青海玉树地震后受伤灾民心理状况及影响因素分析

发布时间：2018-09-10 06:11

【摘要】：目的：了解玉树地震后受伤灾民心理健康状况,分析其影响因素。为提高灾后受伤人员心理健康水平及灾后心理危机干预提供理论依据。方法：本研究使用自编一般情况量表、SCL-90症状自评量表、临床诊断急性应激障碍(ASD),对170例送入我省各大医院的受伤灾民(男78人,女92人)进行调查。用SPSS17.0进行数据分析。采用的统计方法有：描述性统计、t检验、方差分析、LSD检验、卡方检验、线性回归等。结果：符合ASD诊断的占3.6%。所调查的灾民有54%存在不同程度心理健康问题,其中女性64%,男性36%。检出轻度以上焦虑57.8%、抑郁59.6%。女性SCL-90总分得分明显高于男性(P0.05),同时抑郁、焦虑、躯体化、强迫症状的性别因素存在显著性差异,并都具有统计学意义(P0.05)。中年人SCL-90总分及抑郁、焦虑得分明显高于青年组和老年组(P0.05)。亲人丧失组症状明显高于无亲人丧失组。调查显示有12.6%的受伤灾民有过自杀的念头。线性回归分析显示：躯体化、抑郁、焦虑、强迫、敌对、精神病性是震后灾民存在的主要心理问题。结论：受伤灾民在震后十天存在明显心理健康问题,尤其抑郁与焦虑,其中女性更为突出。年龄、婚姻状况的不同,心理状况也不同。灾后心理干预应及时关注受伤灾民,尤其对女性、丧失亲人等特殊群体采取心理干预措施。
[Abstract]:Objective: to understand the mental health status of the injured victims after the Yushu earthquake and analyze its influencing factors. It provides theoretical basis for improving the mental health level of the injured persons and the intervention of post-disaster psychological crisis. Methods: the SCL-90 symptom Checklist (SCL-90) was used to investigate 170 injured victims (78 males and 92 females) who were admitted to various hospitals in our province. The SCL-90 symptom Checklist (SCL-90) was used for clinical diagnosis of acute stress disorder (ASD),). The data were analyzed by SPSS17.0. The statistical methods are: descriptive statistical t test, ANOVA LSD test, chi-square test, linear regression and so on. Results: 3.6% of the patients were in accordance with the diagnosis of ASD. Fifty-four percent of the people surveyed had mental health problems, including 64 women and 36 men. 57.8% of anxiety and 59.6% of depression were detected. The total score of SCL-90 in women was significantly higher than that in men (P0.05), and there were significant differences in gender factors of depression, anxiety, somatization and obsessive-compulsive symptoms (P0.05). The total scores of SCL-90, depression and anxiety in middle aged patients were significantly higher than those in young and elderly groups (P0.05). The symptoms in the bereaved group were significantly higher than those in the non-related group. The survey showed that 12. 6% of the injured victims had suicidal thoughts. Linear regression analysis showed that somatization, depression, anxiety, compulsion, hostility and psychosis were the main psychological problems of earthquake victims. Conclusion: the injured victims had obvious mental health problems, especially depression and anxiety ten days after the earthquake. Age, marital status, psychological status is also different. Psychological intervention after disaster should pay close attention to the injured victims, especially to women, bereaved groups and other special groups.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R395

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