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老年地震幸存者的生活质量与创伤后应激障碍:聚焦土耳其二月地震

Quality of life and post-traumatic stress disorder among elderly earthquake survivors: a focus on the February earthquake in Turkey.

作者信息

Yayla Muhteşem Erol, Gümüştakim Raziye Şule, Ayhan Başer Duygu

机构信息

Department of Family Medicine, Adana City Training and Research Hospital, Adana, Turkey.

Faculty of Medicine Department of Family Medicine, Sütcü Imam University, Maraş, Turkey.

出版信息

Psychogeriatrics. 2025 Jan;25(1):e13201. doi: 10.1111/psyg.13201. Epub 2024 Oct 13.

DOI:10.1111/psyg.13201
PMID:39397224
Abstract

BACKGROUND

On 6 February, 2023, Turkey experienced a disaster resulting from two major earthquakes. The elderly population stands out as one of the most vulnerable and least adaptable. This study aims to identify the quality of life (QOL) and post-traumatic stress disorder (PTSD) symptoms among elderly earthquake survivors in Turkey.

METHODS

This research was conducted between 1 October, 2023 and 15 December, 2023 as a cross-sectional design. During the data collection process, survey questions prepared by the researchers (29 questions) and the Elderly Quality of Life Scale (OPQOL-Bref) and the Impact of Events Scale (IES-R) were used.

RESULTS

Three hundred and eighty-four elderly people participated in the study. PTSD was more common in those diagnosed with chronic diseases after the earthquake, in those who had a drug-free period after the earthquake, in those who smoked and quit smoking, and in those who started psychiatric medication after the earthquake. Post-traumatic stress was seen more frequently in those with low QOL scores and in those who had a longer period of not using medication after the earthquake. It was observed that QOL was better in married people, high school graduates, those with average income levels, those who did not have chronic diseases before and after the earthquake, those who did not have a drug-free period after the earthquake, those who were physically active, and those who did not use psychiatric medication after the earthquake.

CONCLUSION

Chronic disease diagnosis post-earthquake, drug-free periods, smoking habits, and psychiatric medication usage were identified as influential factors in PTSD occurrence. Additionally, the study shed light on the profound effect of earthquake-related experiences, such as house damage, injuries, deaths in first-degree relatives, displacement, and changes in living conditions, on PTSD prevalence.

摘要

背景

2023年2月6日,土耳其遭遇了由两次大地震引发的灾难。老年人群体是最脆弱且适应能力最差的群体之一。本研究旨在确定土耳其老年地震幸存者的生活质量(QOL)和创伤后应激障碍(PTSD)症状。

方法

本研究于2023年10月1日至2023年12月15日采用横断面设计进行。在数据收集过程中,使用了研究人员编制的调查问卷(29个问题)、老年人生活质量量表(OPQOL-Bref)和事件影响量表(IES-R)。

结果

384名老年人参与了该研究。PTSD在地震后被诊断患有慢性病的人群、地震后有停药期的人群、吸烟且戒烟的人群以及地震后开始使用精神科药物的人群中更为常见。创伤后应激在生活质量得分低的人群以及地震后停药时间较长的人群中更频繁出现。观察发现,已婚人士、高中毕业生、平均收入水平者、地震前后无慢性病者、地震后无停药期者、身体活跃者以及地震后未使用精神科药物者的生活质量更好。

结论

地震后慢性病诊断、停药期、吸烟习惯和精神科药物使用被确定为PTSD发生的影响因素。此外,该研究揭示了房屋损坏、受伤、一级亲属死亡、流离失所和生活条件变化等与地震相关的经历对PTSD患病率的深远影响。

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