住院地震伤残人员创伤后应激障碍及相关因素分析  

Posttraumatic stress disorder and related factors analysis of the hospitalized earthquakehit wounded or disabled patients

作　　者：吴景芬[1] 肖军[1] 陈祥慧[1] 冯琼华[1] 常有军[2] 董凌琳[1] 

机构地区：[1]四川省人民医院神经内科,四川成都610072 [2]四川省人民医院康复科,四川成都610072

出　　处：《实用医院临床杂志》2009年第1期25-26,共2页Practical Journal of Clinical Medicine

摘　　要：目的了解地震后100天住院地震伤残人员创伤后应激障碍(posttraumatic stress disorder,PTSD)的患病情况及相关因素。方法采用创伤后应激障碍检查量表平民版(PTSD Checklist-Civilian Version,PCL-C)调查5.12汶川大地震发生后100天仍在我院住院治疗的70例地震伤残人员,并对相关因素进行分析。结果地震后100天住院地震伤残人员PTSD的患病率为26%;PTSD的发生与患者年龄、目前伤残程度、前期是否进行心理危机干预、家庭成员伤亡情况密切相关(P<0.01),与性别、文化程度等无关(P>0.05)。结论目前仍住院治疗的地震伤、残人员有较高的PTSD发生率,躯体残疾程度、亲人遇难和是否得到及时的心理干预是导致PTSD主要因素。在进行物理康复治疗的同时,应加强心理康复治疗。Objective To investigate the morbidity of posttraumatic stress disorder （ PTSD ） of wounded or disabled inpatients and its influential factors 100 days after earthquake. Methods 70 patients, sampled from inpatients who were wounded or disabled during the Wenchuan earthquake, were assessed for PTSD Checklist-Civilian Version （PCL-C）. Results The morbidity of PTSD in inpatients who were wounded or disabled during the earthquake was 26%. PTSD of wounded or disabled patients after earthquake was correlated with the age, serious degree of body＇ s handicap, early psychological crisis intervention and the injuries or death of their family members（P 〈 0. 01 ）. There was no correlation between PTSD and gender or education degrees （P 〉 0.05）. Conclusion Hospitalized wounded or disabled patients have a high PTSD morbidity after earthquake. The serious degree of body＇ s handicap, without early psychological crisis intervention and the injuries or death of their family members are factors inducing PTSD. Psychological rehabilitation should be emphasized during the physical rehabilitative treatment.

关 键 词：地震 伤残 创伤后应激障碍 

分 类 号：R749.055[医药卫生—神经病学与精神病学]