参与汶川地震伤员救治与未参与伤员救治外科医务人员的心理状况分析
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摘要
目的:比较分析汶川地震期间参与震灾伤员救治骨外科医务人员与未参与伤员救治外科医务人员的心理状况,为建立大地震救援援助医务人员的心理问题预防和干预体系提供参考依据。方法:采用方便抽样的方法抽取参与震灾伤员救治的骨外科医务人员与未参与震灾伤员救治外科医务人员作为研究对象进行横断面调查研究。采用症状自评量表(SCL-9 0),征得调查对象同意后由心理咨询师采用统一、规范的指导语指导研究对象完成调查问卷,用SPSS1 6.0软件对数据进行统计处理。结果:地震期间,参与震灾伤员救治与未参与伤员救治外科医务人员在躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、精神病性等8个因子均值统计学结果有统计学差异;两组研究对象的因子阳性项目数也存在统计学差异。结论:地震期间,参与震灾伤员救治的骨外科医务人员存在明显的心理问题,需要进行心理干预。
Objective To compare and analyze the mental status of medical staff between Orthopedics Department who treated the victims in the earthquake and other surgical departments who did not treat the victims in the earthquake,and to provide evidence for psychological prevention and intervention in the earthquake aids.Methods Cross-sectional study was used to choose staff in the Orthopedics Department who treated the victims and other surgical departments who did not treat victims in the earthquake as eligible subject with convenient sampling.The research tool is Symptom Checklist-90.The questionnaire was done by participants with the same psychological instruction.Data were analyzed by SPSS16.0.Results The scores in somatization,depression,anxiety and opposition,phobic anxiety in the orthopedic staff were significantly higher than those of the other surgical staff(P<0.05).Conclusion There is disorder in mental health of medical staff in Orthopedics Department and mental intervention is needed.
Objective To compare and analyze the mental status of medical staff between Orthopedics Department who treated the victims in the earthquake and other surgical departments who did not treat the victims in the earthquake,and to provide evidence for psychological prevention and intervention in the earthquake aids.Methods Cross-sectional study was used to choose staff in the Orthopedics Department who treated the victims and other surgical departments who did not treat victims in the earthquake as eligible subject with convenient sampling.The research tool is Symptom Checklist-90.The questionnaire was done by participants with the same psychological instruction.Data were analyzed by SPSS16.0.Results The scores in somatization,depression,anxiety and opposition,phobic anxiety in the orthopedic staff were significantly higher than those of the other surgical staff(P<0.05).Conclusion There is disorder in mental health of medical staff in Orthopedics Department and mental intervention is needed.
引文
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[19]赵丞智,李俊福,张华彪.地震后17个月受灾青少年PTSD及其相关因素[J].中国心理卫生杂志,2001,15(3):145-147.ZHAO Cheng-zhi,LI Jun-fu,ZHANG Hua-biao.ThePTSD incidence of juvenile 17 months after earthquake in dis-aster hit area and related factors[J].Chinese Mental HealthJournal,2001,15(3):145-147.
[20]Anderson K M,Manuel G.Gender differences in reportedstress response to the Loma Prieta earthquake[J].SexRoles,1994,30(9-10):725-733.
[21]Kato H,Asukai N,Miyake Y,et al.Posttraumatic symp-toms among younger and elderly evacuees in the early stagesfollowing the 1995 Hanhin-Awaji earthquake in Japan[J].Acta Psyciatr Scand,1996,93(6):477-481.
[2]Ursano R J,Fullerton C S,Kao T C,et al.Longitudinalassessment of post traumatic stress disorder and depression af-ter exposure to traumatic death[J].J Nerv Ment Dis,1995,183(1):36-42.
[3]Marmar C R,Weiss D S,Metzler T J.Stress responses ofemergency services personnel to the Prieta earthquake inter-state 880 freeway collapse and control traumatic incident[J].J Trauma Stress,1996,9(1):63-85.
[4]Weiss D S,Marmar C R,Metzler T J,et al.Predictingsymptomatic distress in emergency services personnel[J].JConsult Clin Psychol,1995,63(3):361-368.
[5]张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,1998:4.ZHANG Ming-yuan.The Handbook for Rating Scales in De-partment of Psychiatry[M].Changsha:Hunan Science&Technology,1998:4.
