灾后消防救援人员创伤后应激障碍分析

摘要

目的:对地震后消防救援人员创伤后应激障碍(PTSD)的发生率及心理健康状况进行分析.方法:选用创伤后应激评定量表(PCL-C)和中文版事件影响量表(IES-R),对灾后三个月内消防员310人进行评估.结果:灾后三个月内PTSD症状的总发生率为35.3%;地震救援组和基层消防组IES-R得分显著高于一般院校组,但地震救援组和基层消防组得分无显著差异,PCL-C得分结果与之类似;恐惧、创伤经历和救援失败等是PTSD症状的影响因素.结论:消防员是职业心理创伤的高危人群,地震后消防救援人员PTSD症状发生率较高,应给予及时心理干预.%Objective: To analyse post-traumatic stress disorder (PTSD) and mental health of firemen after earthquake.Methods: A study was performed among 320 firemen in three months after rescue action.All were tested with Post-traumatic Stress Rating Scale (PCL-C) and the Chinese version of Impact of Event Scale (IES-R).Results: The post-disaster PTSD symptoms within three months the overall incidence of 35.3％; 5.12 Fire and rescue groups and grass-roots group of IES-R scores were significantly higher than the general institutions group, but 5.12 Fire and rescue groups and grass-roots group of no significant difference in scores, PCL -C scores with similar results; fear, trauma and rescue failed and others are experiencing PTSD symptoms factor.Conclusion: The fireman is the psychological trauma of the high-risk occupational groups, fire and rescue workers after the earthquake a higher rate of PTSD symptoms, should be given a timely psychological intervention.