泥石流灾后一线工作者PTSD及影响因素研究

The Workers' PTSD after Debris Flow and its Influencing Factors

采用一般情况调查问卷、症状自评量表(SCL-90)和创伤后应激障碍临床筛检表(PCL-C)对参加过甘肃舟曲泥石流救灾的医护工作者进行调查。研究泥石流灾后15个月一线医护工作者创伤后应激障碍(PTSD)的发生率、症状分布及其相关因素。结果表明,灾后15个月PTSD检出率为63.5%,男性显著高于女性;感受到生命危险的医护工作者,其阳性检出率更高,而能得到家人理解与支持的医护工作者,其阳性检出率较低;存在PTSD症状的医护工作者身心健康状况明显处于高应激状态;抑郁、家庭财产损失程度、有无家人支持这三个变量是灾后一线医护工作者PTSD检出率增高的影响因素。研究认为,灾后15个月一线医护工作者依然存在较高的PTSD症状,且PTSD的发生具有可预测性,应采取针对性的干预和预防措施。

This paper , by using a questionnaire , the symptom checklist (SCL-90) and posttraumatic stress disorder clinical screening table (PCL-C) , investigated the medical staffs participating in Zhouqu relief in order to find the trauma of the debris flow disaster front-ine workers , their stress disorder , the incidence and influencing factors . The results showed that : 115 health care workers' the detection of symptoms of PTSD was 63 . 5% among the rescue of Zhouqu ; The male's positive detection rate was significantly higher than women's ; PTSD detection group were not detected in the description of the exposure and feel life-threatening with higher positive rates ; In this process , those getting understanding and support of family has lower positive rate ; Detection of PTSD group were not detected in the contrast with the SCL-90 total score and the factor scores of detected group scored significantly higher than controlled group , and PTSD-positive first-line workers in their physical and mental health status are obviously at a very high stress . The research believes that depression , the loss of family property , their family support are the three predicting factors of PTSD for detection rate .