消防应急救援人员创伤后应激障碍研究..docVIP

消防应急救援人员创伤后应激障碍研究 次松1 兰亚佳1 龚成2 唐镠1 摘要：目的 探讨消防应急救援人员的创伤后应激障碍（posttraumatic stress disorder ,PTSD）的发生情况及其相关的影响因素。方法 采用自编的消防员一般情况问卷和创伤后应激障碍筛查量表（PCL-C）对298名参加过抢险救援工作的消防救援人员的PTSD进行评定，并对其相关因素进行分析。结果 消防救援人员的PTSD患病率为8.4%，不同工作岗位中特勤兵的PTSD检出率最高达到13.6%，P 0.05；与其他军衔消防员相比，四级以上军官的PTSD患病率最高，差异有统计学意义；已婚救援人员的PTSD发生率高于未婚人员，抽烟人员比不抽烟的救援人员更容易发生，且都有统计学意义；出勤次数越多越容易患PTSD症状。结论 参加过救援工作的消防人员的PTSD患病率较高应该要加强必要的心理应激疏导和采取长期的心理干预，减缓抢险救援后的心理创伤，争取提高消防救援官兵的心理健康水平。 关键字： 应急救援；创伤后应激障碍；消防员；心理健康 Analysis of rescue and Firefighter post-traumatic Stress Disorder TSE Song1，LAN Ya-Jia1， GONG Cheng2 ，TANG Liu1 (1.School of public health, Sichuan University, Chengdu 610041, China．2. Sichuan Province Chengdu General Fire Brigade，Chengdu 611135，China.) Abstract objective：to investigate the fire emergency rescue personnel of post-traumatic stress disorder ( posttraumatic stress disorder, PTSD ) of the occurrence and related factors. Using a self-designed fireman general situation questionnaire and post-traumatic stress disorder (PTSD) Screening Scale (PCL-C) civilian version of the 298 participated in the rescue work, to assessed fire rescue personnel of PTSD, and correlative. Results: At different jobs in the Swat soldier PTSD incidence rate of up to 13.6%, (P 0.05); the four officers above the PTSD rate is significant higher than other rank of firemen, and the difference?statistically significant; married rescuers PTSD incidence is higher than that of unmarried men smoking staff more likely to occur than not smoke their?difference was?statistically attendance more times more susceptible to PTSD symptoms. Conclusion: at one time participated in the rescue work firefighter’s PTSD incidence higher so should be to strengthen the necessary psychological stress guidance and take long-term psychological intervention, to mitigate the psychological trauma after the rescue, strive to improve the level of mental health of firefighters. Keyword：Emergency rescue; Firemen; Post-traumatic Stress Disorder; mental heal