摘要
目的:调查汶川地震灾后转移伤员的创伤后应激障碍的发生及其影响因素。方法:采用PTSD症状自评(PTSD Checklist-Civilian Version,PCL-C)和DSM-IV-TR轴I障碍用临床定式检查(Structured Clin-ical Interviewfor DSM-IV-TR Axis Ⅰ Disorders-Patient,SCID-I/P)进行诊断,在地震灾后40天对按照多级整群抽样方法抽取转移到重庆市11所医院的386名伤员进行调查,回收有效问卷354份,分析影响创伤后应激障碍(Post Trau matic Stress Disorder,PTSD)发生的相关因素。结果:354名转移伤员中共检出PTSD患者82例,检出率为23.2%,其中男性27例(17.5%),女性55例(27.5%)。女性的检出率明显高于男性,差异有统计学意义。多因素logistic回归分析显示其主要影响因素是女性(OR=2.364,95%CI:1.159～4.823),地震中被掩埋(OR=2.171,95%CI:1.088～4.333),目睹有人在地震中受伤(OR=0.338,95%CI:0.150～0.761)。结论:经历地震灾后被转移到重庆的伤员中有近1/4的灾民存在PTSD症状。其中女性、被掩埋等暴露因素是PTSD发生的危险因素。
Objective： To investigate the occurrence of post traumatic stress disorder and its related factors in the transfer of wounded persons offer Wenchuan earthquake. Methods： With the post traumatic stress disorder symptoms self-assessment scale [ PISD Chaklist-Civihan Version PCL-C） and Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient （SCID-I/P） as diagnostic tools, 386 wounded persons from 11 hospitals who were transferred to Chongqing were extracted 40 days after disaster by multi-stage cluster sampling method. Altogether 354 valid questiormaires were returned to analyse the related factors of post traumatic stress disorder （ PTSD ） . Results： Among 354 （ 154 males, 200 females） transferred patients, 82 patients （23. 2% ） were identified as PTSD, including 27 males （ 17. 5 % ） and 55 females {27. 5% ） . The rate of females was statistically higher than that of males. Logistic regression analysis showed that gender （ OR = 2. 364, 95% CI = 1. 159 - 4. 823 ）, being buried in the quake （ OR = 2. 171, 95% CI = 1. 088 - 4. 333 ）, and seeing people be injured in the quake （ OR = 0. 338, 95% CI = 0. 150 -0. 761 ） were the main related factors. Conclusion： PTSD symptoms are detected among a quarter of the victims who have been transferred to Chongqing after the earthquake. Several factors such as female, being buried are the possible risk factors of PTSD.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2009年第4期259-263,共5页
Chinese Mental Health Journal
关键词
创伤性应激障碍
地震
转移伤员
危险因素
横断面调查
pest traumatic stress disorder
earthquake
transfer of wounded person
risk factor
cross-sectional survey
