论文部分内容阅读
目的调查汶川大地震1年后北川县干部的生存质量状况,为进一步开展心理干预、改善生存质量提供科学依据。方法采用世界卫生组织生存质量测定量表简表、震后受灾干部基本状况调查表及PCL-C对北川县事业单位的2 055名干部的生存质量状况、社会人口学特征以及精神创伤状况进行横断面调查。结果①北川干部的社会关系领域得分(14.31±2.59)高于国内常模(P<0.01),但生存质量各维度得分[生理领域得分(14.16±2.43)、心理领域得分(13.79±2.59)、环境领域得分(11.20±2.74)]均低于常模,差异有统计学意义(P均<0.01);②30岁以下群体心理、环境领域得分均高于其他年龄组;男性心理领域得分高于女性;丧偶群体各领域得分均低于其他组;汉族各领域得分均高于羌族;小学文化组社会关系领域得分低于其他文化组;亲人、房屋和身体丧失或损害者其各领域得分均低于非丧失者;PCL-C得分越高,各领域得分越低(P均<0.05)。结论汶川大地震1年后,地震给北川县干部在生理、心理及环境领域方面造成严重影响,尤其以女性、羌族、年长、丧失明显和心理创伤症状突出的干部生存质量更差,因此持续的心理服务和其他措施更应关注这些干部群体。社会关系领域得分高于一般人群的结果提示,政府和民间及时有效的援助,以及板房区的集中安置,对社会关系的满意具有很重要的促进作用。
Objective To investigate the quality of life of Beichuan county cadres one year after the Wenchuan earthquake and provide a scientific basis for further psychological intervention and quality of life improvement. Methods The quality of life questionnaire, the questionnaire of post-earthquake affected cadres and PCL-C were used to carry out the tracing of the quality of life, the socio-demographic characteristics and the trauma of 2 055 cadres in Beichuan County institutions Surveys. Results ①The scores of social relations in Beichuan were significantly higher than those in China (14.31 ± 2.59) (P <0.01), but the scores of quality of life in each dimension were 14.16 ± 2.43, 13.79 ± 2.59, (11.20 ± 2.74) in the field of environment were lower than those in the norm, the difference was statistically significant (P <0.01) .②The psychological and environmental scores of the population under the age of 30 were higher than other age groups; ; The scores of the widowed and spouse groups in all fields were lower than those of other groups; the score of Han in all areas was higher than that of Qiang nationality; the score of social relations of primary culture group was lower than that of other groups; the scores of their relatives, houses and bodies were lower than those of other groups Non-loss; PCL-C score higher, the lower the score in all fields (P <0.05). Conclusions A year after the Wenchuan earthquake, the earthquake has seriously affected the cadres in Beichuan County in the fields of physiology, psychology and environment. In particular, the quality of life of cadres who have prominent symptoms of women, Qiang nationality, elderly persons, and who have obvious signs of psychological trauma is even worse, Psychological services and other measures should pay more attention to these cadre groups. The results of higher scores in the field of social relations than the general population suggest that timely and effective government and civil assistance as well as the centralized resettlement of boarding areas have an important role in promoting the satisfaction of social relations.