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目的 探讨洪涝灾害后受灾群体的心理应激、社会支持与心脑血管病的关系。方法根据受灾程度分为轻灾组 (A组 )和重灾组 (B组 ) ,并设对照组。调查一般社会人口学资料、受灾情况和经历、生活事件量表、疾病症状评定量表、社会支持评定量表、心脑血管病危险因素病史及灾后急性心脑血管病发病情况等。结果 (1)灾后受灾群体的心理健康水平下降 ,与对照组比较差异均有显著性 (P <0 .0 1) ;(2 )灾后受灾群体急性心脑血管病的发病率明显增高 ,与对照组比较差异均有显著性 (P <0 .0 1) ,且A组高于B组 ;(3)良好而有效的社会支持可降低急性心脑血管病的发病率 ;(4)多元逐步回归分析 ,急性心脑血管病的发生与多种因素有关 ,灾害事件是重要诱发因素之一。结论 灾害与急性心脑血管病的发生密切相关 ,灾后应尽早给予有效干预
Objective To explore the relationship between psychological stress, social support and cardiovascular and cerebrovascular diseases in disaster-affected groups after floods. Methods According to the degree of disaster, the groups were divided into mild disaster group (A group) and severe disaster group (B group), and the control group. To investigate general socio-demographic data, disaster situations and experiences, life event scales, disease symptom rating scales, social support rating scales, history of cardiovascular and cerebrovascular disease risk factors, and post-disaster incidence of acute cardiovascular and cerebrovascular diseases. Results (1) The mental health of the affected groups decreased after the disaster, which was significantly different from the control group (P <0.01); (2) The incidence of acute cardiovascular and cerebrovascular diseases in the affected groups was significantly higher than that of the control (P <0.01), and group A is higher than group B; (3) Good and effective social support can reduce the incidence of acute cardiovascular and cerebrovascular diseases; (4) Multiple stepwise regression Analysis, the occurrence of acute cardiovascular and cerebrovascular disease and a variety of factors, disaster events are one of the important triggers. Conclusions Disasters are closely related to the occurrence of acute cardiovascular and cerebrovascular diseases. Effective intervention should be given as soon as possible after the disaster