摘要
目的 :对SARS一线医务人员创伤后应激反应及相关影响因素进行调查 ,为心理干预提供科学依据。方法 :采用经修订的事件影响量表 (IES -R)、自编的应激源与认知问卷等量表对SARS一线医务人员进行测试 ,并作相关统计分析。结果 :2 5 .8%的人IES -R总分超过 19分 ;警觉症状出现频率较高 ,1/2以上的条目出现的频率大于 90 % ;高反应者多为既往有心理障碍、感受到应激源广泛、对社会支持利用不足者 ;既往创伤经历、社会功能受限、亲人朋友因SARS死亡对创伤后应激反应有影响。结论 :SARS一线医务人员创伤后应激反应的发生率高 ,其发生与既往创伤经历、社会功能受限。
Objective: to investigate on the post-traumatic stress reaction and its related influencing factor of hospital staffs worked in the ward of SARS, to provide scientific basis for psychological intervention. Method: hospital staffs were asked to fill out impact of event scale (revised) (IES-R), self-compiled stress source, and cognition questionnaire. Related statistical analysis was also performed. Results: 25.8% of subjects whose scoring was above 19. Among all the hospital staffs who were investigated, vigilance appeared with a higher frequency. More than half of items appeared in a frequency of over 90%. Staffs of hyper-reaction usually have had the experiences with psychological disorders, extensive stress sources, and with less social supports. Influencing factors of post-traumatic stress reaction of hospital staffs included trauma experience in the past, social function limitation, and relatives or friends of oneself died of SARS. Result: the incidence of post-traumatic stress reaction of hospital staffs worked in the ward of SARS is relatively high. Which is related with trauma experience in the past, social function limitation, and relatives or friends of oneself died of SARS.
基金
山西省科技攻关项目 (项目号 :0 32 0 0 4 - 8)