摘要
目的分析重庆市消防员创伤后应激障碍(PTSD)现状及其影响因素。方法采用方便抽样方法,选择1021名重庆市现役消防员为研究对象,采用《创伤后应激障碍自评量表-平民版》评估其PTSD情况与症状特征;分别采用《特质应对方式问卷》《社会支持评定量表》调查其应对方式和社会支持程度。结果研究对象中PTSD阳性检出率为4.6%(47/1021),反复创伤体验、麻木与回避、警觉性增高症候群阳性检出率分别为7.0%、9.2%和16.5%。PTSD阳性者反复创伤体验、麻木与回避、警觉性增高症候群阳性检出率均高于非PTSD阳性者(83.0%vs 3.3%,93.6%vs 5.1%,100.0%vs 12.1%,P值均<0.01)。多因素logistic回归分析结果显示,近半年受过伤和消极应对均是PTSD阳性的危险因素[比值比(OR)及其95%置信区间(CI)分别为2.65(1.07~6.56)、1.26(1.19~1.33),P值均<0.05],而积极应对和社会支持程度均是PTSD阳性的保护因素[OR及其95%CI分别为0.90(0.85~0.95)、0.95(0.91~0.99),P值均<0.05]。结论重庆市消防员PTSD阳性检出率较高,症状以警觉性增高为主;近半年受过伤、应对方式和社会支持程度均是PTSD的影响因素。
Objective To analyze the current status of post-traumatic stress disorder(PTSD)among firefighters in Chongqing City and explore its influencing factors.Methods A total of 1021 firefighters in Chongqing City were selected as the study subjects using the convenient sampling method.The PTSD Checklist Civilian Version was used to assess their PTSD symptom and characteristics.The Trait Coping Style Questionnaire and the Social Support Rating Scale were used to investigate coping styles and the level of social support.Results The positive detection rate of PTSD among the study subjects was 4.6%(47/1021),with positive detection rates of re-experiencing,avoidance/numbing,and hyperarousal symptoms of 7.0%,9.2%,and 16.5%,respectively.The positive detection rates of re-experiencing,avoidance/numbing,and hyperarousal symptoms in the PTSD firefighters were higher than those in non-PTSD firefighters(83.0%vs 3.3%,93.6%vs 5.1%,100.0%vs 12.1%,respectively;all P<0.01).The results of the multivariate logistic regression analysis showed that being injured in the past six months and adopting a negative coping style were risk factors for PTSD[odds ratio(OR)and 95%confidence interval(CI)were 2.65(1.07-6.56)and 1.26(1.19-1.33),respectively;both P<0.05],while adopting a positive coping style and having a higher level of social support were protective factors for PTSD[OR and 95%CI were 0.90(0.85-0.95)and 0.95(0.91-0.99),respectively;both P<0.05].Conclusion The incidence of PTSD among the firefighters in Chongqing City is relatively high,with symptoms mainly characterized by hyperarousal.Being injured in the past six months,coping styles,and the level of social support are influencing factors for PTSD.
作者
曾繁华
王辉
邹德琼
李小平
曾静
吴旭
左清华
王小荣
张华东
ZENG Fanhua;WANG Hui;ZOU Deqiong;LI Xiaoping;ZENG Jing;WU Xu;ZUO Qinghua;WANG Xiaorong;ZHANG Huadong(School of Safety Engineering(Emergency Management School),Chongqing University of Science and Technology,Chongqing 401331,China;不详)
出处
《中国职业医学》
CAS
北大核心
2023年第5期571-577,共7页
China Occupational Medicine
基金
重庆市自然科学基金面上项目(cstc2021jcyjmsxm0758)
重庆科技学院大学生科技创新训练计划项目(20210003)
关键词
创伤后应激障碍
消防员
应对方式
社会支持
影响因素
Post-traumatic stress disorder
Firefighters
Coping styles
Social support
Influencing factors
