中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2009年
8期
793-796
,共4页
高新学%况利%刘婉婷%楼丹丹%李大奇%艾明%陈建梅%黎雪梅%赵正中
高新學%況利%劉婉婷%樓丹丹%李大奇%艾明%陳建梅%黎雪梅%趙正中
고신학%황리%류완정%루단단%리대기%애명%진건매%려설매%조정중
创伤性应激障碍%地震%危险因素%横断面调查
創傷性應激障礙%地震%危險因素%橫斷麵調查
창상성응격장애%지진%위험인소%횡단면조사
Post-traumatic stress disorder%Earthquake%Risk factor%Cross-sectional survey
目的 探讨四川省汶川地震灾后转移伤员创伤后应激障碍(PTSD)症状严重程度的影响因素.方法 采用PTSD症状自评量表,在地震灾后40d对按照多级整群抽样方法抽取转移到重庆市11所医院的386名伤员进行调查,回收有效问卷354份,探讨影响PTSD症状严重程度的相关因素.结果 共获得完整资料354份,其中男性伤员154人(43.6%),女性伤员200人(56.4%),年龄为(43.76±21.22)岁;汉族236人(66.7%),羌族114人(32.2%),其他4人(1.1%);未婚92人(26.1%),已婚253人(71.7%),其他9人(2.2%).女性伤员PTSD的症状要比男性严重,在反复而痛苦的梦及此事件(t=2.46,P=0.014)、强烈的心理痛苦烦恼(t=2.02,P=0.044)、难以集中注意力(t=2.04,P=0.042)、警觉性过高(t=2.465,P=0.014)及总分(0=2.489,P=0.013)等条目上有差异.地震中被掩埋伤员PTSD症状的严重程度大于没有被掩埋者;在避免有关此创伤的思想、感受、或谈话(0=2.661,P=0.008)、避免会促使回忆起此创伤的活动、地点、或人物(t=2.705,P=0.007)、不能回忆此创伤的重要方面(t=2.775,P=0.006)、情感范围有所限制(t=3.017,P=0.003)、对未来没有远大的设想(t=2.979,P=0.003)及总分(t=3.175,P=0.002)等条目上差异有统计学意义.目睹了地震中有人被埋或有人死亡的PTSD症状比没有目睹的严重,均在有脱离他人或觉得他人很陌生的感受,情感范围有所限制,激惹或易发怒等条目上差异有统计学意义(P<0.05或P<0.01).三大核心症状平均记分之间差异有统计学意义(F=3.350,P<0.001).结论 不同暴露条件下转移伤员的PTSD症状的严重程度不同,且症状彼此之间存在相互的关联.
目的 探討四川省汶川地震災後轉移傷員創傷後應激障礙(PTSD)癥狀嚴重程度的影響因素.方法 採用PTSD癥狀自評量錶,在地震災後40d對按照多級整群抽樣方法抽取轉移到重慶市11所醫院的386名傷員進行調查,迴收有效問捲354份,探討影響PTSD癥狀嚴重程度的相關因素.結果 共穫得完整資料354份,其中男性傷員154人(43.6%),女性傷員200人(56.4%),年齡為(43.76±21.22)歲;漢族236人(66.7%),羌族114人(32.2%),其他4人(1.1%);未婚92人(26.1%),已婚253人(71.7%),其他9人(2.2%).女性傷員PTSD的癥狀要比男性嚴重,在反複而痛苦的夢及此事件(t=2.46,P=0.014)、彊烈的心理痛苦煩惱(t=2.02,P=0.044)、難以集中註意力(t=2.04,P=0.042)、警覺性過高(t=2.465,P=0.014)及總分(0=2.489,P=0.013)等條目上有差異.地震中被掩埋傷員PTSD癥狀的嚴重程度大于沒有被掩埋者;在避免有關此創傷的思想、感受、或談話(0=2.661,P=0.008)、避免會促使迴憶起此創傷的活動、地點、或人物(t=2.705,P=0.007)、不能迴憶此創傷的重要方麵(t=2.775,P=0.006)、情感範圍有所限製(t=3.017,P=0.003)、對未來沒有遠大的設想(t=2.979,P=0.003)及總分(t=3.175,P=0.002)等條目上差異有統計學意義.目睹瞭地震中有人被埋或有人死亡的PTSD癥狀比沒有目睹的嚴重,均在有脫離他人或覺得他人很陌生的感受,情感範圍有所限製,激惹或易髮怒等條目上差異有統計學意義(P<0.05或P<0.01).三大覈心癥狀平均記分之間差異有統計學意義(F=3.350,P<0.001).結論 不同暴露條件下轉移傷員的PTSD癥狀的嚴重程度不同,且癥狀彼此之間存在相互的關聯.
