5·12地震后都江堰灾区基层医务人员心理健康水平与社会支持的相关研究  

The association analysis of rural doctors' mental heath status and social supports after earthquake in Dujiangyan

作　　者：毛文君[1] 张涛[1] 闵文蛟[1] 何江军[1] 袁茵[1] 

机构地区：[1]成都市第四人民医院,四川成都610036

出　　处：《四川医学》2009年第10期1649-1651,共3页Sichuan Medical Journal

摘　　要：目的了解5.12地震灾后1年极重灾区都江堰市基层医生的心理健康状况及与社会支持之间的关系。方法采用问卷调查法对都江堰市14个基层乡镇卫生院的130名医生进行问卷调查。结果都江堰市区极重灾区的基层医生具有中度以上抑郁所占的比例为16.1%,中度以上焦虑症状所占的比例为8.1%,7.3%的人有自杀的念头但不会真的去自杀,0.8%的人很想自杀,3.2%的人如果有机会就会自杀。社会支持中主观支持分和对支持利用度分与焦虑量表总分呈负相关(P<0.05),支持量表总分与焦虑量表(HAMA)总分呈显著负相关(P<0.01)。结论地震灾后1年都江堰基层医生抑郁和焦虑程度偏高,社会支持水平偏低,加强社会支持可改善灾区基层医生心理健康状况。Objective To study the relationship between the Dujiangyan rural doctor＇s social supports and their mental status after one year of the 5.12 earthquake. Methods The mental health status and social supports of 130 rural doctors from Dujiangyan area were investigated by beck depression Inventory （BDI）, hamhon anxiety scale （HAMA） and social support rating scale, respectively. Results 16.1% of the rural doctors had middle degree scores of BDI, and 8.1% had middle degree scores of HAMA. There was a positive association between the subjective support scores and the scores of HAMA （ P〈0.05 ） , and a positive association between the used support scores and the scores of HAMA （P〈0.05）. Besides, the whole scores of the social support was associated with the scores of HAMA （P〈0.01）. The rate of having the suicidal ideation was 7.3%. About 0. 8% of the doctors expressed that they would commit suicide if they had a chance. Conclusion The depression and anxiety of rural doctors in Dujiangyan after the earthquake were severver, while their social supports were lower. Enhancing social supports may improve their psychosomatic health.

关 键 词：汶川地震 心理健康水平 社会支持 焦虑 抑郁 

分 类 号：R395[哲学宗教—心理学]