CAJ | 학술논문

目的了解四川"5·12"大地震1个月后帐篷临时居住者焦虑状况,及时采取措施进行干预.方法采用分层随机抽样方法,抽取江油市4个乡镇13个安置点临时居住于帐篷内的18岁以上居民,每个帐篷或家庭不超过1名.使用焦虑自评量表(SAS)进行调查,成功调查402名,比较不同人群SAS标准分的差别,运用逐步多元回归分析地震灾后焦虑人群相对非焦虑人群更特异的症状特征.结果地震灾后帐篷居住者焦虑率为22.1%(89/402).较大年龄组比较小年龄组焦虑程度高(F=7.03,P＜0.01),其中50岁以上(42.85±11.15)分,40～49岁(41.57±10.30)分,30～39岁(37.99±9.66)分,18～29岁(36.62±9.92)分.女性[(43.13±10.45)分]比男性[(36.80±9.88)分]焦虑程度较高(t=-6.09,P＜0.01).SAS量表中较为常见的症状是焦虑感受(79.4%,319/402)、乏力(68.2%,274/402)、惊恐(65.7%,264/402)、睡眠障碍(65.4%,263/402)、不幸感(65.2%,262/402)、不能静坐(59.7%,240/402)、害怕(58.2%,234/402).逐步多元回归分析发现,发疯感(t=5.37,P＜0.01)、手足颤抖(t=5.33.P＜0.01)、呼吸困难(t=4.28,P＜0.01)、不幸感(t=3.87,P＜0.01)、头痛(t=3.85,P＜0.01)、面部潮红(t=3.48,P＜0.01)、乏力(t=3.27,P＜0.01)、头晕(t=2.79,P＜0.01)、尿意频数(t=2.41,P＜0.05)、静坐不能(t=2.31,P＜0.05)等10项症状焦虑人群比非焦虑人群高.结论地震后帐篷临时居住者焦虑率高于一般人群.须特别关注年龄大、女性和出现发疯感、手足颤抖、呼吸困难等10项特异症状的人群并及时采取干预措施.
목적 료해사천"5·12"대지진1개월후장봉림시거주자초필상황,급시채취조시진행간예.방법 채용분층수궤추양방법,추취강유시4개향진13개안치점림시거주우장봉내적18세이상거민,매개장봉혹가정불초과1명.사용초필자평량표(SAS)진행조사,성공조사402명,비교불동인군SAS표준분적차별,운용축보다원회귀분석지진재후초필인군상대비초필인군경특이적증상특정.결과 지진재후장봉거주자초필솔위22.1%(89/402).교대년령조비교소년령조초필정도고(F=7.03,P＜0.01),기중50세이상(42.85±11.15)분,40～49세(41.57±10.30)분,30～39세(37.99±9.66)분,18～29세(36.62±9.92)분.녀성[(43.13±10.45)분]비남성[(36.80±9.88)분]초필정도교고(t=-6.09,P＜0.01).SAS량표중교위상견적증상시초필감수(79.4%,319/402)、핍력(68.2%,274/402)、량공(65.7%,264/402)、수면장애(65.4%,263/402)、불행감(65.2%,262/402)、불능정좌(59.7%,240/402)、해파(58.2%,234/402).축보다원회귀분석발현,발풍감(t=5.37,P＜0.01)、수족전두(t=5.33.P＜0.01)、호흡곤난(t=4.28,P＜0.01)、불행감(t=3.87,P＜0.01)、두통(t=3.85,P＜0.01)、면부조홍(t=3.48,P＜0.01)、핍력(t=3.27,P＜0.01)、두훈(t=2.79,P＜0.01)、뇨의빈수(t=2.41,P＜0.05)、정좌불능(t=2.31,P＜0.05)등10항증상초필인군비비초필인군고.결론 지진후장봉림시거주자초필솔고우일반인군.수특별관주년령대、녀성화출현발풍감、수족전두、호흡곤난등10항특이증상적인군병급시채취간예조시.
Objective To investigate the prevalence of anxiety among tent inhabitants one month after the 5·12 Sichuan earthquake as to formulating intervention strategies.Methods A stratified random sampling method was adopted.Inclusion criteria were:inhabitants,aged above 18 years old,living in tent in 13 relief centers of4 townships in Jiangyou city;and only one person from each tent/family could be enrolled in this study.A total of 402 subieels were interviewed with Self-rating Anxiety Scale(SAS).SAS scores were compared between different groups and symptomatic difierences between anxiety and non-anxiety victims were analyzed by stepwise multiple regression analysis.Results The prevalence of anxiety among tent inhabitants was 22.1%(89/402).A higher rate of anxiety was observed in senior age group than in younger age group (F=7.03,P＜0.01).Age with≥50 years(42.85±11.15),40-49 years(41.57±10.30),30-39 years(37.99±9.66),18-29 years(36.62±9.92).Female(43.13±10.45)had a high rate of anxiety than male(36.80±9.88)(t=-6.09,P＜0.01).The most common symptoms were anxiety(79.4%,319/402),fatigue(68.2%,274/402),phobia(65.7%,264/402),sleep disorders(65.4%,263/402),unfortunate feelings(65.2%,262/402),akathisia(59.7%,240/402),and fear(58.2%,234/402).Stepwise multiple regression analysis revealed that insane feelings(t=5.37,P＜0.01),trembling(t=5.33,P＜0.01),dyspnea(t=4.28,P＜0.01),unfortunate feelings(t=3.87,P＜0.01),headache(t=3.85,P＜0.01),facial flushing(t=3.48,P＜0.01),fatigue(t=3.27,P＜0.01),dizziness(t=2.79,P＜O.01),frequent micturition(t=2.41,P＜0.05),and akathisia(t=2.31,P＜0.05)were more frequently experienced in the anxiety victims than non-anxiety victims.Conclusion Tent Inhabitants in the post-earthquake relief centers exhibit a higher prevalence of anxiety as compared with the general population.Much attention should be paid to elderly,female,and those who have developed specific symptoms such as insane feelings,trembling,dyspnea,etc.Meanwhile,some intervention measures should be timely taken.