团体心理干预对意外创伤者创伤后成长的效果研究

目的验证团体心理干预对意外创伤者创伤后成长（post traumatic growth，PTG）的效果。方法将南京某康复医院4个月内收治的所有符合纳入标准的伤者按时间顺序先后纳入实验组（n=17）和对照组（n=18），实验组在常规康复锻炼和护理的基础上行为期五周的团体心理干预，对照组仅接受常规康复和护理。干预前后分别对两组患者采取中文版创伤后成长评定量表（Chinese posvtraumatic growth inventory,C-PTGI）测量其成长水平。结果干预后实验组C-PTGI总分、人生哲学维度、自我转变维度的得分显著高于干预前得分，差异具有统计学意义（P〈0．05）。而对照组除“与他人关系维度”的得分显著低于基线水平，C-PTGI总分及其他分维度得分与基线水平无统计学差异。结论团体心理干预有助于意外创伤者的心理调适，使其获得成长，建议将团体心理干预纳入意外创伤者的长期康复计划。

Effect of Group Psychological Intervention on Accidentally Injured Patients

Objective To validate the group psychological intervention＇ s effect on the post traumatic growth （PTG） level of accidentally injured patients. Methods The intervention trail was conducted by using quasi-experiment design in a rehabilitation hospital in Nanjing. The participants were assigned into experimental group （n = 17） and control group （n = 18） according to the sequence of admission to hospital. Both groups received routine rehabilitation training and nursing care. The experimental group received additional 5 weeks＇ group psychological intervention. Chinese post-traumatic growth inventory （C-PTGI） was used to test the PTG level before and after intervention. Results After four-week intervention, score of total C-PTGI, score of appreciation of life subscale and score of self-change subscale were significantly increased in experimental group （P〈0. 05）. In control group, the score of ＂relating to others＂ was decreased, while the score of total C-PTGI and its subscales were not significantly different from the baseline level. Conclusion Group psychological intervention is useful for participants＇ psychological adjustment and posttraumatic growth. It is highly recommended that group self-disclosure intervention can be included in the long-term rehabilitation plan.