地震灾区医务人员创伤事件应对方式与心理健康相关性研究

目的：探讨汶川地震2a后灾区医务人员心理健康状况及其与心理创伤、应对方式的相关性。方法对180名灾区医务工作者（研究组）和144名非灾区医务工作者（对照组）采用症状自评量表、埃森创伤问卷以及简易应对方式问卷进行测评分析。结果研究组症状自评量表评分和埃森创伤问卷总分及闯入、回避和分离症状评分均显著高于对照组（ P＜0．05或0．01）；两组积极应对和消极应对维度分比较差异无显著性（P＞0．05）；相关分析显示，研究组消极应对维度分与症状自评量表评分和埃森创伤问卷评分呈显著正相关（ P＜0．05或0．01），积极应对维度分与症状自评量表总分及4个因子分呈显著正相关（ P＜0．05或0．01），对照组无显著相关性（P＞0．05）。结论经历过地震的灾区医务人员的心理健康水平低于非灾区医务人员，不同应对方式对创伤后应激反应症状的发生有重要影响，可能会进一步影响应激者的心理健康水平。

Correlation study of trauma event,copying style and mental health in medical staff of earthquake areas

Objective To explore the relationship among mental health status ,trauma and copying styles in medical staff of stricken area in years after Wenchuan earthquake .Methods Assessments were conducted with the Symptom Check List 90 （SCL-90） ,Essen Trauma Inventory （ETI） and Simply Coping Style Questionnaire （SCSQ） in 180 medical staff in stricken area （research group） and 144 ones in non-stricken area （control group） .Results SCL-90 ,ETI total ,intrusion ,withdrawal and dissociation symptom score were significantly higher in research than control group （ P〈 0 .05 or 0 .01）;there were no significant group differences in positive and negative coping score （P〉0 .05）;Correlation analyses showed that negative copying score was positively related to SCL-90 and ETI score notably （P〈0 .05 or 0 .01） and so was positive coping to SCL-90 total and 4 factor score （P〈0 .05 or 0 .01） in research group ,control group had no significant correlations （P〉0 .05） .Conclusion Medical staff experiencing earthquake have lower mental health level compared with non-stricken area ones ,different copying styles do great effects on the development of post-traumatic stress reaction symptoms and may further influence their mental health levels .