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目的探讨综合心理行为干预对部队医院住院官兵心身状况的影响。方法从某战区所辖8所部队医院同期的非精神科508例住院军人中抽取60例作为实验组,60例作为对照组,对照组进行常规治疗,实验组在常规治疗基础上给予综合心理行为干预,在入院时和出院时分别采用症状自评量表(SCL-90)和生活质量综合评定问卷(GQOLI-74)进行评定,并对生理指标变化情况进行检测。结果①实验组在入院时和出院时SCL-90总分及躯体化、人际敏感、焦虑、抑郁、敌对、恐怖、GQOLI-74总分、心理功能、社会功能和躯体功能存在显著性差异(t=3.043～9.648,P<0.05或0.01);②出院时实验组和对照组比较,SCL-90总分及躯体化、人际敏感、焦虑、抑郁、恐怖、GQOLI-74总分、心理功能、社会功能存在显著性差异(t=2.164～10.752,P<0.05或0.01);③出院时实验组和对照组比较,血糖、血清皮质醇和P300潜伏期及波幅相比较,存在显著性差异(t=2.087～6.437,P<0.05或0.01)。结论综合心理行为干预有助于减轻综合医院住院官兵的心理症状,提高生活质量,改善生理指标。
Objective To explore the psychological and behavioral interventions in military hospitals hospital soldiers mental and physical condition impact. Methods Sixty cases of 508 non-psychiatric inpatients from 8 military hospitals under the jurisdiction of a theater were selected as the experimental group and 60 as the control group. The control group was given routine treatment. The experimental group was given comprehensive psychological behavior on the basis of routine treatment Interventions were assessed on the SCL-90 and GQOLI-74 at admission and at discharge, and the changes of physiological indexes were detected. Results ① The total score of SCL-90 and physical, interpersonal sensitivity, anxiety, depression, hostility, terror, GQOLI-74 score, mental function, social function and somatic function in the experimental group were significantly different at admission and at discharge = 3.043 ~ 9.648, P <0.05 or 0.01) .②The total scores of SCL-90 and somatization, interpersonal sensitivity, anxiety, depression, terror, GQOLI-74 score, mental function, There was significant difference (t = 2.164-10.752, P <0.05 or 0.01) between the experimental group and the control group. There was significant difference in the latency and amplitude of blood glucose, serum cortisol and P300 between the experimental group and the control group (t = 2.087 ~ 6.437, P <0.05 or 0.01). Conclusion Comprehensive psychological behavior intervention can help alleviate the psychological symptoms of hospitalized soldiers in general hospitals, improve the quality of life, and improve the physiological indices.