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目的 探讨洪涝灾害后群体的心理应激、社会支持与心血管病的关系。方法 1 996年山东菏泽地区遭受特大洪涝灾害 ,随机抽取受灾最重的两个县乡镇进行调查 ,分为轻灾组 ( A组 )和重灾组 ( B组 ) ,设立对照组。调查内容包括一般社会人口学资料、受灾情况和经历、生活事件量表、SCL— 90、社会支持评定量表、心血管病危险因素病史及灾后急性心血管病发病情况等。结果 1受灾群体心理健康水平下降 ,A组和 B组与对照组比较均有显著差异 ;2受灾群体急性心血管病的发病率明显增高 ,与对照组比较有显著差异 ,且 A组高于 B组 ;3良好而有效的社会支持可降低急性心血管病的发病率 ;4多元逐步回归分析 ,急性心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 洪涝灾害与急性心血管病 0的发生密切相关。提示灾后尽早给予有效干预 ,对预防心血管病的发生具有重要意义。
Objective To explore the psychological stress, social support and cardiovascular disease in flood-prone groups. Methods In 1996, the Heze area of Shandong Province suffered from catastrophic floods. Two counties and towns with the hardest hit were randomly selected for investigation. There were two groups of counties (Group A) and heavy disaster victims (Group B), and a control group was set up. The survey included general socio-demographic data, disaster situations and experiences, life event scales, SCL-90, social support rating scale, history of cardiovascular risk factors and post-disaster incidence of acute cardiovascular disease. Results 1 The mental health of the affected groups decreased. There was a significant difference between the groups A and B and the control group. The incidence of acute cardiovascular disease in the affected groups was significantly higher than that in the control group, and was significantly higher in group A than in group B Group; 3 good and effective social support can reduce the incidence of acute cardiovascular disease; 4 multiple stepwise regression analysis, the occurrence of acute cardiovascular disease and a variety of factors, disaster events are one of the important triggers. Conclusion Flood disaster is closely related to the occurrence of acute cardiovascular disease. Suggesting that effective intervention as soon as possible after the disaster, cardiovascular disease prevention is of great significance.