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目的探讨团体情境下,认知行为干预对意外创伤者创伤后成长的效用。方法在南京某社区康复医院内实施干预,将因车祸、工伤等意外创伤导致入院且伴肢体残缺的37例患者按入院时间的先后顺序分为干预组(n=17)和常规组(n=20)。常规组仅发放资料,干预组实施为期6周的团体认知行为干预。干预前后采用简体中文版创伤后成长评定量表进行评定。结果两组创伤后成长总分、人生感悟、与他人关系分量表主效应差异有统计学意义(均P<0.05);两组创伤后成长除个人力量外总分及4个分量表得分交互作用差异有统计学意义(均P<0.01)。结论团体认知行为干预可促进伤者创伤后成长水平,为临床医护人员促进意外创伤者积极心理调适提供较可靠依据。
Objective To explore the effect of cognitive behavioral intervention on post-traumatic growth of accidental trauma in a group context. Methods Interventions were conducted in a community rehabilitation hospital in Nanjing. The 37 patients admitted to hospital due to accidents such as car accident and industrial injury with limb deformity were divided into intervention group (n = 17) and routine group (n = 20). The routine group only issued information, the intervention group to implement a 6-week group cognitive behavior intervention. Before and after the intervention, the simplified Chinese version of the post-traumatic growth rating scale was used for evaluation. Results The post-traumatic growth score, life perception, and the main effect of relationship scale with others had significant difference (all P <0.05). The post-traumatic growth in addition to the individual strength score and the four subscales score interaction The differences were statistically significant (all P <0.01). Conclusion The group cognitive behavior intervention can promote the post-traumatic growth of the injured and provide more reliable evidences for the positive psychological adjustment of the clinicians to promote the accidental trauma.