[6]李扬,刘萍,李慧娟.城市初一学生SCL-90测定结果分析[J].科技信息(学术研究),2008,149(7):255-256.LI Yang,LIU Ping,LI Hui-juan.The analysis of SCL-90results of students in grade seven indwelling in cities[J].Scientific Information(Academic Research),2008,149(7):255-256.
[7]朱春红,杨洋,雷联会,等.阿尔及利亚地震灾后伤员灾害心理研究及航空运送心理辅助[J].武警医学,2004,15(1):75-76.ZHU Chun-hong,YANG Yang,LEI Lian-hui,et al.Theresearch on mental injury after Algeria earthquake and thepsychological counseling during air transportation[J].Medi-cal Journal of the Chinese People Armed Police Forces,2004,15(1):75-76.
[8]赵广建,李学文.灾害事件对人群身心健康的影响[J].中国急救复苏与灾害医学杂志,2008,3(3):163-165.ZHAO Guang-jian,LI Xue-wen.The effect on people’sphysical and psychological health after hazardous events[J].China Journal of Emergency Resuscitation and Disaster Medi-cine,2008,3(3):163-165.
[9]Kilic C,Aydin I,Taskintuna N,et al.Predictors of psy-chological distress in survivors of the 1999 earthquakes inTurkey:effects of relocation after the disaster[J].ActaPsychiatr Scand,2006,114(3):194-202.
[10]Lima B R.Disaster severity and emotional disturbance:Im-plications for primary mental health care in developing contries[J].Aeta Psychiatrscand,1989,79(1):72-52.
[11]Shore J H,Tatum E L,Vollmer W M.Psychiatric reactionsto disaster:The Mount st.Helens experience[J].Am JPsychiatry,1986,143(4):590-595.
[12]Toukmanian S G,Jadaa D,Lawless,D A.cross-culturalstudy of depression in the aftermath of a natural disaster[J].Anxiety,Stress and Coping,2000,13(3):289-307.
[13]杨菊贤,许左隽.在综合性医院中应用CCMD-3的讨论[J].上海精神医学,2001,13(3):169-171.YANG Ju-xian,XU Zuo-jun.Discussion on application ofCCMD-3 in general hospitals[J].Shanghai Archives of Psy-chiatry,2001,13(3):169-171.
[14]梁晓坤,徐梅,王秋俐.SARS病房工作护士身心感受的调查[J].中华护理杂志,2004,39(6):453-454.LIANG Xiao-kun,XU Mei,WANG Qiu-li.Investigation ofphysical feeling of nurses working in wards for SARS[J].Chinese Journal of Nursing,2004,39(6):453-454.
[15]Chan A O,Huak C Y.Psychological impact of the 2003severe acute respiratory syndrome outbreak on health careworkers in a medium size regional general hospital in Singa-pore[J].Occup Med,2004,54(3):190-196.
[16]MacNeil G,Stewart J C,Kaufman A V.Social support aspotential moderator of adolescent delinquent behaviors[J].Child and Adolescent Social Work Journal,2000,17(5):361-379.
[17]Escobar J I,Canino G,Rubio-Stipec M,et al.Somaticsymptoms after a natural disaster:A prospective study[J].Am J Psychiatry,1992,149(7):965-967.
[18]Bdvarsdóttir I,Elklit A.Psychological reactions in Icelandicearthquake survivors[J].Scand J Psychol,2004,45(1):3-13.
[19]赵丞智,李俊福,张华彪.地震后17个月受灾青少年PTSD及其相关因素[J].中国心理卫生杂志,2001,15(3):145-147.ZHAO Cheng-zhi,LI Jun-fu,ZHANG Hua-biao.ThePTSD incidence of juvenile 17 months after earthquake in dis-aster hit area and related factors[J].Chinese Mental HealthJournal,2001,15(3):145-147.
[20]Anderson K M,Manuel G.Gender differences in reportedstress response to the Loma Prieta earthquake[J].SexRoles,1994,30(9-10):725-733.
[21]Kato H,Asukai N,Miyake Y,et al.Posttraumatic symp-toms among younger and elderly evacuees in the early stagesfollowing the 1995 Hanhin-Awaji earthquake in Japan[J].Acta Psyciatr Scand,1996,93(6):477-481.
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