唐山大地震所致截瘫患者社会支持和生活质量与心身健康的对比研究
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摘要
目的 :研究截瘫患者生活方式、社会支持、生活质量与心身健康之间的关系。方法 :对康复村的患者 (n =31)和市截瘫疗养院的患者 (n =33)进行了唐山大地震心身健康调查问卷、 90项症状自评量表 (SCL -90 )、康奈尔医学指数 (CMI)和社会支持评定量表 (SSRS)的调查和评定。结果 :两组患者在地震中所遭受的躯体损伤和精神创伤的严重程度是相似的 ,康复村患者近 8年时间里生活方式、社会支持、生活质量不同于截瘫疗养患者。目前 ,截瘫病院患者心身健康程度显著低于康复村患者 ,表现在 33例患者中有 6例患PTSD ,另外 ,在SCL -90总分和诸多因子分、CMI总分和诸多因子分均显著高于康复村患者。结论 :本研究结果证实了生活方式、社会支持和生活质量是影响截瘫患者心身健康的重要因素。
Objective: To study the relationship between life style and psychosomatic health of paraplegic suffers of Tangshan earthquake. Method: Paraplegic suffers of Tangshan earthquake in a rehabilitation community (RC) and in a paraplegic hospital (PH) were tested with self made psychosomatic health questionnaire, SCL-90, CMI (Cornell medical index) and SSRS (social support rating scale). Results: The two groups were similar in physical injuries and mental trauma caused by the earthquake. But those in RC selected a different life style from 8 years before when RC was founded. After 8 years, those in RC had better psychosomatic health, lower SCL-90 score or CMI score. None of them had PTSD, while 6 of those remained in PH had this diagnosis. Conclusion: Selection of a more nature way of life is helpful to psychosomatic health of paraplegic patients caused by earthquake.
Objective: To study the relationship between life style and psychosomatic health of paraplegic suffers of Tangshan earthquake. Method: Paraplegic suffers of Tangshan earthquake in a rehabilitation community (RC) and in a paraplegic hospital (PH) were tested with self made psychosomatic health questionnaire, SCL-90, CMI (Cornell medical index) and SSRS (social support rating scale). Results: The two groups were similar in physical injuries and mental trauma caused by the earthquake. But those in RC selected a different life style from 8 years before when RC was founded. After 8 years, those in RC had better psychosomatic health, lower SCL-90 score or CMI score. None of them had PTSD, while 6 of those remained in PH had this diagnosis. Conclusion: Selection of a more nature way of life is helpful to psychosomatic health of paraplegic patients caused by earthquake.
引文
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9 SherbourneCD ,HaysDR ,FleishmeJAetal:ImpactofPsychi atricConditionsonHelath-RelatedQualityofLifeinPersonswithHIVInfectionAMJPsychiatry2000;15(2):248-254
2 张本,王学义,孙贺祥等唐山大地震所致截瘫患者远期心身健康状况调查研究中国心理卫生杂志,2002,16(1):23～25
3 张本,王学义,孙贺祥等唐山大地震心理创伤后应激障碍的抽样调查研究中华精神科杂志,1999,32(2):106～108
4 田成华,胜利,于欣译精神病学英汉双解词典中国心理卫生杂志社1998,408
5 田成华,胜利,于欣译精神病学英汉双解词典中国心理卫生杂志社1998,192
6 汪向东主编心理卫生评定量表手册中国心理卫生杂志增刊北京:1993,42
7 苏巧荣,孙守强,李新胜编译婚姻关系、抑郁障碍与婚姻治疗国外医学精神病学分册1999,26(4):236-238
8 杨德森主编基础精神医学长沙:湖南科学技术出版社1994,236
9 SherbourneCD ,HaysDR ,FleishmeJAetal:ImpactofPsychi atricConditionsonHelath-RelatedQualityofLifeinPersonswithHIVInfectionAMJPsychiatry2000;15(2):248-254
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