Social support and psychosomatic health among paraplegic victims of Wenchuan earthquake and Tangshan earthquake
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摘要: 目的 了解汶川地震截瘫患者身心健康及社会支持情况。方法 采用症状自评量表（SCL-90）和社会支持评定量表对汶川地震灾区127例截瘫患者进行调查，并与唐山大地震31例康复村截瘫患者和33例截瘫疗养院患者进行比较。结果 汶川地震截瘫患者中，男、女性SCL-90敌对因子分别为（0.88±0.82）、（0.38±0.33）分，其他因子分别为（1.10±0.67）、（0.60±0.62）分，差异均有统计学意义（P<0.05）；就业与未就业者客观支持维度分别为（8.87±3.11）、（6.17±1.76）分，差异有统计学意义（P<0.01）；唐山康复村、疗养院和汶川地震截瘫患者SCL-90总分分别为（121.48±23.86）、（165.12±57.30）、（68.91±52.35）分；客观支持分别为（17.71±3.99）、（11.00±5.20）、（7.39±2.78）分，主观支持分别为（6.84±1.77）、（5.79±3.66）、（18.36±4.35）分，差异均有统计学意义（P<0.001）；对支持的利用度分别为（6.68±2.24）、（6.12±2.00）、（7.03±1.88）分，差异均有统计学意义（P<0.01）。结论 汶川地震截瘫患者的身心健康状况和社会支持现状好于唐山地震截瘫患者。Abstract: Objective To study the status of psychosomatic health and social support among paraplegic victims of Wenchuan earthquake and Tangshan earthquake.Methods Totally 127 paraplegic victims of Wenchuan earthquake were surveyed with Symptom Check list 90(SCL-90)and Social Support Revalued Scale(SSRS)and the results of the survey were compared to the historical data on 64 paraplegic victims(31 in a rehabilitation center and 33 in a sanatorium)of Tangshan earthquake.Results There were significant differences in the scores of hostility(0.88±0.82 vs. 0.38±0.33)and other domains(1.10±0.67 vs. 0.60±0.62)of SCL-90 between the male and female paraplegic victims of Wenchuan earthquake(P<0.05 for all); the score of objective support of the employed victims(8.87±3.11) was significantly higher than that of the unemployed victims(6.17±1.76)(P<0.01).There were significant differences in the overall score of SCL-90(121.48±23.86,165.12±57.30,68.91±52.35),the score of objective support(17.71±3.99,11.00±5.20,7.39±2.78),the score of subjective support(6.84±1.77,5.79±3.66,18.36±4.35),and the score of social support utilization(6.68±2.24,6.12±2.00,7.03±1.88)among the Tangshan earthquake paraplegic victims in the rehabilitation center and in the sanatorium,and the Wenchuan earthquake paraplegic victims(P<0.001 for all)Conclusion The Wenchuan earthquake paraplegic victims had better mental health status and social support than those of Tangshan earthquake.
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Key words:
- Wenchuan earthquake /
- Tangshan earthquake /
- paraplegia /
- social support /
- psychosomatic health
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