목적 탐토사천성문천지진재후전이상원창상후응격장애(PTSD)증상엄중정도적영향인소.방법 채용PTSD증상자평량표,재지진재후40d대안조다급정군추양방법추취전이도중경시11소의원적386명상원진행조사,회수유효문권354빈,탐토영향PTSD증상엄중정도적상관인소.결과 공획득완정자료354빈,기중남성상원154인(43.6%),녀성상원200인(56.4%),년령위(43.76±21.22)세;한족236인(66.7%),강족114인(32.2%),기타4인(1.1%);미혼92인(26.1%),이혼253인(71.7%),기타9인(2.2%).녀성상원PTSD적증상요비남성엄중,재반복이통고적몽급차사건(t=2.46,P=0.014)、강렬적심리통고번뇌(t=2.02,P=0.044)、난이집중주의력(t=2.04,P=0.042)、경각성과고(t=2.465,P=0.014)급총분(0=2.489,P=0.013)등조목상유차이.지진중피엄매상원PTSD증상적엄중정도대우몰유피엄매자;재피면유관차창상적사상、감수、혹담화(0=2.661,P=0.008)、피면회촉사회억기차창상적활동、지점、혹인물(t=2.705,P=0.007)、불능회억차창상적중요방면(t=2.775,P=0.006)、정감범위유소한제(t=3.017,P=0.003)、대미래몰유원대적설상(t=2.979,P=0.003)급총분(t=3.175,P=0.002)등조목상차이유통계학의의.목도료지진중유인피매혹유인사망적PTSD증상비몰유목도적엄중,균재유탈리타인혹각득타인흔맥생적감수,정감범위유소한제,격야혹역발노등조목상차이유통계학의의(P<0.05혹P<0.01).삼대핵심증상평균기분지간차이유통계학의의(F=3.350,P<0.001).결론 불동폭로조건하전이상원적PTSD증상적엄중정도불동,차증상피차지간존재상호적관련.
Objective To investigated the related factors which affecting the severity degrees of post-traumatic stress disorder(PTSD) in trailsferred casualty after Wenchuan Earthquake.Methods Taking PTSD symptoms self-assessment scale(PCL-C) to involve 386 wounded who sufiered 40 days after the earthquake disaster,from 11 hospitals and were transferred to Chongqing city.Multi-stage cluster sampling method was used.354 valid questionnaires were recovered to explore the relevant factors affecting the severity on the symptoms of PTSD.Results This survey contains 354 subjects,with male 154(43.6%),female 200(56.4%),age 43.76±21.22,nation alities:Han people 236(66.7%),Qiang people 114(32.2%),others4(1.1%),and marriage status as unmarried 92(26.1%),married 253(71.7%),others 9(2.2%).The wounded women PTSD have more seriotis symptoms than men,and there were differences between them in repeated and disturbing dreams of this stressful experience(t=2.46,P=0.014),a strong sense of psychological suffering annoyance (t=2.02,P=0.044),having difficulty concentrating(t=2.04,P=0.042),being"super-alert"(t=2.465,P=0.014) etc,also in the total scores(t=2.489.P=0.013)(P<0.05).The PTSD symptoms of wounded degree in who had been buried in Earthquake were more serious than those not been buried.There were significant difierences between them in the iterns as:avoid thinking about or talking about a stressful experience(t=2.661,P=0.008),avoid activities or situations that could fecall the stressful experience(t=2.705,P=0.007),trouble remembering important parts of a stressful experience (t=2.775,P=0.006),feeling emotionally numb or being unable to have loving feelings for those close to you(t=3.017,P=0.003),feeling as if your future will somehow be cut short(t=2.979,P=0.003) and total scores(t=3.175,P=0.002).The wounded that witnessed someone be buried or died in earthquake,in PTSD symptoms,were more serious than those without.In the items of feeling distant or cut off from other people,feeling emotionally numb or being unable to have loving feelings for those close to you,feeling irritable or having angry outbursts, there were significant difference(P<0.05-0.01).There were significant difrerences among the average score of the three core symptoms(F=3.350,P<0.001),among the three core symptoms as well as between the three core symptoms and total score respectively.Conclusion There were differences in the severity degrees of PTST in transferred casualty under difrerent exposed conditions.Correlations were also found between each of the symptoms.
