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目的:研究云南省昭通市巧家县地震后患者心理状态及心理恢复。方法:2014年8月23日到9月11日笔者和同事对巧家县共计258例就诊者进行前瞻性观察性研究,国际疾病伤害及死因分类标准第十版(ICD-10)分析抑郁、恐惧和品行障碍情况。结果:重伤和轻伤各个时间段之间心理状态差距具有统计学意义(χ2=12.522,P=0.000)。轻伤者心理状态较重伤者普遍好,恢复也快。两组入院和出院的品行障碍在组间和组内之间均无统计学差异(P>0.05)。两组入院抑郁发作和广泛焦虑均无统计学差异(P>0.05)。出院时重伤组与轻伤组相比具有统计学差异(t=3.243,P<0.05)。重伤组和轻伤组入院和出院时相比具有统计学差异(t=4.531,P<0.05)。结论:巧家县地震后重症和轻症患者心理状态均恢复良好,出院时比入院时心理恢复好。患者能很快恢复正常生活,以美好的心态迎接未来的人生。
Objective: To study the psychological status and psychological recovery of patients after Qiaojia earthquake in Zhaotong, Yunnan. METHODS: From August 23, 2014 to September 11, 2014, the author and colleagues conducted a prospective and observational study of a total of 258 patients in Qiaojia County. ICD-10 analyzed the prevalence of depression, Fear and conduct disorder. Results: There was a significant difference in psychological status between severe and minor injuries (χ2 = 12.522, P = 0.000). Slightly injured people with a heavier psychological status are generally better recovery faster. There was no significant difference in conduct disorder between the two groups during admission and discharge (P> 0.05). There was no significant difference between the two groups in the incidence of depression and generalized anxiety (P> 0.05). There was a significant difference between severe injury group and minor injury group at discharge (t = 3.243, P <0.05). There was significant difference between hospitalized and slightly discharged patients in severe injury group and minor injury group (t = 4.531, P <0.05). Conclusion: Psychological status of critically ill and mild patients recovered well after the earthquake in Qiaojia County, and recovered well when discharged from hospital. Patients can quickly return to normal life, with a good attitude to meet the future life.