护理学报Issue(19):22-26,5.DOI:10.16460/j.issn1008-9969.2015.19.022
168名芦山地震伤员急性应激障碍发生情况及影响因素分析
Prevalence of Acute Stress Reaction among Victims from Lushan Earthquake and Its Influence Factors
摘要
Abstract
Objective To screen the prevalence of acute stress reaction of the wounded in Lushan earthquake and to guide the psychological aid after catastrophic events. Methods Totally 168 victims in Lushan Earthquake were surveyed by a self-designed general information questionnaire, and post-traumatic stress disorder symptoms civilian version (PTSD Checklist-Civilian Version, PCL-C). Results The total score of PCL-C of the 168 wounded was 29.51±10.85. Thirty-eight subjects (22.6%) were screened positive for acute stress reaction and 130 (77.4%) negative. The rate of re-experience was 75 (44.6%), that of avoiding numbness 16 (9.5%), and that of high-alert 62 (36.9%). Multivariable logistic regression analysis showed that anger due to disability and hopeless life in the future were the independent influence factors (P<0.05). Conclusion There is a certain incidence of acute stress reaction among the victims after Lushan earthquake and re-experience symptom is a significant influence factor. More attention should be paid to the wounded who are angry due to disability and those without hope for future life. In order to decrease the rate of acute stress reaction, more attention should be paid to not only victims ’ physical trauma, but also their psychological problems at early time as soon as possible.关键词
地震/伤员/急性应激障碍/调查Key words
earthquake/wounded/acute stress reaction/investigation分类
医药卫生引用本文复制引用
刘瑞安,黄垒,李小麟,李静,黄雪花,陶庆兰,罗稀,尹敏,次拉..168名芦山地震伤员急性应激障碍发生情况及影响因素分析[J].护理学报,2015,(19):22-26,5.基金项目
四川省卫生厅民口纵向科研项目 ()