[1]胡光涛,李学成,王国威,等.赴北川抗震救灾某部官兵急性心理应激障碍及影响因素调查[J].第三军医大学学报,2009,31(15):1491-1494.
 HU Guang-tao,LI Xue-cheng,WANG Guo-wei,et al.Acute stress disorder and related factors in a troop after participating in disaster relief in Beichuan county after Wenchuan earthquake[J].J Third Mil Med Univ,2009,31(15):1491-1494.
点击复制

赴北川抗震救灾某部官兵急性心理应激障碍及影响因素调查(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第15期
页码:
1491-1494
栏目:
论著
出版日期:
2009-08-15

文章信息/Info

Title:
Acute stress disorder and related factors in a troop after participating in disaster relief in Beichuan county after Wenchuan earthquake
作者:
胡光涛李学成王国威贺英杨兰谭孝琼
解放军第324医院:精神病专科中心,医务处
Author(s):
HU Guang-tao LI Xue-cheng WANG Guo-wei HE Ying YANG Lan TAN Xiao-qiong
Department of Mental Health, Administration of Medical Services, No. 324 Hospital of PLA, Chongqing 400041, China
关键词:
地震急性应激障碍应对社会支持军人
Keywords:
earthquake acute stress disorder cope social support military
分类号:
R395.6;R821.2;R824
文献标志码:
A
摘要:
目的   探讨赴北川抗震救灾部队官兵急性应激障碍(acute stress disorder, ASD)发生情况、临床特征及相关危险因素。   方法   采用自编一般情况问卷、创伤后应激反应症状自评量表(post-traumatic stress symptoms self-rating scale, PCL-C)、领悟社会支持量表(perceived social support scale, PSSS)、应对方式问卷(coping style questionnaires, SCSQ)对126名赴北川抗震救灾部队某部官兵进行评定,结合半结构式访谈,确定ASD组和对照组,进行对照分析及相关因素分析。    结果   救灾官兵ASD患病率为13.49%,主要症状表现为:反复闯入性痛苦性回忆,噩梦,创伤事件场景的重现,强烈的心理痛苦烦恼,兴趣下降,睡眠障碍和情绪不稳定。ASD主要症状之间相互影响,积极的应对方式和良好的社会支持可减少ASD的发生。   结论   在急性应激阶段(1个月)部分抗震救灾官兵已存在ASD症状,应加强必要的心理评估和综合性的心理干预,减缓灾难所致的心理创伤,预防和减少ASD转化为创伤后应激障碍(post-traumatic Stress disorder, PTSD)。
Abstract:
Objective   To investigate the occurrence circumstance of acute stress disorder (ASD), clinical features and related risk factors, in the officers and soldiers who had gone to Beichuan county to provide disaster relief.   Methods   We used the self-general questionnaire, post-traumatic stress symptoms self-rating scale (PCL-C), perceived social support scale (PSSS), and coping style questionnaires (SCSQ) to assess the 126 subjects, combining with semi-structured interviews to determine and compare the  ASD group and control group, and then analyzed the related factors.   Results   The prevalence rate of ASD officers and soldiers was 13.49%, with main symptoms of repeatedly breaking into painful memories, nightmares, reproducing the scenes of traumatic events, strong trouble of psychological pain, decreased interest, sleep disorders and emotional instability. These main symptoms of ASD interacts each other, and were reduced with positive response and good social support.    Conclusion   In the phase of acute stress (one month), the officers and soldiers taking part in earthquake relief have symptoms of ASD, so we should  strengthen the necessary psychological assessment and comprehensive psychological intervention means, in order to slow down psychological trauma after disaster, prevent and reduce the possibility that ASD turns into post-traumatic stress disorder (PTSD).

参考文献/References:

胡光涛,李学成,王国威,等.赴北川抗震救灾某部官兵急性心理应激障碍及影响因素调查[J]. 第三军医大学学报,2009,31(15):1491-1494.

相似文献/References:

[1]张纲,马丹,徐剑铖.地震灾后震中山区乡村早期卫生防疫的特点与对策[J].第三军医大学学报,2008,30(17):1671.
[2]曹佳.汶川、唐山大地震卫生防疫工作特点及今后的改进措施[J].第三军医大学学报,2009,31(01):28.
[3]邹仲敏,刘勇,董兆君,等.汶川大地震灾后卫生防疫的几个宏观问题的思考[J].第三军医大学学报,2009,31(01):31.
[4]胡光涛,李学成,李敏,等.汶川地震1周年救援官兵心理应激状况及危险因素分析[J].第三军医大学学报,2010,32(06):607.
 Hu Guangtao,Li Xuecheng,Li Min,et al.Psychological stress status and related risk factors in rescue troops 1 year after Wenchuan earthquake[J].J Third Mil Med Univ,2010,32(15):607.
[5]赵景宏,张静波,王卫东,等.地震挤压综合征所致急性肾功能衰竭的临床特点和救治方案[J].第三军医大学学报,2009,31(18):1802.
 ZHAO Jing-hong,ZHANG Jing-bo,WANG Wei-dong,et al.Clinical characteristics and treatment strategy of acute renal failure induced by crush syndrome after earthquake[J].J Third Mil Med Univ,2009,31(15):1802.
[6]李敏,汪涛,李培培,等.汶川地震救援武警官兵心理应激特点[J].第三军医大学学报,2009,31(14):1397.
[7]卞永桥,刘勇,许汝福,等.汶川大地震后理县建立卫生防疫综合管理片区的做法与经验[J].第三军医大学学报,2009,31(01):42.
[8]屈纪富,孙溦,张雷,等.火车转运汶川地震伤员的运前准备与途中救护[J].第三军医大学学报,2009,31(01):46.
[9]王宗华,彭李,王仙园,等.创伤住院患者急性应激障碍及影响因素的调查研究[J].第三军医大学学报,2011,33(21):2278.
 Wang Zonghua,Peng Li,Wang Xianyuan,et al.Investigation on acute stress disorder and related risk factors in hospitalized trauma patients[J].J Third Mil Med Univ,2011,33(15):2278.

更新日期/Last Update: 2009-07-23