天津港爆炸事故受灾医务救援人员创伤后应激障碍症状调查

Research on symptoms of posttraumatic stress disorder among medical rescue workers after explosive accident of Tianjin port

目的:了解天津港爆炸事故后受灾医务救援人员创伤后应激障碍(PTSD)症状现状,并分析其影响因素。方法:采用横断面研究的方法,于天津港爆炸事故后第7个月,使用创伤后应激障碍症状清单平民版(PCL-C),通过方便抽样对天津市泰达医院受灾医务救援人员进行PTSD症状调查,并通过logistic回归分析筛查PTSD症状的危险因素。结果:195人完成问卷填写,结果显示PTSD阳性率为19.5%(38);三大核心症状的再体验症状群阳性率42.6%(83),回避/麻木症状群阳性率13.8%(27),警觉性增高症状群阳性率41.0%(80)。logistic回归分析显示,性别,自觉精神压力,其亲人受伤情况、客观社会支持和消极应对情况是PTSD症状的独立危险因素(P<0.05)。结论:天津港爆炸事故后,受灾医务救援人员存在创伤后应激障碍。对于具有PTSD危险因素的人群,应予以关注,并采取积极的干预措施以预防其PTSD的发生发展。

Objective:To assess the current situation and influencing factors of posttraumatic stress disorder(PTSD)of medical workers after the explosive accident in Tianjin port.Methods:7 months after the accident,cross-sectional study and convenience sampling and posttraumatic stress disorder check-list-civilian version(PCL-C)were used.The regression equations of the total score of PCL-C were built with multiple stepwise regression analysis.Results:195 questionnaires were valid,the positive rate of PTSD was 19.5%(38),with the positive rate of re-experience symptom being 42.6%(83),avoidance symptom 13.8%(27)and hyperarousal symptom 41.0%(80).The results of regression indicated that gender,self-assessed mental stress,the injury of respondents’relatives,social objective support and negative response are the contributing factors of PTSD symptoms(P<0.05).Conclusion:The positive rate of PTSD of respondents was high,more measures should be taken to prevent PTSD for medical workers.