汶川地震外转伤员心理创伤状况调查分析  

A survey of mental health among transferred injured survivors in Wenchuan earthquake in Sichuan

作　　者：魏宁[1] 周韦华[1] 胡健波[1] 黄满丽[1] 戚洪莉[1] 胡少华[1] 张颖然[1] 廖峥娈[1] 许毅[1] 

机构地区：[1]浙江大学医学院附属第一医院精神卫生科,杭州310003

出　　处：《中华预防医学杂志》2009年第5期376-379,共4页Chinese Journal of Preventive Medicine

摘　　要：目的了解在四川汶川大地震中外转伤员心理状况，以便为及时采取有效干预措施进行干预提供参考。方法对转运离灾区的43例伤员进行自制的一般情况量表、创伤经验症状量表、创伤问题评估表等心理评估。结果外转伤员中，60％以上的伤员出现相关的情绪反应和睡眠障碍，约1／3的人会出现闯入症状，如重复体验这种创伤16例（占37．21％）、在脑海里反复当时的情景20例（占46．51％）、噩梦16例（占37．21％）及闪回15例（占34．88％），回避7例（占16．28％）。结论地震外转伤员存在较突出的心理问题，情绪问题和重复经历创伤体验是影响其身心健康的主要症状。Objective To assess the depression and anxious status among transferred injured survivors in Wenchuan earthquake in Sichuan province. Methods A total of 43 transferred injured survivors were investigated by questionnaire exploring their trauma symptoms and mental health status. Results High rates of trauma symptoms were remarkably observed in these survivors. Of all the respondents,60% had some emotional symptoms and sleeping difficulties. About one third of respondents experienced recurrent and intrusive distressing recollection of event, 16（ 37.21% ） experienced nightmare, 15 （ 34. 88% ） had flashback and 7 （ 16. 28% ） of them tried to avoid relative stress. Conclusion Many mental symptoms were observed in transferred injured survivors. The two major factors of mental stress were emotional symptoms and reexperience of the disaster.

关 键 词：心理应激 创伤后应激障碍 自然灾害 外伤 

分 类 号：R686[医药卫生—骨科学]