灾害事件后心理应激、社会支持与心脑血管病关系研究  

A study of the relationship between mental stress, social support and cardio cerebral angiopathy after disaster

作　　者：陈新华[1] 彭化生 陈海洋 孙翠云 朱明[1] 

机构地区：[1]山东菏泽医学专科学校,274030 [2]菏泽地区第三人民医院 [3]菏泽市中医院

出　　处：《中华内科杂志》2000年第7期446-448,共3页Chinese Journal of Internal Medicine

摘　　要：目的　探讨洪涝灾害后受灾群体的心理应激、社会支持与心脑血管病的关系。方法根据受灾程度分为轻灾组 (A组 )和重灾组 (B组 ) ,并设对照组。调查一般社会人口学资料、受灾情况和经历、生活事件量表、疾病症状评定量表、社会支持评定量表、心脑血管病危险因素病史及灾后急性心脑血管病发病情况等。结果　 (1)灾后受灾群体的心理健康水平下降 ,与对照组比较差异均有显著性 (P <0 .0 1) ;(2 )灾后受灾群体急性心脑血管病的发病率明显增高 ,与对照组比较差异均有显著性 (P <0 .0 1) ,且A组高于B组 ;(3)良好而有效的社会支持可降低急性心脑血管病的发病率 ;(4)多元逐步回归分析 ,急性心脑血管病的发生与多种因素有关 ,灾害事件是重要诱发因素之一。结论　灾害与急性心脑血管病的发生密切相关 。Objective To study the relationship of mental stress and social support with cardiocerebral angiopathy of the population after suffering from disaster. Methods After the disastrous flood in Heze County of Shandong Province in August 1996, an investigation was made on some small towns of the two counties damaged most seriously. The towns were divided into a light disaster group (group A) and a serious disaster group (group B) according to the damage caused by the flood and a control group was set up at the same time. The contents of investigation contained: the general social demographic data, the condition and experience of the disaster,the life event table, SCL 90, the social support evalution table, the medical history of the risk factors of cardio cerebral angiopathy and the pathogenic condition of acute cardiocerebral angiopathy after disaster and so on. Results (1)The general mental health level of the disaster population dropped and there was a significant difference ( P <0 01) in group A and group B as compared with the control group . (2) The incidence of acute cardiocerebral angiopathy of the disaster population went up clearly after disaster, and there was a significant difference ( P <0 01) as compared with the control group and the incidence, in group A was higher than that of group B. (3) Good and effective social support could lower the incidence of acute cardio cerebral angiopathy. (4) Multivariate stepwise regression analysis showed that the occurrence of acute cardio cerebral angiopathy was related to many factors and the disaster event was one of the important inducing factors . Conclusions Flood calamity is closely related to the occurrence of acute cardio cerebral angiopathy. Effective interference as early as possible after disaster has very important significance in the prevention of cardio cerebral angiopathy.

关 键 词：心血管病 脑血管意外 自然灾害 心理应激 

分 类 号：B845[哲学宗教—心理学]