玉树地震伤员急性应激期睡眠问题分析
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摘要
目的了解和分析玉树地震伤员急性应激期睡眠问题。方法 2010年4月,对90例玉树地震伤员的急性应激反应采用创伤后应激障碍症状清单平民版(PCL-C)17项量表进行筛查评估,并应用SPSS 17.0软件进行统计学分析。结果在PCL-C 17个条目中,提示睡眠障碍的条目2和条目13发生率分别为61.10%、63.30%,分别排列第5位、第3位,其得分分别与PCL-C总得分、闪回症状得分、回避症状得分及高警觉性症状得分均呈正相关(P值均<0.01)。结论睡眠障碍是地震伤员急性应激反应中的常见问题,需高度重视,并进行积极有效的处理。
Objective To learn and analyze the sleep disorders in acute stress of the wounded persons in Yushu earthquake.Methods The acute stress reaction of 90 wounded persons in Yushu earthquake were screened with post-traumatic stress disorder(PTSD) Checklist-Civilian(PCL-C) version-17 in April 2010.Sleep disorders were statistically analyzed with SPSS 17.0.Results In the 17 items of PCL-C,the incidences of the second and the thirteenth item which were related to sleep disorders were respectively 61.10% ranking at the fifth and 63.30% ranking at the third.Both scores of these two items had significant positive correlation with the total score of PCL-C and the scores of the flashback symptom,the avoidance symptom and the heightened alertness symptom(P<0.01).Conclusion Sleep disorder is a common problem in acute stress reaction of wounded persons in earthquakes,which needs high attention to be treated positively.
Objective To learn and analyze the sleep disorders in acute stress of the wounded persons in Yushu earthquake.Methods The acute stress reaction of 90 wounded persons in Yushu earthquake were screened with post-traumatic stress disorder(PTSD) Checklist-Civilian(PCL-C) version-17 in April 2010.Sleep disorders were statistically analyzed with SPSS 17.0.Results In the 17 items of PCL-C,the incidences of the second and the thirteenth item which were related to sleep disorders were respectively 61.10% ranking at the fifth and 63.30% ranking at the third.Both scores of these two items had significant positive correlation with the total score of PCL-C and the scores of the flashback symptom,the avoidance symptom and the heightened alertness symptom(P<0.01).Conclusion Sleep disorder is a common problem in acute stress reaction of wounded persons in earthquakes,which needs high attention to be treated positively.
引文
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[9]National Institutes of Health.Consensus developmentconference statement:the treatment of sleep disorders of olderpeople[J].Sleep,1991,14(2):169-177.
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[13]Spielman AJ,Saskin P,Thorpy MJ.Treatment of chronicinsomnia by restriction of time in bed[J].Sleep,1987,10(1):45-56.
[2]张本,许瑞芬,于振剑,等.汶川大地震急性应激障碍检出率及相关因素的调查研究[J].中国健康心理学杂志,2009,17(10):1158-1160.
[3]曾嵘,胡风云,姚世昌.汶川地震伤员在综合医院救治时心理状况的调查分析[J].山西职工医学院学报,2010,20(1):8-11.
[4]吴坎坎,张雨青,张宁,等.震后极重灾区幸存者创伤后应激障碍症状的结构探析[J].中国临床心理学杂志,2010,18(1):60-62.
[5]American Psychiatric Association.Diagnostic and statisticmanual of mental disorders[M].4th ed.Washington DC:American Psychiatric Press,2000.
[6]Schreuder BJ,van Egmond M,Kleijn WC,et al.Daily reportsof posttraumatic nightmares and anxiety dreams in Dutch warvictims[J].J Anxiety Disord,1998,12(6):511-524.
[7]Zayfert C,de Viva JC.Residual insomnia following cognitivebehavioral therapy for PTSD[J].J Trauma Stress,2004,17(1):69-73.
[8]SpoormakerⅥ,Montgomery P.Disturbed sleep in post-traumatic stress disorder:Secondary symptom or core feature?[J].Sleep Med Rev,2008,12(3):169-184.
[9]National Institutes of Health.Consensus developmentconference statement:the treatment of sleep disorders of olderpeople[J].Sleep,1991,14(2):169-177.
[10]Morin CM,Hauri PJ,Espie CA,et al.Nonpharmacologictreatment of chronic insomnia.An American Academy of SleepMedicine review[J].Sleep,1999,22(8):1134-1156.
[11]Raskind MA,Peskind ER,Kanter ED,et al.Reduction ofnightmares and other PTSD symptoms in combat veterans byprazosin:aplacebo-controlled study[J].Am J Psychiatry,2003,160(2):371-373.
[12]Hauri PJ.Case studies in insomnia[M].New York:PlenumPress,1991:19-84.
[13]Spielman AJ,Saskin P,Thorpy MJ.Treatment of chronicinsomnia by restriction of time in bed[J].Sleep,1987,10(1):45-56.
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