目的：本研究試圖追蹤評估參與某工業意外災難之救難者，精神狀況之時序變化情形，並提供其團體處遇的經驗，作為重大災難後心理復健的參考。方法：本研究之工業意外災難是為1998年2月發生於臺灣南部某工業區之瓦斯氣爆事件，該事件造成4人死亡、45人重傷，廠方及警義消人員、設備損失慘重，附近民宅也受爆炸波及，抗議求償不斷；研究對象為現場第一線消防人員13人。除了在事發後針對所有研究對象施以精神科診斷性會談，並以華人健康量表（CHQ-12）及疾病症狀程度評定量表（SCL-90），在事件發生後第三個月、第六個月、第十二個月時，進行精神狀況追蹤評估，以觀察身心症狀變化。另外，研究對象中有7名接受團體處遇，共進行三次；以團體工作日誌和三次團體處遇結束後成員填寫之團體回饋表，作為團體歷程分析的資料依據。結果：所有個案在事件後三個月內身心症狀均明顯改善，且持續穩定至追蹤結束；在團體處遇過程中發現，成員除了可得到充分的社會支持外，且討論的議題從個人的感受、調適經驗分享、到形成共同關心的主題；團體互動關係由單純領導者與成員的單向互動，到愈來愈複雜的各成員間討論，逐漸形成支持網路；認知狀態也從當初的擔心害怕，到逐漸增加自我肯定，發展出正向積極的人生觀。結論：個案在事後三個月內身心症狀均明顯改善至追蹤結束，短期團體的介入模式有助於重大災難受創者心理復建，本研究經驗可以提供將來災難處遇的參考。

　　　　　Objective: The purpose of this paper is to evaluate the progression of psychiatric symptoms and explore the experience of a cognitive-supportive intervention program among the rescue team members after a gas explosion disaster in Kaohsiung, Taiwan in February, 1998. Methods: A total of 13 rescue team members were recruited for this follow-up study from the time the accident through February 1999. Seven of them had attended a group intervention program shortly after the disaster. Within the 12-month period after recruitment, each subject had received an initial diagnostic interview and also, regular symptom check-ups with the Chinese Health Questionnaire (CHQ-12) and Symptom Checklist (SCL-90) at the third, sixth, and twelfth month. The cognitive-support intervention group, consisting of 10 members, met together once a week for a total of three times. A group feedback scale was applied to evaluate the perceived effectiveness at the end of the group intervention program. Results: There were 7 subjects who met the criteria for psychiatric diagnosis in the first interview: five had adjustment disorders; one had posttraumatic stress disorder, and another had generalized anxiety disorder. Generally, psychiatric symptoms improved markedly after three months. The types of issues arising from group discussion, the quality of interaction and the level of cognition changed among participants as the group sessions proceeded. Five important group therapeutic factors were identified from the group feedback scale: existential factors, family re-enactment, installation of hope, catharsis, and identification. Conclusion: Psychiatric symptoms after a disaster are not uncommon and overall symptoms improve gradually. Post-disaster group intervention provides the opportunity for survivors to receive mutual support. The findings of this study may be useful in efforts to improve strategies for post-disaster psychological rehabilitation in Taiwan.