灾后消防救援人员创伤后应激障碍分析

Analysis of Firemen Post-traumatic Stress Disorder after Earthquake

目的:对地震后消防救援人员创伤后应激障碍(PTSD)的发生率及心理健康状况进行分析。方法:选用创伤后应激评定量表(PCL-C)和中文版事件影响量表(IES-R),对灾后三个月内消防员310人进行评估。结果:灾后三个月内PTSD症状的总发生率为35.3%;地震救援组和基层消防组IES-R得分显著高于一般院校组,但地震救援组和基层消防组得分无显著差异,PCL-C得分结果与之类似;恐惧、创伤经历和救援失败等是PTSD症状的影响因素。结论:消防员是职业心理创伤的高危人群,地震后消防救援人员PTSD症状发生率较高,应给予及时心理干预。

Objective：To analyse post-traumatic stress disorder（PTSD） and mental health of firemen after earthquake.Methods：A study was performed among 320 firemen in three months after rescue action.All were tested with Post-traumatic Stress Rating Scale（PCL-C） and the Chinese version of Impact of Event Scale（IES-R）.Results：The post-disaster PTSD symptoms within three months the overall incidence of 35.3%;5.12 Fire and rescue groups and grass-roots group of IES-R scores were significantly higher than the general institutions group,but 5.12 Fire and rescue groups and grass-roots group of no significant difference in scores,PCL-C scores with similar results;fear,trauma and rescue failed and others are experiencing PTSD symptoms factor.Conclusion：The fireman is the psychological trauma of the high-risk occupational groups,fire and rescue workers after the earthquake a higher rate of PTSD symptoms,should be given a timely psychological intervention.