“5.12”特大地震两年后板房灾民生活质量评估
|
摘要
目的评价汶川地震两年后板房灾民的生活质量,了解其影响因素。方法采用SF-36生活质量问卷、创伤后应激障碍筛查量表平民版(PCL-C)、匹兹堡睡眠质量指数量表(PSQI)以及自制的相关社会人口学问卷进行入户调查。结果①单因素分析显示,地震两年后板房灾民的生活质量除精神健康维度外其余各维度得分均低于常模(P<0.05),不同地区、性别、年龄、文化程度、职业、婚姻状况等因素对生活质量的某些维度或加权总分有影响。②多重线性回归分析显示,影响板房灾民生活质量的主要因素有PSQI总分、PCL-C总分、职业。结论地震两年后板房灾民的身心健康仍不容乐观,尤其应重点关注极重灾区灾民、女性、睡眠障碍者、创伤后应激障碍患者以及低收入者,以改善板房灾民的生活质量。
Objective To assess the quality of life(QOL) for survivors living in temporary settlements(prefab house) two years after "5.12" earthquake and to explore related influencing factors.Methods A random sample of 560 subjects were investigated by adopting a subscale of short-form health survey questionnaire(SF-36),post-traumatic stress disorder(PTSD) Checklist Civilia Version(PCL-C),Pittsburgh Sleep Quality Index(PSQI) and Social Demographic Questionnaire.Results One way variance analysis results showed that the scores of SF-36 domains of victims living in prefab houses were significantly lower than norms(P<0.05) except for mental health.Difference in disastrous areas,gender,age,education,occupation,marital status might affect some dimensions and the weighted average score of SF-36.The result of multivariate regression analysis showed that the score of PSQI,the score of PCL-C as well as occupation are the main influencing factors.Conclusion Two years after Wenchuan Earthquake,the levels of life quality of survivors living in prefab houses were low.The critical measures for improving the life quality of victims should be included as follows: people from heavy disaster area Beichuan,female,with sleeping disorder and post-traumatic stress disorder(PTSD) and low income should be viewed as the priority of attention.
Objective To assess the quality of life(QOL) for survivors living in temporary settlements(prefab house) two years after "5.12" earthquake and to explore related influencing factors.Methods A random sample of 560 subjects were investigated by adopting a subscale of short-form health survey questionnaire(SF-36),post-traumatic stress disorder(PTSD) Checklist Civilia Version(PCL-C),Pittsburgh Sleep Quality Index(PSQI) and Social Demographic Questionnaire.Results One way variance analysis results showed that the scores of SF-36 domains of victims living in prefab houses were significantly lower than norms(P<0.05) except for mental health.Difference in disastrous areas,gender,age,education,occupation,marital status might affect some dimensions and the weighted average score of SF-36.The result of multivariate regression analysis showed that the score of PSQI,the score of PCL-C as well as occupation are the main influencing factors.Conclusion Two years after Wenchuan Earthquake,the levels of life quality of survivors living in prefab houses were low.The critical measures for improving the life quality of victims should be included as follows: people from heavy disaster area Beichuan,female,with sleeping disorder and post-traumatic stress disorder(PTSD) and low income should be viewed as the priority of attention.
引文
1王红妹,李鲁,沈毅,等.中文版SF-36量表用于杭州市灾民生命质量研究[J].中华预防医学杂志,2001,35(6):428-430.
2刘朝杰,李俊,李宁秀,等.用SF-36评价健康状态效用[N].华西医科大学学报,2001,32(3):396-398.
3汪向东,王希林,马弘.心理卫生评定量表手册(增刊)[M].中国心理卫生杂志,1999:375-378.
4陈翰,张佳佳,李敏.创伤康复期患者应激障碍与心理弹性的相关研究[J].第三军医大学学报,2010,32(18).
5孙倩,孙学礼,李静,等.汶川地震灾区灾民睡眠障碍流行病学调查[J].现代预防医学,2010,37(3):512-518.
6何权瀛.防治心脑血管疾病工作总应充分考虑睡眠呼吸障碍问题[J].中华医学杂志,2006,86(41):2897-2899.
7 BESZCZYSKA B.Molecular basis of stress evoked psychiatricdisturbances[J].Postepy Hig Med Dosw(Online),2007,61:690-701.
8 BOEHNLEIN J K,KINZIE J D.Pharmacologic reduction of CNSnoradrenergic activity in PTSD:the case for clonidine and prazosin[J].J Psychiatry Pract,2007,13(2):72-78.
9 JORDAN N N,HOGE C W,TOBLER S K,et al.Mental Healthimpact of 9.11 Pentagon attack:Validation of a rapid assessment tool[J].Am J Prev Med,2004,26(4):284-293.
10游自立.应激对免疫功能及疾病发生的影响[J].国外医学社会医学分册,1995,12(2):68-70.
11丛建妮,王琳,汪洋.四川三峡移民心理健康状况及影响因素研究[J].卫生研究,2009,38(1):63-66.
12李宁秀,刘朝杰,李俊,等.四川省城乡居民SF-36评价参考价值[J].华西医科大学学报,2001,32(1):43-47.
13 YILMAZ V,CANGUR S,CLIK H E.Sex difference and earthquakeexperience effects on earthquake victims[J].Pers Individ Dif,2005,39(2):341-348.
2刘朝杰,李俊,李宁秀,等.用SF-36评价健康状态效用[N].华西医科大学学报,2001,32(3):396-398.
3汪向东,王希林,马弘.心理卫生评定量表手册(增刊)[M].中国心理卫生杂志,1999:375-378.
4陈翰,张佳佳,李敏.创伤康复期患者应激障碍与心理弹性的相关研究[J].第三军医大学学报,2010,32(18).
5孙倩,孙学礼,李静,等.汶川地震灾区灾民睡眠障碍流行病学调查[J].现代预防医学,2010,37(3):512-518.
6何权瀛.防治心脑血管疾病工作总应充分考虑睡眠呼吸障碍问题[J].中华医学杂志,2006,86(41):2897-2899.
7 BESZCZYSKA B.Molecular basis of stress evoked psychiatricdisturbances[J].Postepy Hig Med Dosw(Online),2007,61:690-701.
8 BOEHNLEIN J K,KINZIE J D.Pharmacologic reduction of CNSnoradrenergic activity in PTSD:the case for clonidine and prazosin[J].J Psychiatry Pract,2007,13(2):72-78.
9 JORDAN N N,HOGE C W,TOBLER S K,et al.Mental Healthimpact of 9.11 Pentagon attack:Validation of a rapid assessment tool[J].Am J Prev Med,2004,26(4):284-293.
10游自立.应激对免疫功能及疾病发生的影响[J].国外医学社会医学分册,1995,12(2):68-70.
11丛建妮,王琳,汪洋.四川三峡移民心理健康状况及影响因素研究[J].卫生研究,2009,38(1):63-66.
12李宁秀,刘朝杰,李俊,等.四川省城乡居民SF-36评价参考价值[J].华西医科大学学报,2001,32(1):43-47.
13 YILMAZ V,CANGUR S,CLIK H E.Sex difference and earthquakeexperience effects on earthquake victims[J].Pers Individ Dif,2005,39(2):341-348.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心