Department of Epidemiology and Health Statistics, West China School of Public Health.
Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Medicine (Baltimore). 2021 Mar 12;100(10):e25089. doi: 10.1097/MD.0000000000025089.
To investigate the health-related quality of life (HRQoL) and related factors, the symptoms of posttraumatic stress disorder (PTSD) among earthquake survivors in minority area 2 years after Jiuzhaigou earthquake.Two years after the Jiuzhaigou earthquake, a cross-sectional survey was conducted by a multi-stage sampling approach. HRQoL was measured by the short form 12 (SF-12), PTSD was measured by the PTSD Check List-Civilian Version (PCL-C), and social support was measured by the Multidimensional Scale of Perceived Social Support. Descriptive statistics, t-tests, ANOVA and multiple linear regression analysis were used for data analysis.Of the 561 participants, the mean scores on the physical component summary (PCS) and mental component summary (MCS) were 46.36 ± 12.79 and 55.03 ± 8.73, and 5.73% reported the symptoms of PTSD. Lower PCS and MCS after an earthquake were associated with elderly age, physical illness, and low level of social support (P < .05). Meanwhile, PTSD was significantly associated with MCS.These findings showed that physical disease and psychological symptoms can adversely affect the HRQoL of survivors. Moreover, providing higher social support to survivors should be considered as a way to improve the HRQoL outcomes of survivors.
调查震后少数民族地区 2 年创伤后应激障碍(PTSD)幸存者的健康相关生命质量(HRQoL)及其相关因素。
九寨沟地震 2 年后,采用多阶段抽样方法进行了横断面调查。HRQoL 采用简短 12 项健康调查量表(SF-12)进行测量,PTSD 采用平民版 PTSD 检查表(PCL-C)进行测量,社会支持采用多维感知社会支持量表进行测量。数据分析采用描述性统计、t 检验、方差分析和多元线性回归分析。
在 561 名参与者中,身体成分综合评分(PCS)和心理成分综合评分(MCS)的平均得分为 46.36±12.79 和 55.03±8.73,5.73%的人报告有 PTSD 症状。地震后较低的 PCS 和 MCS 与年龄较大、身体疾病和较低的社会支持水平有关(P<0.05)。同时,PTSD 与 MCS 显著相关。
这些发现表明,身体疾病和心理症状会对幸存者的 HRQoL 产生不利影响。此外,应考虑向幸存者提供更高的社会支持,以改善幸存者的 HRQoL 结果。