摘要
目的分析矿难后创伤性应激障碍(PTSD)的发生情况及影响因素。方法采用修订的事件影响量表(IES-R),社会支持评定量表(SSRS),艾森克人格问卷(EPQ),应对方式问卷对81例幸存矿工在事故后1周进行临床评估。结果①在81例获救矿工中可疑PTSD检出率为35.8%,其中闯入症状发生率为41.3%,回避症状发生率为30.8%,高警觉症状发生率为27.7%。②相关分析显示,幻想与IES-R总分呈正相关(P<0.01),求助、客观支持与IES-R总分呈负相关(P<0.01),EPQ的E量表得分与IES-R总分及闯入因子得分、逃避因子得分呈负相关(P<0.05)。③多元回归结果显示,幻想、求助、客观支持得分进入回归方程,入选变量可以解释IES-R得分变异量的73.3%。结论①在本次矿难中可疑PTSD发生率较高,闯入症状出现的频率最高,应引起足够的重视。②幻想是发生PTSD的危险因素,求助及客观支持是PTSD保护因素,可以预防PTSD的发生,在就医诊疗过程中建立良好的护患关系是PTSD干预的基础。
Objective To explore the occurrence of post-traumatic stress disorder（PTSD） and its influential factors in survivors of the coal mine accident.Methods Impact of events scale-revised（IES-R）,social support rating scale（SSRS）,Eysenck personality questionnaire（EPQ）,and coping style questionnaire were used to estimate the symptoms of 81 survivors after the coal mine accident for one week.Results ①The prevalence rate of suspected PTSD among 81 survivors was 35.8%.The prevalence rate of intrusion was 41.3%,the prevalence rate of avoidance was 30.8%,and the prevalence rate of hyper-arousal reactions was 27.7%.②IES-R total score was positively correlated with fantasy（P〈0.01）,but negatively correlated with seeking help and objective support（P〈0.01）.E score of EPQ was negatively correlated with IES-R score,intrusion score,avoidance score（P〈0.05）.③Fantasy,seeking help,objective support were predictors for PTSD,and the predictive rate was 73.3%.Conclusion ①The prevalence of suspected PTSD among survivors from coal mining accident is high,especially intrusion,which suggests that psychological or medication interventions is necessary.②Fantasy is a risk factor for PTSD,and seeking help,objective support are protective factors.Early nursing intervention can prevent the occurrence of PTSD and improve quality of life of patients.
出处
《山西医科大学学报》
CAS
2011年第4期300-303,共4页
Journal of Shanxi Medical University
基金
山西省科技攻关项目(20100312028)
关键词
透水事故
IES-R量表
创伤性应激障碍
flooding accident
impact of events scale-revised
posttraumatic stress disorder
