地震伤员外科救治医护人员的压力水平和特质应对方式

英文篇名：Stress level and coping strategy of surgical staff who saved the patients after Wenchuan earthquake
中文刊名：中国心理卫生杂志
英文刊名：Chinese Mental Health Journal
作者：李云歌 ; 段明君 ; 王瑧 ; 丛中
英文作者：LI Yun-Ge1 ; DUAN Ming-Jun1 ; WANG Zhen1 ; CONG Zhong21Chengdu Mental Health Center ; Chengdu 6100362Peking University Institute of Mental Health ; Key Laboratory of Mental Health ; Ministry of Health(Peking University) ; Beijing 100191 ; China
中文关键词：医护人员 ; 外科 ; 地震 ; 心理健康自评问卷 ; 特质应对方式问卷 ; 对照研究
英文关键词：surgical staff ; earthquake ; self reporting questionnaire ; coping styles questionnaire ; control study
出版日期：2010-02-10
机构：成都市第四人民医院(成都市精神卫生中心);北京大学精神卫生研究所(卫生部精神卫生学重点实验室);
年：2010
期：02
出版单位：中国心理卫生杂志

摘要

目的:探讨在地震灾害发生后的早期,救治伤员的外科医护人员的压力水平及特质应对方式。方法:在汶川大地震后第14天,方便选取成都市参加收治地震伤员的某医院外科医护人员37名,同期选取某医院精神科医护人员44名为对照组,用自制地震相关问题筛查表、心理健康自评问卷及特质应对方式问卷进行测查。结果:外科医护人员的心理健康自评问卷和消极应对方式因子得分均高于对照组[(9.3±4.7)vs.(3.2±3.9),(29.8±6.2)vs.(26.1±7.1),均P<0.05];外科医护人员的心理健康自评问卷得分与消极应对因子得分呈正相关(r=0.50,P=0.002);外科医护人员年龄与急性应激水平正相关(R2=0.168,P=0.012)。结论:震后外科医护人员有较高水平的急性应激反应,尤其以年长者、具有消极应对倾向者为甚,建议加强医疗资源的合理调配和心理知识宣传,以提高外科医护人员自身心理健康水平。
Objective:To investigate the stress and coping strategy of rescue surgical staff early after earthquake.Methods:The self reporting questionnaire (SRQ-20) and coping styles questionnaire( CSQ) were distributed to 37 surgical staff and 44 psychiatric staff(the control group) in Chengdu City 2 weeks after Wenchuan earthquake.The results were analyzed by t test,correlation analysis and logistic regression analysis.Results:The grades of rescue surgical staff in SRQ-20 and negative coping styles factor was higher than that of the psychiatric staff[(9.3±4.7)vs.(3.2±3.9),(29.8±6.2)vs.(26.1±7.1);Ps<0.05].The SRQ-20 score in rescue surgical staffs was positively correlated with negative coping styles factor(r=0.50,P=0.002)and age(R2=0.168,P=0.012).Conclusion:Surgical staff,especially the elder,have more intensive acute stress reaction.It is essential to publicize psychologic knowledge and improve mental health of surgical staff.

引文

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