124例地震伤员及家属急性应激障碍发生情况及影响因素分析
|
摘要
目的探讨地震受灾人员急性应激障碍的发生率、主要临床表现及影响因素。方法采用结构式及非结构式访谈与临床观察相结合的方法对某院收治的124例地震伤员及家属进行调查分析。结果 "5.12"汶川地震伤员及家属急性应激障碍的发生率较高(37%),临床表现主要反应在生理、心理和行为3个方面,突出表现在反复体验、睡眠障碍、焦虑、恐惧、易激惹、兴趣减低等方面。从影响因素来看,依次为负性自动思维,不良应对方式,是否有丧亲,自感应激强度,社会支持、性别、自已受伤等方面。结论急性应激障碍发生较早,症状表现复杂,应受到早期救援人员和医护人员的高度重视,根据其不同临床表现和影响因素采取合理有效的干预措施以降低其发生率,促进恢复。
OBJECTIVE To investigate the morbility, clinical manifestation and influential factor of acute stress disorder (ASD) of victims in 5.12 earthquake. METHODS Investigated and analyzed the 124 inpatients and families from earthquake with structure and non-structure discussion and clinical observation. RESULTS The morbidity of ASD was very high (37%) . The main clinical manifestations were physiological, psychological and behavioral reactions. Among them, repeated experience, sleep disorder, anxiety, horror, irritability, interesting loss, etc. were the key reactions. The most important influential factors were the negative automatic thoughts, the harmful reaction, whether there was loss of family, the self induction of the stress, social support, gender, injured themselves, etc. CONCLUSION ASD happens early after the disaster, and the morbidity is very high. It should pay more attention by the early rescue team and staff in order to lower the ASD morbidity and improve the recovery after disaster.
OBJECTIVE To investigate the morbility, clinical manifestation and influential factor of acute stress disorder (ASD) of victims in 5.12 earthquake. METHODS Investigated and analyzed the 124 inpatients and families from earthquake with structure and non-structure discussion and clinical observation. RESULTS The morbidity of ASD was very high (37%) . The main clinical manifestations were physiological, psychological and behavioral reactions. Among them, repeated experience, sleep disorder, anxiety, horror, irritability, interesting loss, etc. were the key reactions. The most important influential factors were the negative automatic thoughts, the harmful reaction, whether there was loss of family, the self induction of the stress, social support, gender, injured themselves, etc. CONCLUSION ASD happens early after the disaster, and the morbidity is very high. It should pay more attention by the early rescue team and staff in order to lower the ASD morbidity and improve the recovery after disaster.
引文
[1]沈渔邨.精神病学[M].第4版.北京:人民卫生出版社,2001:484-487.
[2]尹海辉,周建芬,黄晓元.烧伤病人应激障碍的研究现状[J].护理研究,2003,17(13):757-759.
[3]王倩,郑晓星,杨蕴萍.急性应激障碍能否预测创伤后应激障碍[J].首都医科大学学报,2008,29(5):564-568.
[4]张本,王学义,孙贺祥.唐山大地震心理创伤后应激障碍的抽样调查研究[J].中华精神科杂志,1999,32(2):106-108.
[5]姜荣环,马弘.急性应激障碍的研究现状[J].国际精神病学杂志,2007(3):147-149.
[6]申远,吴文源,李春波,等.澳大利亚成人急性应激障碍和创伤后应激障碍治疗指南[J].国际精神病学杂志,2008,35(3):144-149.
[7]杨孔军,高欢,刘铁榜,等.急性应激反应患者应激事件及临床分析[J].中国民康医学,2003,15(10):595,601.
[2]尹海辉,周建芬,黄晓元.烧伤病人应激障碍的研究现状[J].护理研究,2003,17(13):757-759.
[3]王倩,郑晓星,杨蕴萍.急性应激障碍能否预测创伤后应激障碍[J].首都医科大学学报,2008,29(5):564-568.
[4]张本,王学义,孙贺祥.唐山大地震心理创伤后应激障碍的抽样调查研究[J].中华精神科杂志,1999,32(2):106-108.
[5]姜荣环,马弘.急性应激障碍的研究现状[J].国际精神病学杂志,2007(3):147-149.
[6]申远,吴文源,李春波,等.澳大利亚成人急性应激障碍和创伤后应激障碍治疗指南[J].国际精神病学杂志,2008,35(3):144-149.
[7]杨孔军,高欢,刘铁榜,等.急性应激反应患者应激事件及临床分析[J].中国民康医学,2003,15(10):595,601.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心