参与汶川地震灾区现场救治医务人员心理健康状况的研究
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摘要
目的调查参与汶川地震灾区现场救治医务人员与未参与现场救治医务人员的心理健康状况,为建立健全灾害事件发生后参与救援医务人员心理健康问题的预防和干预提供参考依据。方法以地震发生后到极重灾区参与现场救治的医务人员为研究组,以未到极重灾区参与现场救治的医务人员作为对照组,在震后第2周时,采用抑郁自评量表(SDS)进行评定,在震后第6周时采用抑郁自评量表(SDS)、事件影响量表(IES)进行评定,比较2组的结果。结果震后第2周研究组SDS评分(52.1±8.15)高于对照组(48.87±8.03),差异有统计学意义(P<0.01);震后第6周研究组SDS评分(48.05±7.41)和IES评分(24.61±11.28)分别高于对照组的(45.20±7.58)和(21.30±10.21),差异均有统计学意义(P<0.01)。结论参与汶川地震灾区现场救治医务人员存在明显的抑郁情绪和创伤后应激障碍(PTSD)症状。
Objective To investigate the psychological status of the medical staff participated in the Wenchuan earthquake-stricken areas medical treatment and the medical staff not involved in the medical treatment,providing rational theory for the mental health prevention and intervention of the medical staff who involved in the incident medical treatment.Methods Using self-rating depression scale(SDS)to evaluated the medical staff participates in the medical treatment (the study group)and the medical staff did not participate in the medical treatment(the control group)in the second week after the earthquake,self-rating depression scale(SDS),and impact of Event Scale(IES)were used to assessment in the sixth week after the earthquake.Results the second week aftert earthquake,the SDS score(52.10±8.15)in the study group was higher than(48.87±8.03)in the control group,the difference was statistically significant(P<0.01).In the sixth weeks after the earthquake,the SDS score (48.05±7.41)and the IES score(24.61±11.28)in the study group were higher than(45.20±7.58)and(21.30±10.21)in the control group,the differences were statistically significant(P<0.01).Conclusion The medical staff who participates in the Wenchuan earthquake-stricken areas medical treatment has obvious symptoms of depression and PTSD.
Objective To investigate the psychological status of the medical staff participated in the Wenchuan earthquake-stricken areas medical treatment and the medical staff not involved in the medical treatment,providing rational theory for the mental health prevention and intervention of the medical staff who involved in the incident medical treatment.Methods Using self-rating depression scale(SDS)to evaluated the medical staff participates in the medical treatment (the study group)and the medical staff did not participate in the medical treatment(the control group)in the second week after the earthquake,self-rating depression scale(SDS),and impact of Event Scale(IES)were used to assessment in the sixth week after the earthquake.Results the second week aftert earthquake,the SDS score(52.10±8.15)in the study group was higher than(48.87±8.03)in the control group,the difference was statistically significant(P<0.01).In the sixth weeks after the earthquake,the SDS score (48.05±7.41)and the IES score(24.61±11.28)in the study group were higher than(45.20±7.58)and(21.30±10.21)in the control group,the differences were statistically significant(P<0.01).Conclusion The medical staff who participates in the Wenchuan earthquake-stricken areas medical treatment has obvious symptoms of depression and PTSD.
引文
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6宁宁,李玲利,廖灯彬,等.参与汶川地震伤员救治与未参与伤员救治外科医务人员的心理状况分析[J].中国大学学报,2008,33(9):769-774.
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8杨婵鹃,刘玉平,王旭萍.159名精神科医生的心理健康状况调查[J].中国健康心理学杂志,2008,5:40-41.
9杨琴,吴新玲,唐晋,等.护士工作压力与心理健康状况的调查分析[J].临床护理杂志,2008,17(2):12-14.
2Uranmo RJ,Fullerton CS,Kao TC,et al.Longitudinal assessment of post traumeatic atress disorder and depression after expexure to traumatic death[J].J Nerv Ment Dis,1995,183(1):36-42.
3张明园.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,1998:35-42.
4Terhakopian A,Sinaii N,Egnel CC,et al.Estimating,population preva-lence of posttraumtic stress disorder:an exampl using the PTSD checklist[J].J Trauma Stress,2008,21:290-300.
5Kilic IC,Aydin I,Tashintuna N,et al.Predictors of paychological distress in survivors of the1999earthquakes in Turkey:effects of relocation after the dissster[J].Acta Paychiatr Scand,2006,114(3):194-202.
6宁宁,李玲利,廖灯彬,等.参与汶川地震伤员救治与未参与伤员救治外科医务人员的心理状况分析[J].中国大学学报,2008,33(9):769-774.
7黄国平.彩虹重现:地震之后的生活[M].北京:中国工商出版社,2009:70-77.
8杨婵鹃,刘玉平,王旭萍.159名精神科医生的心理健康状况调查[J].中国健康心理学杂志,2008,5:40-41.
9杨琴,吴新玲,唐晋,等.护士工作压力与心理健康状况的调查分析[J].临床护理杂志,2008,17(2):12-14.
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