CAJ | 학술논문

[目的]了解汶川地震2年后重灾区地震伤残人员的生存质量，并分析其影响因素，为灾后地震伤残人员的康复和提高其生存质量提供依据。[方法]采用横断面调查法于汶川地震2年后对重灾区172例地震伤残人员生存质量进行调查，调查工具为简明健康调查量表（SF 36）。[结果]172例地震伤残人员2年后心理健康各维度得分低于四川省普通居民生存质量；躯体功能和总体健康得分高于地震后1年的得分，而地震2年后心理健康中除社会功能（SF）外各维度得分均低于地震后1年的得分（P＜0．05），对可能影响地震伤残人员生存质量的9个因素进行单因素分析结果显示，性别、就业状况和伤残并发症对生存质量有影响。男性、继续工作、无伤残并发症的伤残人员生存质量分别高于女性、休闲在家、有伤残并发症的伤残人员。对地震伤残人员生存质量的多因素分析结果显示，影响地震伤残人员生理健康相关生存质量的因素依次为：伤残并发症、人均月收入、家庭结构变化；影响地震伤残人员心理健康相关生存质量的因素依次为：伤残并发症和性别。[结论]地震2年后地震伤残人员生存质量低于一般人群，提示在后期的干预中要采取综合措施促进伤残人员的康复，提高伤残人员生存质量。
[목적]료해문천지진2년후중재구지진상잔인원적생존질량，병분석기영향인소，위재후지진상잔인원적강복화제고기생존질량제공의거。[방법]채용횡단면조사법우문천지진2년후대중재구172례지진상잔인원생존질량진행조사，조사공구위간명건강조사량표（SF 36）。[결과]172례지진상잔인원2년후심리건강각유도득분저우사천성보통거민생존질량；구체공능화총체건강득분고우지진후1년적득분，이지진2년후심리건강중제사회공능（SF）외각유도득분균저우지진후1년적득분（P＜0．05），대가능영향지진상잔인원생존질량적9개인소진행단인소분석결과현시，성별、취업상황화상잔병발증대생존질량유영향。남성、계속공작、무상잔병발증적상잔인원생존질량분별고우녀성、휴한재가、유상잔병발증적상잔인원。대지진상잔인원생존질량적다인소분석결과현시，영향지진상잔인원생리건강상관생존질량적인소의차위：상잔병발증、인균월수입、가정결구변화；영향지진상잔인원심리건강상관생존질량적인소의차위：상잔병발증화성별。[결론]지진2년후지진상잔인원생존질량저우일반인군，제시재후기적간예중요채취종합조시촉진상잔인원적강복，제고상잔인원생존질량。
Obj ective:To know about the quality of life of the disabled in-Wenchuan earthquake stricken area after 2 years,and to analyze its influen-cing factors,so as to provide evidences for the rehabilitation of disabled per-sons and enhance their quality of life.Methods:After 2 years of Wenchuan earthquake,a total of 172 earthquake disabled persons in heavy disaster area were investigated on their quality of life by cross sectional survey,and the survey tool was concise health survey questionnaire (SF 3 6 ).Results:Af-ter 2 years,all mental health related qualty of life scores of quality of life in 172 cases earthquake disabled persons were lower than that of ordinary residents in Sichuan province;physical function score and general health score were higher than that in 1 year after the earthquake,and after 2 years in addition to the social functions,all dimensions scores were lower than that in 1 year after the earthquake (P<0.05).Single factor analysis was carried out for the 9 factors which may impact the quality of life of the earthquake disabled persons,and the results showed that gender,employ-ment status and disability complications had influence on the quality of life. The quality of life of disabled persons who were male and had disability complications and continued to work was higher than that of disabled per-sons who were female,leisure at home and had disability complications. Multivariate analysis of the quality of life of disabled persons in earthquake showed that the influencing factors of physical health related quality of life of disabled persons in earthquakes were:disability complications,disability complications,per capita monthly income,family structure changes;the in-fluencing factors of the earthquake damage residual mental health related quality of life of disabled persons in earthquakes:disability complications and sex.Conclusion:In 2 years after earthquake the quality of life of the earthquake disabled persons was lower than that of the general population. It prompted that in the late intervention,comprehensive measures should be taken to promote the rehabilitation of disabled persons and improve quality of life of them.