Zhang Liping, Wang Yu, Huang Xinyao, Lan Ma, Ji Hui
Health and Wellness School, Panzhihua University, Panzhihua, China.
Attached Hospital of Panzhihua University, Panzhihua, China; Medical School, Panzhihua University, Panzhihua, China.
Ann Palliat Med. 2021 Mar;10(3):3059-3066. doi: 10.21037/apm-21-309.
China is a country with frequent earthquakes. Beichuan was the epicenter of what was later called the Wenchuan earthquake, which caused nearly 80% of the houses in the area to collapse, with 8,605 people killed and 9,693 people missing. The aim of our study was to explore the prevalence of post-traumatic stress disorder (PTSD) and its influence on health-related quality of life (HRQOL) among the survivors 10 years after the 2008 Wenchuan earthquake in China.
A total of 610 survivors from Leigu town in Beichuan County were investigated by a systematic sampling method. Post-traumatic status, HRQOL, and demographic sources were measured by the PTSD Checklist Civilian Version (PCL-C), 36-item Health Survey Short Form (SF-36), and self-questionnaire, respectively.
Ten years after the Wenchuan earthquake, the prevalence of PTSD for survivors was 1.6%. There were significant negative correlations between survivors' SF-36 scores and the scores of PCL-C. Higher scores in post-traumatic status were associated with a higher rate of poor physical HRQOL, which was lower than the mean score [adjusted odds ratio (OR) 1/4 0.96 per SD increase, P 1/4 0.001] and mental HRQOL (adjusted OR 1/4 0.93 per SD increase, P 1/4 0.001). The independent contribution of post-traumatic status to the risk for poor physical and mental HRQOL was 4.9% and 18.7% respectively.
As time has elapsed, the incidence of PTSD has gradually declined after the Wenchuan earthquake. Post-traumatic status was found to influence the health related quality of life of survivors.
中国是一个地震频发的国家。北川是后来被称为汶川地震的震中，此次地震导致该地区近80%的房屋倒塌，8605人死亡，9693人失踪。本研究的目的是探讨2008年中国汶川地震10年后幸存者中创伤后应激障碍（PTSD）的患病率及其对健康相关生活质量（HRQOL）的影响。
采用系统抽样方法对北川县擂鼓镇的610名幸存者进行调查。分别采用创伤后应激障碍检查表平民版（PCL-C）、36项健康调查简表（SF-36）和自填问卷对创伤后状况、HRQOL和人口统计学资料进行测量。
汶川地震10年后，幸存者中PTSD的患病率为1.6%。幸存者的SF-36得分与PCL-C得分之间存在显著负相关。创伤后状况得分越高，身体HRQOL较差的发生率越高，低于平均得分[调整优势比（OR）为每标准差增加0.96，P = 0.001]和心理HRQOL（调整OR为每标准差增加0.93，P = 0.001）。创伤后状况对身体和心理HRQOL较差风险的独立贡献分别为4.9%和18.7%。
随着时间的推移，汶川地震后PTSD的发病率逐渐下降。发现创伤后状况会影响幸存者的健康相关生活质量。
