Study on the model of psychological intervention outside the hospital in response to sudden public health events such as coronavirus disease 2019_West China Medical Journal

Authors：

DU Chen ¹ , LIU Ting ² , ZHAO Xin ³ , ZENG Rui ¹ ,  ZHANG Wei ^1,2

1. Party Committee Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. President & Dean’s Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHANG Wei, Email: zhangwei@wchscu.cn

Keywords：

Coronavirus disease 2019; Psychological intervention; Public health emergencies; West China Hospital of Sichuan University; “Four-in-one” medical service system

DOI：

10.7507/1002-0179.202003354

Video：

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Coronavirus disease 2019 epidemic is a serious and infectious public health event that causes physical damage and may also have an impact on mental health. West China Hospital of Sichuan University combines the internet hospital platform with the traditional telephone model, establishes a new coronavirus disease 2019 intervention integration platform, and builds a new “four-in-one” medical service system, which contains epidemic consultation, psychological consultation, self-evaluation and home prevention and control. It has established a way for the public to communicate with professional, reduced the spread of coronavirus disease 2019 in space, and effectively carried out psychological decompression and comfort work, disseminated the knowledge of fighting coronavirus disease 2019, and provided medical advice. This article mainly introduces the out-of-hospital psychological intervention model of West China Hospital of Sichuan University during the coronavirus disease 2019 epidemic, and aims to provide a reference for exploring the psychological intervention methods for major public health emergencies.

Citation： DU Chen, LIU Ting, ZHAO Xin, ZENG Rui, ZHANG Wei. Study on the model of psychological intervention outside the hospital in response to sudden public health events such as coronavirus disease 2019. West China Medical Journal, 2020, 35(9): 1021-1024. doi: 10.7507/1002-0179.202003354 Copy

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2.	馬寧, 馬弘, 李凌江. 《新型冠狀病毒感染的肺炎疫情緊急心理危機干預指導原則》專家解析. 中華精神科雜志, 2020, 53(2): 95-98.
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10.	李焱芳, 王薛瑤, 張晶, 等. 普通民眾在新冠肺炎期間的心理調查. 國際感染病學(電子版), 2020, 9(2): 308-310.
11.	付麗莎. 突發危機事件下的公眾心理特征及干預疏導策略—基于新冠肺炎疫情的調查分析. 思想教育研究, 2020(3): 60-65.
12.	岳晶麗, 蘇思珍, 錢英, 等. 新型冠狀病毒肺炎疫情的心理危機干預及應對策略. 中華精神科雜志, 2020, 53(3): 176-180.
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15.	王珊. 心理干預在災難救援人員中的應用經驗. 企業文化(中旬刊), 2015(12): 375.
16.	Luft BJ, Schechter C, Kotov R, et al. Exposure, probable PTSD and lower respiratory illness among world trade center rescue, recovery and clean-up workers. Psychol Med, 2012, 42(5): 1069-1079.
17.	Brooks S, Aml?t R, Rubin GJ, et al. Psychological resilience and post-traumatic growth in disaster-exposed organisations: overview of the literature. BMJ Mil Health, 2020, 166(1): 52-56.
18.	Kang P, Lv Y, Hao L, et al. Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: a neglected problem. Psychiatry Res, 2015, 230(2): 517-523.
19.	Pan Z, Le Y. Psychological reaction in members of medicine rescue team for Wenchuan earthquake in 2008 and its management. Journal of Medical Colleges of PLA, 2010: 98-102.
20.	倪倩鈺, 田俊. 心理彈性量表信度和效度評價及應用. 中國公共衛生, 2013, 29(10): 1524-1527.
21.	Stephenson KR, Simpson TL, Martinez ME, et al. Changes in mindfulness and posttraumatic stress disorder symptoms among veterans enrolled in mindfulness-based stress reduction. J Clin Psychol, 2017, 73(3): 201-217.
22.	Xu W, Fu G, An Y, et al. Mindfulness, posttraumatic stress symptoms, depression, and social functioning impairment in Chinese adolescents following a tornado: mediation of posttraumatic cognitive change. Psychiatry Res, 2018, 259: 345-349.
23.	Baer RA. Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 2003, 10: 125-143.
24.	張伊, 伏干, 姜慧麗, 等. 專業救援人員的正念對創傷后應激障礙的影響: 侵入反芻和社會支持的作用. 中國臨床心理學雜志, 2019, 27(2): 311-315.
25.	張水淼, 李新利, 崔軼, 等. 領悟社會支持和海軍官兵急性應激反應的關系: 心理彈性的中介效應. 第二軍醫大學學報, 2017, 38(2): 234-238.
26.	Zhang J, WU W, ZHAO X, et al. Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine, 2020, 3(1): 3-8.

