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矿难矿工创伤后应激障碍发生情况调查

Occurrence and characteristics of post traumatic stress disorder in miners after a coal mine disaster

  • 摘要: 目的 了解矿难后获救矿工创伤后应激障碍(PTSD)症状的发生特点。方法 采用基本情况调查表及创伤后应激障碍症状自评量表(PCL-C)对黑龙江龙煤集团某煤矿矿难中获救的200名矿工进行问卷调查。结果 获救矿工PTSD症状阳性发生率为19.64%;矿工年龄越大,其闯入因子(F=3.77,P=0.025)及总分(F=3.06,P=0.049)的得分越高;矿工井下工龄越长,其闯入因子(t=3.67,P=0.000)、回避因子(t=3.23,P=0.001)、警觉因子(t=2.78,P=0.003)及总分(t=3.41,P=0.000)的得分越高;矿难发生时,矿工距离事发地点越近,其闯入因子(F=4.92,P=0.008)、回避因子(F=7.37,P=0.001)、警觉因子(F=7.13,P=0.001)及总分(F=7.11,P=0.001)的得分越高;矿难发生时目睹过他人伤亡者闯入因子(t=2.28,P=0.012)、回避因子(t=1.69,P=0.047)、警觉因子(t=2.38,P=0.009)及总分(t=2.19,P=0.015)得分均高于未曾目睹他人伤亡者。结论 获救矿工PTSD症状在年龄、井下工龄、距离事发地点远近、目睹他人伤亡等变量上存在差异。

     

    Abstract: Objective To examine the occurrence and characteristics of post traumatic stress disorder(PTSD)symptoms in rescued miners after Hegang coalmine disaster.Methods Totally 200 rescued miners were assessed using questionnaire of basic information and the PTSD Checklist-Civilian Version(PCL-C).Results The incidence of positive PTSD symptoms in the rescued miners was 19.64%.Scores of PCL-C increased with the increment of age for intrusion factor(F=3.77, P=0.025) and the total score(F=3.06, P=0.049).The miners with longer working years had higher scores of intrusion factor(t=3.67, P=0.000), avoid factor(t=3.23, P=0.001), alert factor(t=2.78, P=0.003) and total score(t=3.41, P=0.000);the miners near the incident site at the time of the disaster occurrence had higher PCL-C scores of intrusion factor(F=4.92, P=0.008), avoid factor(F=7.37, P=0.001), alert factor(F=7.13, P=0.001)and total score(F=7.11, P=0.001).The miners witnessing the death or injury had more obvious PTSD symptoms than the miners not witnessing the casualties, with higher scores of intrusion factor(t=2.28, P=0.012), avoid factor(t=1.69, P=0.047), alert factor(t=2.38, P=0.009) and total score(t=2.19, P=0.015).Conclusion The incidence of positive PTSD symptoms in the rescued miners was 19.64% after Hegang coalmine disasters and the incidence was influenced by age, working years in the coal mine, distance from the incident site at the time of the disaster, and witness of casualties in the rescured miners.

     

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