CAJ | 학술논문

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(R~2=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.
목적:탐토재지진재해발생후적조기,구치상원적외과의호인원적압력수평급특질응대방식.방법:재문천대지진후제14천,방편선취성도시삼가수치지진상원적모의원외과의호인원37명,동기선취모의원정신과의호인원44명위대조조,용자제지진상관문제사사표、심리건강자평문권급특질응대방식문권진행측사.결과:외과의호인원적심리건강자평문권화소겁응대방식인자득분균고우대조조[(9.3±4.7)vs.(3.2±3.9),(29.8±6.2)vs.(26.1±7.1),균P<0.05];외과의호인원적심리건강자평문권득분여소겁응대인자득분정정상관(r=0.50,P=0.002);외과의호인원년령여급성응격수평정상관(R~2=0.168,P=0.012).결론:진후외과의호인원유교고수평적급성응격반응,우기이년장자、구유소겁응대경향자위심,건의가강의료자원적합리조배화심리지식선전,이제고외과의호인원자신심리건강수평.
Objective: To investigate the stress and coping strategy of rescue surgical staff early after earth-quake. Methods: The self reporting questionnaire (SRQ-20) and coping styles questionnaire (CSQ) were distribu-ted to 37 surgical staff and 44 psychiatric staff (the control group) in Chengdu City 2 weeks after Wenchuan earth-quake. 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 (R~2=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.