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目的了解探讨唐山地震所致截瘫患者的心理健康及其与主观幸福感的关系。方法采用症状自评量表(SCL-90)和主观幸福感量表(GWB)2013年1—3月对111名唐山地震所致截瘫患者的心理健康水平和主观幸福感状况进行调查。结果1唐山地震所致截瘫患者心理健康总均分以及躯体化、强迫、抑郁、焦虑、恐怖5个因子得分与常模的差异有统计学意义(t=10.22,8.962,8.174,6.384,7.553;P<0.01,t=2.505,P<0.05);2不同性别截瘫患者在人际关系敏感因子上得分有统计学意义(t=-2.350,P<0.05);不同收入水平(F=3.740,P<0.01)的截瘫患者心理健康总均分差异有统计学意义;3截瘫患者心理健康与主观幸福感总分,精力及对生活的满足和兴趣、对情感和行为的控制、松弛与紧张等因子呈负相关(r=-0.519,-0.369,-0.412,-0.295;P<0.01)。结论唐山地震截瘫患者心理健康水平低于正常人群,主观幸福感越高,其心理健康水平越高。
Objective To investigate the mental health of paraplegic patients and its relationship with subjective well-being in Tangshan earthquake. Methods The mental health status and subjective well-being of paraplegic patients in 111 Tangshan earthquake-prone areas were investigated using the Self-rating Symptom Scale (SCL-90) and Subjective Well-being Scale (GWB) from January to March 2013. Results 1 The total score of mental health and the scores of somatization, compulsion, depression, anxiety and terror in patients with paraplegia caused by the Tangshan earthquake were significantly different from the norm (t = 10.22,8.962,8.174,6.384,7.553; (T = -2.350, P <0.05); different income levels (F = 3.740, P <0.01, t = 2.505, P <0.05); 2 gender differences in patients with paraplegia in the interpersonal sensitivity factor score was statistically significant 0.01). The total scores of mental health in paraplegic patients were statistically significant. 3 The scores of mental health and subjective well-being in paraplegic patients, their energy and satisfaction with life, the control of emotions and behaviors, relaxation and tension Negative correlation (r = -0.519, -0.369, -0.412, -0.295; P <0.01). Conclusion The mental health of paraplegic patients in Tangshan earthquake is lower than that of normal people, and the higher the subjective sense of happiness is, the higher the mental health level is.