地震救援军人创伤后应激障碍患者生命质量及风险因素研究  

Quality of life and related factors in military rescuers with post-traumatic stress disorder after Wenchuan earthquake

作　　者：赵彬[1] 王焕林[1] 高志勤[1] 过伟[1] Hua Jin Dewleen G. Baker 余海鹰[1] 施建安[1] 孙剑[1] 毕银花[1] 闫同军[1] 欧阳晖[1] 

机构地区：[1]解放军第102医院,江苏常州213003 [2]美国加州大学圣地亚哥分校医学院精神医学教研室

出　　处：《精神医学杂志》2012年第4期249-252,共4页Journal of Psychiatry

基　　金：南京军区"十一五"医学科技创新课题(编号:2008MA022);国家"863"高技术研究发展计划(编号:2008AA22602)

摘　　要：目的评估汶川地震救援军人创伤后应激障碍(PTSD)患者生命质量的现状并分析其危险因素,为改善患者的生命质量提供依据。方法采用健康调查问卷SF-36中文版对63例PTSD患者(PTSD组)和997例健康对照(对照组)进行调查。用两样本t检验比较两组生命质量评分,以多元逐步回归分析筛选影响PTSD患者生命质量的危险因素。结果 (1)PTSD组在生理功能、生理职能、躯体疼痛、精力、社会功能、情感职能、精神健康及生理健康总评、心理健康总评、健康调查问卷SF-36总分得分低于对照组(t=-2.213～-8.669,P<0.05),而总体健康得分高于对照组(t=4.947,P<0.05);(2)多元线性回归分析显示,影响PTSD患者健康调查问卷SF-36总评分及生理综合评分的危险因素有创伤再体验因子及服役满意度,心理综合评分的危险因素为地震经历。结论 PTSD患者生命质量低,通过控制其影响因素如创伤再体验、服役满意度等可能有助于改善患者的生命质量。Objective To investigate the quality of life in military rescuers with post-traumatic stress disorder （PTSD） after WenChuan earthquake and to explore the risk factors, hence provide theoretical basis for the improvement of quality of life. Methods 63 patients with PTSD and 997 healthy controls were investigated with SF-36 Chinese version. Two-samplet test and multiple stepwise regression analysis were used to compare scores of the quality of life between the two groups and to screen influencing factors of quality of life in patients with PTSD. Results （1） Compared with control group, PTSD group had lower factor scores in physical function, physical functional authority, body pain, vitality, social function, role-emotional, mental health,.physical health, psychological health, as well as the total score of SF-36 （t =-2. 213 --8. 669, P 〈0.05）. However, score of general health perceptions in PTSD group was significantly higher than that in control group （t = 4. 947, P 〈 0.05 ）. （2） Risk factors associated with total score of SF- 36 and the comprehensive score of physiology consisted of re-experiencing of traumas and satisfaction of military service. Risk factor associated with comprehensive score of psychology was the experience of earthquake. Conclusion Patients with PTSD have poor quality of life, which can be improved by controlling the risk factors such as re-experiencing of traumas and satisfaction of military service.

关 键 词：自然灾害 军事人员 创伤后应激障碍 生命质量 

分 类 号：R749.5[医药卫生—神经病学与精神病学]