灾害事件后群体心理应激与脑血管病发病的相关性(英文)

Relationships between metal stress and cerebrovascular diseases of colony after disaster

背景:自然灾害对人类社会造成极大的危害,群体心理应激、社会支持对于减少幸存者心理创伤和疾病起到积极的作用。洪涝灾害后群体心理应激与脑血管疾病发病的相关性尚不十分清楚。目的:探讨洪涝灾害后受灾群体的心理应激、社会支持与脑血管病的关系。设计:随机抽取遭受特大洪涝灾害受灾最重的两个县部分乡镇进行调查,并根据受灾程度分为轻灾组和重灾组,并设立对照组。以诊断为依据,进行病例对照的随访观察的前瞻性研究。地点和对象:1996-08山东省菏泽地区遭受特大洪涝灾害,选择距黄河滩区10km左右受灾较重的东明县刘楼乡、鄄城县董口乡为调查现场。干预:采取家庭、邻里、社区和政府干预,给予灾后即时援助和灾后重建援助。主要观察指标:调查内容包括:一般社会人口学资料、受灾情况和经历、生活事件量表、SCL-90、社会支持评定量表、脑血管病危险因素病史及灾后急性脑血管病发病情况等。结果:灾后受灾群体的心理健康水平下降,无论是轻灾组还是重灾组与对照组比较均差异有显著性意义(P<0.01);灾后受灾群体急性脑血管病的发病率明显增高,与对照组比较差异有显著性意义(P<0.01),且轻灾组高于重灾组;良好而有效的社会支持可降低急性脑血管病的发病率;多元逐步回归分析,急性脑血管病的发生与多种因素有关。

BACKGROUND:Natural calamity is a great threat against human society.The colony mental stress and social supports play a positive role in relieving the psychological hurt and disease of survivors.Whereas,report on the relationship between mental stress and cerebrovascular disease after flood is scarce. OBJECTIVE:To study the relationships between mental stress,social support and cerebrovascular diseases of survivors after floods. DESIGN:Parts of small towns of two counties,which seriously destroyed by floods,were selected to assist the investigation,and randomized into a slight disaster group and a serious disaster group according to the damaging degree.A control group was established at the same time.A diagnosis based prospective study was carried out in the form of follow up observation by case control. SETTING and PARTICIPANTS:A disastrous flood happened in Heze,Shandong Province in August,1996.The most serious stricken areas were chosen:Liulou Country of Dongming County,Dayan Country of Juancheng County,which are about 10 km away from the beach of the Yellow River as investigating spots. INTERVENTIONS:Interventions from families,neighbourhoods,communities and government supplies,immediate assistant and reconstruction aid after the disaster. MAIN OUTCOME MEASURES:The contents of investigation:the general social demographic data,the damaging status and experience,life event scale,SCL 90,rating scale of social support,history of cerebrovascular diseases risk factors and the acute cerebrovascular diseases episode after disaster,etc. RESULTS:After the disaster, victims' mental health level descended,which indicated significant difference in both groups compared with the control group(P< 0.01);the incidence of acute cerebrovascular diseases in the disaster population went up obviously after disaster,with significant difference(P< 0.01) compared with the control group,moreover,the incidence in the slight disaster group was higher than that in the serious group.Favorable and effective social support could lower the incidence of acute cerebrovascular diseases.Multiple stepwise regression analysis showed that the occurrence of acute cerebrovascular diseases was related to many factors,and disaster was an important inducing factor. CONCLUSION:Flood calamity is closely related to the occurrence of acute cerebrovascular diseases.It is of great significance for preventing cerebrovascular diseases to offer effective interventions after the disaster as soon as possible.