5.12汶川地震伤员及陪护心理状况评估
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摘要
目的:评估5.12汶川地震伤员及来自灾区的伤员陪护心理状况及相关因素。方法:采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对我院收治的68名地震伤员及59名伤员陪护进行心理评估并与中国常模比较,且按是否丧亲进行亚组间比较。结果:受试者SAS评分高于正常者41例(32.28%),SDS评分高于正常者45例(35.43%);受试者SAS、SDS评分高于中国常模,有显著性差异(P<0.01);丧亲亚组SAS、SDS评分高于未丧亲亚组,有显著性差异(P<0.01)。结论:地震伤员及陪护存在抑郁、焦虑情绪,采用SAS、SDS量表评估地震灾民的心理状况,筛选有心理障碍的地震伤员及陪护,对心理干预和治疗有重要指导意义。
Objective:To evaluate the psychological status of wounded patients and caregivers in wenchuan earthquake.Methods:The psychological investigation was performed with Zung Self-rating Anxiety Scale(SAS) and Zung Self-rating Depression Scale(SDS) in 68 wounded patients and 59 caregivers.Results:The scores of SDS and SAS in wounded patients and caregivers from earthquake area were significantly higher than normal Chinese(P<0.01).There was significant difference between those who experienced loss of family members and those who did not(P<0.01).Conclusion:The changes of emotion are tremendous in wounded victims and caregivers suffering in earthquake area,presenting serious depression/anxiety.SDS and SAS are valuable tools to evaluate psychological status and screen patients with emotional instability.
Objective:To evaluate the psychological status of wounded patients and caregivers in wenchuan earthquake.Methods:The psychological investigation was performed with Zung Self-rating Anxiety Scale(SAS) and Zung Self-rating Depression Scale(SDS) in 68 wounded patients and 59 caregivers.Results:The scores of SDS and SAS in wounded patients and caregivers from earthquake area were significantly higher than normal Chinese(P<0.01).There was significant difference between those who experienced loss of family members and those who did not(P<0.01).Conclusion:The changes of emotion are tremendous in wounded victims and caregivers suffering in earthquake area,presenting serious depression/anxiety.SDS and SAS are valuable tools to evaluate psychological status and screen patients with emotional instability.
引文
[1]张作记.行为医学量表手册[J].中国行为医学科学,2001,特刊:118-119,124-125,131-132.
[2]汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999.
[3]汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,1:28-30.
[4]王春芳,蔡则环,徐清.抑郁自评量表对1340例正常人评定分析[J].中国神经精神疾病杂志,1986,12:267-268.
[5]樊毫军,侯世科,彭碧波.印尼海啸后难民心理状况调查[J].中国行为医学科学,2006,1:74-74.
[6]Carr VJ,Lewin TJ,Webster RA,et al.A Synthesis ofthe Findings from the Quake Impact Study:a Two-year Investigation of the Psychosocial Sequelae of the1989 Newcastle Earthquake[J].Soc Psychiatry Psychi-atr Epidemiol(S0933-7954),1997,32(3):123-136.
[7]Fullerton CS,Ursano RJ,Wang L.Acute Stress Dis-order,Posttraumatic Stress Disorder,and Depressionin Disaster or Rescue Workers[J].Am J Psychiatry(S0002-953X),2004,161:1370-1376.
[8]翟书涛.危机干预的现状和展望[J].中国行为医学科学,2005,14:289-291.
[2]汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999.
[3]汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素[J].中国心理卫生杂志,1999,1:28-30.
[4]王春芳,蔡则环,徐清.抑郁自评量表对1340例正常人评定分析[J].中国神经精神疾病杂志,1986,12:267-268.
[5]樊毫军,侯世科,彭碧波.印尼海啸后难民心理状况调查[J].中国行为医学科学,2006,1:74-74.
[6]Carr VJ,Lewin TJ,Webster RA,et al.A Synthesis ofthe Findings from the Quake Impact Study:a Two-year Investigation of the Psychosocial Sequelae of the1989 Newcastle Earthquake[J].Soc Psychiatry Psychi-atr Epidemiol(S0933-7954),1997,32(3):123-136.
[7]Fullerton CS,Ursano RJ,Wang L.Acute Stress Dis-order,Posttraumatic Stress Disorder,and Depressionin Disaster or Rescue Workers[J].Am J Psychiatry(S0002-953X),2004,161:1370-1376.
[8]翟书涛.危机干预的现状和展望[J].中国行为医学科学,2005,14:289-291.
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