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目的 对引起SARS一线医务人员创伤后应激反应的应激源特征进行分析 ,为心理干预提供科学依据。方法 采用自编的应激源调查量表、经修订的事件影响量表 (IES -R)等量表对SARS一线医务人员进行测试 ,并作相关统计分析和比较。结果 ①本调查 2 5 .8%的人IES -R总分超过 19分。②应激源调查各条目出现频率大多在 5 0 %以上 ,7类应激源中有 5类与应激反应的强度有关。③创伤经历、社会功能受限、亲人朋友因SARS死亡 4种应激源类别在总体上对创伤后应激反应有影响。结论 引发SARS一线医务人员创伤后应激反应应激源来源广泛 ,不同创伤应激反应程度、症状具有不同的应激源特征。
Objective To analyze the characteristics of stressors that cause post-traumatic stress response to SARS front-line medical personnel and provide scientific basis for psychological intervention. Methods A self-compiled questionnaire of stressors and a revised scale of incident impact (IES-R) were used to test the first-line medical staff in SARS and related statistical analysis and comparison. Results ① In the survey, 25.8% of the people had IES-R score over 19 points. (2) Most of the stressors were found in the frequency of more than 50%, and five of the seven types of stressors were related to the intensity of stress response. ③ trauma experience, social function is limited, relatives and friends died of SARS four kinds of stressors in general have an impact on post-traumatic stress response. Conclusion The sources of stress response to traumatic SARS front-line medical staff are extensive, with different traumatic stress response and different symptoms of stressors.