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洛雷斯坦省地震幸存者心理社会需求评估,重点关注弱势群体。

Psychosocial needs assessment among Earthquake survivors in Lorestan province with an emphasis on the vulnerable groups.

作者信息

Forouzan Ameneh Setareh, Baradarn Eftekhari Monir, Falahat Katayoun, Dejman Masoumeh, Heidari Noot, Habibi Elham

机构信息

Social Determinants of Health Research Center, University of Medical Sciences, Tehran, Iran.

出版信息

Glob J Health Sci. 2013 Apr 7;5(4):79-84. doi: 10.5539/gjhs.v5n4p79.

Abstract

INTRODUCTION

Iran is one of the ten most earthquake prone countries in the world. Earthquakes not only cause new psychological needs among the population but particularly so when one considers vulnerable groups. This in - depth study was conducted with the aim of assessing psychosocial needs six months after an earthquake happened in the west of the county in Lorestan province.

METHODS

This is a qualitative study using focus group discussion that focuses mainly on the vulnerable groups (women, children, elderly and disabled people) after an earthquake in Bozazna; a village in Lorestan province in western part of Iran.

FINDINGS

Results of the psychosocial assessment indicated feelings of anxiety and worries in four vulnerable groups. Horror, hyper-excitement, avoidance and disturbing thoughts were observed in all groups with the exception of the elderly. Educational failures, loneliness and isolation were highlighted in children. All groups encountered socio-economic needs that included loss of assets and sense of insecurity and also reproductive problems were reported in women's group.

DISCUSSION AND CONCLUSION

Modification of a protocol on psychosocial support considering the context of the rural and urban areas with emphasis on the specific needs of the vulnerable groups is an appropriate strategy in crisis management. It seems that appropriate public awareness regarding assistance programs can be effective in reducing stress and needs of disaster survivors.

摘要

引言

伊朗是世界上十个地震最频发的国家之一。地震不仅会在民众中引发新的心理需求,尤其是在考虑弱势群体时更是如此。这项深入研究旨在评估在洛雷斯坦省西部该县发生地震六个月后的心理社会需求。

方法

这是一项采用焦点小组讨论的定性研究,主要关注伊朗西部洛雷斯坦省一个名为博扎兹纳的村庄发生地震后的弱势群体(妇女、儿童、老年人和残疾人)。

结果

心理社会评估结果显示,四个弱势群体存在焦虑和担忧情绪。除老年人外,所有群体都出现了恐惧、过度兴奋、回避和困扰性想法。儿童突出存在教育失败、孤独和孤立问题。所有群体都面临社会经济需求,包括资产损失和不安全感,妇女群体还报告了生殖问题。

讨论与结论

根据农村和城市地区的情况,修改心理社会支持方案,重点关注弱势群体的特殊需求,是危机管理中的一项适当策略。似乎提高公众对援助计划的认识可以有效减轻灾难幸存者的压力和需求。

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