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目的 :了解特大意外爆炸事故对幸存者心理健康水平、PTSD的发生、PTSD的临床特征及其相关因素的影响。方法 :在爆炸事故后 3 -5个月期间 ,调查事故幸存者 ( 2 8例 ,研究组 )的一般情况、创伤经历、受伤程度及对善后处理的满意程度 ,采用创伤后应激反应症状清单、事件影响量表 (IES)、SCL -90、康奈尔医学指数 (CMI)、SDS、SAS评定 ,并与对照 ( 3 0例 )进行比较 ,分析PTSD诊断的相关因素。结果 :研究组IES、SDS、SAS、CMI、总分、CMIMR和SCL -90各统计指标与对照组的差异极其显著 (P <0 0 1)。诊断为PTSD者 78 6% ,PTSD的诊断与IES总分、现场暴露程度和对善后处理的满意程度相关。结论 :特大爆炸事故可导致暴露者出现不同程度的心理痛苦 ,PTSD的发生与创伤事件的暴露程度和对善后处理的满意程度相关。
Objective: To understand the impact of extra-large accident on the mental health of survivors, the incidence of PTSD, the clinical features of PTSD and its related factors. Methods: During the 3-5 months after the explosion accident, the general conditions of accident survivors (28 cases, study group), traumatic experience, degree of injury and satisfaction with rehabilitation were investigated. The symptoms of post-traumatic stress response Incidence Impact Scale (IES), SCL-90, Cornell Medical Index (CMI), SDS, SAS, and compared with the control (30 cases), analyze the related factors of PTSD diagnosis. Results: The differences of IES, SDS, SAS, CMI, total score, CMIMR and SCL-90 between study group and control group were significant (P <0.01). 78.6% of the patients were diagnosed as PTSD. The diagnosis of PTSD was related to the IES score, the degree of site exposure and the degree of satisfaction with the aftermath. CONCLUSIONS: The extra-large explosion can lead to different degrees of psychological distress among the exposed persons. The incidence of PTSD is related to the degree of exposure to traumatic events and the degree of satisfaction with the aftermath.