMA中均存在抑郁和焦虑症状,HAMD总分分别为:(11.48±7.62)分和(9.23±5.64)分,HAMA总分分别为:(8.49±4.87)分和(9.38±7.05)分.三维筛选评估模型中情感、认知、行为和总分均与HAMD和HAMA存在较高相关(r情感-HAMD=0.393,P=0.001;r情感-HAMA=0.443,P=0.000;r认知-HAMD=0.434,P=0.000;r认知-HAMA=0.240,P=0.037;r行为-HAMD=0.529,P=0.000;r行为-HAMA=0.256,P=0.026;r总分-HAMD=0.517,P=0.000;r总分-HAMA=0.369,P=0.001).结论地震伤员和家属在情感、认知和行为方面存在异常,地震伤员在情感、认知和行为方面较家属严重,更加需要进行及时的心理干预.三维筛选评估模型是一种能够快速、准确、简便的筛查和监测方法,适合用于指导心理干预.
목적 통과쾌속평고사천문천대지진중외전상원심리상황,종이추엄종합평개심리위궤간예적평고계통적응용.방법 대전운도아원적44명상원화37명가속채용삼유사선평고모형진행평정,차외결합한밀이돈억욱타평량표(HAMD)、한밀이돈초필타평량표(HAMA)래진행심리건강방면적상관분석,종이험증삼유사선평고모형적유효성.결과79명외전상원급가속채용삼유사선평고모형진행평고,상원조재정감방면득분평균위(3.07±1.38)분,인지방면평균위(2.34±1.39)분,행위방면평균위(2.71±1.47)분,총분평균위(8.12±3.69)분;가속조재정감방면득분평균위(2.51±1.27)분,인지방면평균위(1.57±0.85)분,행위방면평균위(1.71±1.02)분,총분평균위(5.80±2.61)분.상원조여가속조지간재인지、행위화총분방면차이균유통계학의의(t인지=2.853,P=0.006;t행위=3.366,P=0.001;t총분=3.116,P=0.003).상원조여가속조재HAMD화HAMA중균존재억욱화초필증상,HAMD총분분별위:(11.48±7.62)분화(9.23±5.64)분,HAMA총분분별위:(8.49±4.87)분화(9.38±7.05)분.삼유사선평고모형중정감、인지、행위화총분균여HAMD화HAMA존재교고상관(r정감-HAMD=0.393,P=0.001;r정감-HAMA=0.443,P=0.000;r인지-HAMD=0.434,P=0.000;r인지-HAMA=0.240,P=0.037;r행위-HAMD=0.529,P=0.000;r행위-HAMA=0.256,P=0.026;r총분-HAMD=0.517,P=0.000;r총분-HAMA=0.369,P=0.001).결론지진상원화가속재정감、인지화행위방면존재이상,지진상원재정감、인지화행위방면교가속엄중,경가수요진행급시적심리간예.삼유사선평고모형시일충능구쾌속、준학、간편적사사화감측방법,괄합용우지도심리간예.
Objective To quickly assess the psychological status of the wounded who were transferred in the earthquake and their family members,as to promoting the system of psychological crisis intervention.Methods The triage assessment system was used to the 44 wounded and 37 family members, additionally,the Hamilton Depression Rating Scale( HAMD),and Hamilton Anxiety Rating Scale(HAMA) for related analysis were also administrated to verify the effectiveness of screening of the triage assessment system.Results Of the 79 wounded and their families in the triage assessment system,the score of emotion in the wounded group was (3.07±1.38),the score of eagnation was (2.34±1.39 ),the score of behavior was (2.71±1.47 ),and the total score was (8.12±3.69 );the score of emotion in the family group was (2.51±1.27) ,the score of cognition was(1.57±0.85) ,the score of behavior was ( 1.71±1.02) ,and the total score was (5.80±2.61 ).There were significant differences in the family and the wounded group in cognition,behavior and the total ( tcognition= 2.853,P=0.006 ; tbehavior=3.366,P=0.001 ; ttatol= 3.116,P = 0.003 ).Both the depression and anxiety symptoms in the Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale (HAMA) were 11.48 ±7.62,9.23±5.64,and 8.49±4.87,9.38±7.05, respectively.In the emotion,cognition,behavior and total scores of the triage assessment system related to higher with HAMD and HAMA were retnotion-HAMD=0.393,P = 0.001 ; remtion-HAMa= 0.443,P=0.000 ; rcognition-HAMD= 0.434,P= 0.000; rcognition-HAMA=0.240,P= 0.037; rbehavior-HAMD= 0.529,P= 0.000; rbehavior-HAMA= 0.256,P = 0.026; rtotal-HAMD= 0.517,P = 0.000 ; rtotal-HAMA= 0.369,P = 0.001.Conclusion The triage assessment system should be the reliable method for an assessment featured by a rapid,accurate and simple one in screening and monitoring.