1. Furr JM, Comer JS, Edmunds JM, et al. Disasters and youth: a meta-analytic examination of posttraumatic stress. J Consult Clin Psychol, 2010, 78(6): 765-780.
2. 馬寧, 馬弘, 李凌江. 《新型冠狀病毒感染的肺炎疫情緊急心理危機干預指導原則》專家解析. 中華精神科雜志, 2020, 53(2): 95-98.
3. 美國精神醫學學會. 精神障礙診斷與統計手冊(5版). 張道龍, 劉春宇, 張小梅, 等, 譯. 北京: 北京大學出版社, 2015: 262-271.
4. 肖茜, 張道龍. 新冠肺炎疫情期間的心理評估和創傷后應激障礙的預防. 四川精神衛生, 2020, 33(2): 115-117.
5. 國家衛生健康委. 關于《新型冠狀病毒感染的肺炎疫情緊急心理危機干預指導原則》要點解讀. (2020-01-28)[2020-06-15]. http://www.nhc.gov.cn/jkj/s3578/202001/253b43870a5744b8b938429e737e9e9f.shtml.
6. 國家衛生健康委. 關于貫徹落實改善一線醫務人員工作條件切實關心醫務人員身心健康若干措施的通知. (2020-02-15)[2020-06-15]. http://www.gov.cn/zhengce/zhengceku/2020-02/16/content_5479628.htm.
7. Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry, 2020, 7(4): 300-302.
8. Lima CKT, Carvalho PMM, Lima IAAS, et al. The emotional impact of coronavirus 2019-nCoV (new coronavirus disease). Psychiatry Res, 2020, 287: 112915.
9. 蘇斌原, 葉苑秀, 張衛, 等. 新冠肺炎疫情不同時間進程下民眾弄的心理應激反應特征. 華南師范大學學報(社會科學版), 2020(3): 79-94.
10. 李焱芳, 王薛瑤, 張晶, 等. 普通民眾在新冠肺炎期間的心理調查. 國際感染病學(電子版), 2020, 9(2): 308-310.
11. 付麗莎. 突發危機事件下的公眾心理特征及干預疏導策略—基于新冠肺炎疫情的調查分析. 思想教育研究, 2020(3): 60-65.
12. 岳晶麗, 蘇思珍, 錢英, 等. 新型冠狀病毒肺炎疫情的心理危機干預及應對策略. 中華精神科雜志, 2020, 53(3): 176-180.
13. Wu F, Zhao S, Yu B, et al. A new coronavirus associated with human respiratory disease in China. Nature, 2020, 579(7798): 265-269.
14. 沈美華, 劉翠玲, 孫永紅, 等. 新冠肺炎醫學觀察下密切接觸者的心理干預. 醫學理論與實踐, 2020, 33(9): 1379-1380, 1390.
15. 王珊. 心理干預在災難救援人員中的應用經驗. 企業文化(中旬刊), 2015(12): 375.
16. Luft BJ, Schechter C, Kotov R, et al. Exposure, probable PTSD and lower respiratory illness among world trade center rescue, recovery and clean-up workers. Psychol Med, 2012, 42(5): 1069-1079.
17. Brooks S, Aml?t R, Rubin GJ, et al. Psychological resilience and post-traumatic growth in disaster-exposed organisations: overview of the literature. BMJ Mil Health, 2020, 166(1): 52-56.
18. Kang P, Lv Y, Hao L, et al. Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: a neglected problem. Psychiatry Res, 2015, 230(2): 517-523.
19. Pan Z, Le Y. Psychological reaction in members of medicine rescue team for Wenchuan earthquake in 2008 and its management. Journal of Medical Colleges of PLA, 2010: 98-102.
20. 倪倩鈺, 田俊. 心理彈性量表信度和效度評價及應用. 中國公共衛生, 2013, 29(10): 1524-1527.
21. Stephenson KR, Simpson TL, Martinez ME, et al. Changes in mindfulness and posttraumatic stress disorder symptoms among veterans enrolled in mindfulness-based stress reduction. J Clin Psychol, 2017, 73(3): 201-217.
22. Xu W, Fu G, An Y, et al. Mindfulness, posttraumatic stress symptoms, depression, and social functioning impairment in Chinese adolescents following a tornado: mediation of posttraumatic cognitive change. Psychiatry Res, 2018, 259: 345-349.
23. Baer RA. Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 2003, 10: 125-143.
24. 張伊, 伏干, 姜慧麗, 等. 專業救援人員的正念對創傷后應激障礙的影響: 侵入反芻和社會支持的作用. 中國臨床心理學雜志, 2019, 27(2): 311-315.
25. 張水淼, 李新利, 崔軼, 等. 領悟社會支持和海軍官兵急性應激反應的關系: 心理彈性的中介效應. 第二軍醫大學學報, 2017, 38(2): 234-238.
26. Zhang J, WU W, ZHAO X, et al. Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine, 2020, 3(1): 3-8.

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