CAJ | 학술논문

目的调查芦山地震受灾人群PTSD的患病率及其影响因素.方法采用横断面调查,在四川省雅安市芦山县、宝兴县两地分层随机抽取1110名成年被调查者,使用自编问卷采集一般人口学资料、芦山地震受灾情况以及芦山地震、汶川地震对被调查者影响的比较等,PTSD筛查量表平民版(PTSD Check List-Civilian Version,PCL-C)筛查被调查者对芦山地震的应激反应程度,MINI-自杀风险评估其自杀风险.PCL-C＞38分者由精神科医师采用MINI中文版中的PTSD章节诊断其是否患有PTSD.采用线性回归分析方法对PTSD的影响因素进行相关分析.结果 998名被调查者纳入分析,其中男372名(37.27％,372/998),女626名(62.73％,626/998).PCL-C＞38分者251名(25.15％,251/998),PTSD患者24例,PTSD患病率2.40％(24/998).自杀高风险者11名(1.10％,11/998).回归分析显示,PCL-C总分与女性(β=-2.041)、家庭低收入(β=-3.870)、地震中亲属遇难(β=0.164)、朋友遇难(β=-0.059)、地震中被掩埋(β=-14.335)、受伤(β=0.495)等因素相关(均P＜0.05).女性(OR=4.304)、地震中被掩埋(OR=15.688)是罹患PTSD的危险因素(均P＜0.05).家庭低收入(OR=3.147)、罹患PTSD (OR=25.101)是自杀高风险的危险因素(均P＜0.05).结论 5年内连续2次遭受地震创伤的受灾人群中PTSD的患病率并不高,女性及在地震中自身生命受威胁是罹患PTSD的危险因素,应有针对性地进行干预.
목적 조사호산지진수재인군PTSD적환병솔급기영향인소.방법 채용횡단면조사,재사천성아안시호산현、보흥현량지분층수궤추취1110명성년피조사자,사용자편문권채집일반인구학자료、호산지진수재정황이급호산지진、문천지진대피조사자영향적비교등,PTSD사사량표평민판(PTSD Check List-Civilian Version,PCL-C)사사피조사자대호산지진적응격반응정도,MINI-자살풍험평고기자살풍험.PCL-C＞38분자유정신과의사채용MINI중문판중적PTSD장절진단기시부환유PTSD.채용선성회귀분석방법대PTSD적영향인소진행상관분석.결과 998명피조사자납입분석,기중남372명(37.27％,372/998),녀626명(62.73％,626/998).PCL-C＞38분자251명(25.15％,251/998),PTSD환자24례,PTSD환병솔2.40％(24/998).자살고풍험자11명(1.10％,11/998).회귀분석현시,PCL-C총분여녀성(β=-2.041)、가정저수입(β=-3.870)、지진중친속우난(β=0.164)、붕우우난(β=-0.059)、지진중피엄매(β=-14.335)、수상(β=0.495)등인소상관(균P＜0.05).녀성(OR=4.304)、지진중피엄매(OR=15.688)시리환PTSD적위험인소(균P＜0.05).가정저수입(OR=3.147)、리환PTSD (OR=25.101)시자살고풍험적위험인소(균P＜0.05).결론 5년내련속2차조수지진창상적수재인군중PTSD적환병솔병불고,녀성급재지진중자신생명수위협시리환PTSD적위험인소,응유침대성지진행간예.
Objective To investigate the prevalence and influence factors of post-traumatic stress disorder (PTSD) in people experiencing the Lushan 4.20 earthquake in 2013.Methods By stratified random sampling,a cross-sectional survey was conducted among 1 110 adult victims from the county of Lushan and Baoxing three months after the earthquake.Self-made questionnaire was adopted to collect the demographic data and the general situation of the disaster and compare with the situation of Wenchuan 5.12 earthquake.The scale of PTSD Check List-Civilian Version (PCL-C) was applied to scan the high risky individuals.Mini-Suicide was used to assess the suicide risk.The psychiatric doctor used the Mini-PTSD to diagnose the individuals with the PCL-C total score＞38.Linear regression analysis was used for correlation analysis the influence factors of PTSD.Results 998 efficient questionnaires were collected,and male 372 (37.27％,372/998),female 626(62.73％,626/998).Among them,251 subjects(25.15％,251/998) had high scores of PCL-C (total score＞38),24 subjects were diagnosed PTSD (2.40％,24/998) and 11 subjects(1.10％,11/998) had high risk of suicide committing.The factors of female(β =-2.041),poor economic condition (B=-3.870),losing relatives(β=0.164),losing friends(B=-0.059),being buried(β=-14.335),and being injured (β=0.495) were found related with higher total score of PCL-C(all P＜0.05).The factors of female(OR=4.304) and being buried(OR=15.688) were found to be the risky factors of PTSD(both P＜0.05).The factors of lower income(OR=3.147) and being diagnosed with PTSD(OR=25.101) were found to be the risky factors of suicide (both P＜0.05).Conclusions Twice earthquake experience during 5 years may increase the morbidity of PTSD,and female and life-threatening in the earthquake are the high risk factors of PTSD.