沙盘治疗对急诊多发伤伴创伤后应激障碍患者的干预效果

The Intervention Effect of Sandplay Therapy on Emergency Patients with Multiple Injuries and Post-Traumatic Stress Disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2026, 53(1)
作者
作者单位

承德市中心医院,急诊科

摘要
【摘要】 目的 观察沙盘治疗对急诊多发伤伴创伤后应激障碍(Post-Traumatic Stress Disorders,PTSD)患者的干预效果。方法 选取我院2023年1月到2025年1月90例急诊多发伤伴PTSD患者纳入研究,按随机数字表法分为观察组、对照组,各45例。比较两组患者创伤后应激障碍检查量表(The PTSD Checklist for DSM-5,PCL-5)、抑郁情绪[汉密尔顿抑郁量表(Hamilton Depression Rating Scale ,HAMD)、汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale, HAMA)]及生活质量[健康状况调查简表(the MOS item short from health survey,SF-36)]。结果 干预后两组侵入症状、回避症状、负性改变、警觉性增强、PCL-5总分均下降,观察组低于对照组(P<0.05);干预后两组HAMD、HAMA评分均下降,观察组低于对照组(P<0.05);干预后两组SF-36评分均升高,观察组高于对照组(P<0.05)。结论 沙盘治疗能够减轻急诊多发伤伴PTSD患者应激症状及负性情绪,提高患者生活质量。
Abstract
【Abstract】 Objective To observe the intervention effect of sandplay therapy on emergency patients with multiple injuries and post-traumatic stress disorder (PTSD). Methods A total of 90 patients with multiple injuries and PTSD admitted to our hospital from January 2023 to January 2025 were enrolled in the study. Using a random number table, the patients were assigned to an observation group and a control group, with 45 in each.The Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5), emotional status [Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA)], and quality of life [the MOS 36-Item Short Form Health Survey (SF-36)] were compared between the two groups.Results Although PTSD symptoms and total scores decreased in both groups after the intervention, the observation group experienced even greater reductions across all domains compared to the controls (P < 0.05). After the intervention, both HAMD and HAMA scores decreased in both groups, with the observation group exhibiting lower scores than the control group (P < 0.05). After the intervention, SF-36 scores increased in both groups, with the observation group demonstrating higher scores than the control group (P < 0.05).Conclusion Sandplay therapy can alleviate stress symptoms and negative emotions, as well as improve the quality of life, in emergency patients with multiple injuries and PTSD.
关键词
【关键词】沙盘治疗;多发伤;创伤后应激障碍;汉密尔顿抑郁量表;汉密尔顿焦虑量表
KeyWord
【Key words】Sandplay therapy; Multiple injuries; Post-Traumatic Stress Disorders; Hamilton Depression Rating Scale; Hamilton Anxiety Rating Scale
基金项目
页码 206-209
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崔长江. 沙盘治疗对急诊多发伤伴创伤后应激障碍患者的干预效果 [J]. 国际精神病学杂志. 2026; 53; (1). 206 - 209.

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