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.	马宁, 马弘, 李凌江. 《新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则》专家解析. 中华精神科杂志, 2020, 53(2): 95-98.
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11.	付丽莎. 突发危机事件下的公众心理特征及干预疏导策略—基于新冠肺炎疫情的调查分析. 思想教育研究, 2020(3): 60-65.
12.	岳晶丽, 苏思珍, 钱英, 等. 新型冠状病毒肺炎疫情的心理危机干预及应对策略. 中华精神科杂志, 2020, 53(3): 176-180.
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14.	沈美华, 刘翠玲, 孙永红, 等. 新冠肺炎医学观察下密切接触者的心理干预. 医学理论与实践, 2020, 33(9): 1379-1380, 1390.
15.	王珊. 心理干预在灾难救援人员中的应用经验. 企业文化(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.
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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.	倪倩钰, 田俊. 心理弹性量表信度和效度评价及应用. 中国公共卫生, 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.	张伊, 伏干, 姜慧丽, 等. 专业救援人员的正念对创伤后应激障碍的影响: 侵入反刍和社会支持的作用. 中国临床心理学杂志, 2019, 27(2): 311-315.
25.	张水淼, 李新利, 崔轶, 等. 领悟社会支持和海军官兵急性应激反应的关系: 心理弹性的中介效应. 第二军医大学学报, 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. 马宁, 马弘, 李凌江. 《新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则》专家解析. 中华精神科杂志, 2020, 53(2): 95-98.
3. 美国精神医学学会. 精神障碍诊断与统计手册(5版). 张道龙, 刘春宇, 张小梅, 等, 译. 北京: 北京大学出版社, 2015: 262-271.
4. 肖茜, 张道龙. 新冠肺炎疫情期间的心理评估和创伤后应激障碍的预防. 四川精神卫生, 2020, 33(2): 115-117.
5. 国家卫生健康委. 关于《新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则》要点解读. (2020-01-28)[2020-06-15]. http://www.nhc.gov.cn/jkj/s3578/202001/253b43870a5744b8b938429e737e9e9f.shtml.
6. 国家卫生健康委. 关于贯彻落实改善一线医务人员工作条件切实关心医务人员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. 苏斌原, 叶苑秀, 张卫, 等. 新冠肺炎疫情不同时间进程下民众弄的心理应激反应特征. 华南师范大学学报(社会科学版), 2020(3): 79-94.
10. 李焱芳, 王薛瑶, 张晶, 等. 普通民众在新冠肺炎期间的心理调查. 国际感染病学(电子版), 2020, 9(2): 308-310.
11. 付丽莎. 突发危机事件下的公众心理特征及干预疏导策略—基于新冠肺炎疫情的调查分析. 思想教育研究, 2020(3): 60-65.
12. 岳晶丽, 苏思珍, 钱英, 等. 新型冠状病毒肺炎疫情的心理危机干预及应对策略. 中华精神科杂志, 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. 沈美华, 刘翠玲, 孙永红, 等. 新冠肺炎医学观察下密切接触者的心理干预. 医学理论与实践, 2020, 33(9): 1379-1380, 1390.
15. 王珊. 心理干预在灾难救援人员中的应用经验. 企业文化(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, Amlôt 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. 倪倩钰, 田俊. 心理弹性量表信度和效度评价及应用. 中国公共卫生, 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. 张伊, 伏干, 姜慧丽, 等. 专业救援人员的正念对创伤后应激障碍的影响: 侵入反刍和社会支持的作用. 中国临床心理学杂志, 2019, 27(2): 311-315.
25. 张水淼, 李新利, 崔轶, 等. 领悟社会支持和海军官兵急性应激反应的关系: 心理弹性的中介效应. 第二军医大学学报, 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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