四川省安县震后散居居民心理健康状况调查评估
사천성안현진후산거거민심리건강상황조사평고
Mental health assessment among scattered residents after Wenchuan earthquake in Anxian, Sichuan province
  • 万方数据
    中华预防医学杂志 중화예방의학잡지
    CHINESE JOURNAL OF
    2009年 5期 380-384 ,共5页

    刘世安%周航%周先锋%胡俊锋%陈明亭%胡伟江%汤后林%闫磊%李建文%李仁忠%李雨波%汪俊云%张伟%张必科%张庆锋%姚建义%陈诚%施文绮%夏连续%崔步云%崔文明%康宁%蒋敏%潘力军%臧照芳%樊永祥%樊福成%余宏杰

    류세안%주항%주선봉%호준봉%진명정%호위강%탕후림%염뢰%리건문%리인충%리우파%왕준운%장위%장필과%장경봉%요건의%진성%시문기%하련속%최보운%최문명%강저%장민%반력군%장조방%번영상%번복성%여굉걸

    自然灾害%心理疗法%心理学试验 自然災害%心理療法%心理學試驗
    자연재해%심리요법%심이학시험
    Natural disasters%Psychological tests%Psychotherapy
    目的 了解汶川地震后安县散居居民的心理健康状况,为下一步心理教育和干预提供科学依据.方法 设计调查问卷,包括身体及情绪反应、缓解和调节方法、希望得到的社会支持3个部分,采用二阶段按容量比例概率抽样法从安县散居居民总人口(约44万名)中抽出2184名,对其进行人户调查,在统计描述的基础上比较不同特征人群的心理健康状况.结果 震后散居居民2184名的情绪及身体反应中,创伤后应激障碍(posttraumatic stress disorders,PTSO)3个主要症状平均得分(11.23±3.44)分,高于2003年湖南某市103名火灾灾民的(10.06±3.26)分;症状自评量表(SCL-90)三因子平均得分(5.76±1.74)分,高于1998年修正常模(23 891名)的(4.72±1.44)分;以上差异均有统计学意义(t=10.77,P<0.05;t=706.04,P<0.05).不同特征人群的心理健康状况比较,不同年龄、性别和文化程度的差异部分有统计学意义.结论 本次地震引起的情绪及身体反应较普遍,老年人、女性、初中及以下组是心理干预的重点人群.在针对重点人群及时实施心理咨询与救助的同时,应对居民加强心理健康教育.
    목적 료해문천지진후안현산거거민적심리건강상황,위하일보심리교육화간예제공과학의거.방법 설계조사문권,포괄신체급정서반응、완해화조절방법、희망득도적사회지지3개부분,채용이계단안용량비례개솔추양법종안현산거거민총인구(약44만명)중추출2184명,대기진행인호조사,재통계묘술적기출상비교불동특정인군적심리건강상황.결과 진후산거거민2184명적정서급신체반응중,창상후응격장애(posttraumatic stress disorders,PTSO)3개주요증상평균득분(11.23±3.44)분,고우2003년호남모시103명화재재민적(10.06±3.26)분;증상자평량표(SCL-90)삼인자평균득분(5.76±1.74)분,고우1998년수정상모(23 891명)적(4.72±1.44)분;이상차이균유통계학의의(t=10.77,P<0.05;t=706.04,P<0.05).불동특정인군적심리건강상황비교,불동년령、성별화문화정도적차이부분유통계학의의.결론 본차지진인기적정서급신체반응교보편,노년인、녀성、초중급이하조시심리간예적중점인군.재침대중점인군급시실시심리자순여구조적동시,응대거민가강심리건강교육.
    Objective To explore the mental health status of residents scattered living in Anxian after Wenchuan earthquake so as to provide scientific basis for further mental health intervention. Methods A face to face interview was conducted among the scattered residents with designed questionnaire, which had three parts of the physical and emotional reaction, the relax methods and the social care and supports expected. Two-stage probability proportional to size (PPS) sample method was performed to sample 2184 from 0.44 million scattered residents in Anxian. On the basis of statistical description, mental health of different characteristics groups was compared. Results Three main symptoms of posttraumatic stress disorders in 2184 residents (11.23±3.44) were higher than the 103 fire victims in Hunan in 2003 (10.06±3.26),three factor scores of SCL-90 (5.76±1.74) were higher than normal in 1998 repair mode (n=23 891) (4.72±1.44),and the statistical difference was observed (t=10.77,P<0.05;t=706.04,P<0.05). Comparing the mental health of different groups, some significant differences were found by age,gender and education background. Conclusion The earthquake disaster brought prevalent physical and emotional reaction. Elderly people, female, junior students need mental intervention immediately. Therefore,strengthen the mental education and assistance(especially in high risk groups)would be of more significance.
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