滑坡幸存者的创伤后应激障碍(PTSD):一项描述性研究

Hanif Eka Cahyani, Sri Warsini, Carla Marchira Raymomdalexas
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摘要

自然灾害给幸存者带来了许多问题。创伤是灾难的后果之一,可能导致创伤后应激障碍(PTSD)的发展。本研究旨在确定印度尼西亚Purworejo Donorati村社区山体滑坡灾害幸存者的创伤后应激障碍(PTSD)水平及其预测因素。方法:采用定量方法进行描述性横断面设计研究。本研究的人群为Purworejo地区的滑坡幸存者。而这个研究样本是住在多诺拉蒂村的100名幸存者。本研究采用整群抽样和连续抽样技术。本研究的变量为创伤后应激障碍、性别、年龄、受教育程度、职业社会经济地位、婚姻状况、自然灾害严重程度、既往灾害事件暴露、滑坡灾害影响(房屋损坏、家庭成员受伤、家庭成员死亡)、疏散记录。本研究的工具是人口统计表格和事件影响量表修订版(IES-R)。双因素分析采用卡方检验和Fisher检验,多因素分析采用logistic回归。结果:PTSD的患病率为27%。双变量分析显示,性别(p值= 0.02)、年龄(p值= 0.009)、职业(p值= 0.02)、灾难严重程度(p值= 0.008)、是否有受伤家庭成员(p值= 0.018)和疏散史(p值= 0.001)在PTSD水平上存在显著差异。多因素分析显示,性别和灾害影响程度与滑坡后PTSD相关。结论:创伤后应激障碍水平在性别、年龄、职业、灾难严重程度、是否有受伤家属、是否有疏散史等因素上存在显著差异。需要发展心理健康和社会心理支持服务,以帮助减少灾害的影响,并帮助幸存者更好地应对这些事件的后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Traumatic Stress Disorder (PTSD) Among Landslide Survivors: a Descriptive Study
Introduction: Natural disasters cause many problems for survivors. Trauma, one such outcome of disasters, may result in the development of post traumatic stress disorder (PTSD). This study aimed to identify the level of post traumatic stress disorder (PTSD) and also its predictor factors among survivors of a landslide disaster at Donorati Village community, Purworejo, Indonesia Method: This was a descriptive cross-sectional design research using a quantitative approach. The population of this study were the landslide survivors in Purworejo district. While this research sample was 100 survivors who live in Donorati village. Cluster and consecutive sampling techniques was applied for this study. The variables of this study were PTSD, gender, age, education level, socio-economic status based on occupation, marriage status, severity of natural disaster, exposure to previous disaster events, landslide disaster impact (house damage, injured family members, and death of family members) and evacuation record.  The instruments of this research were demographic form and The Impact of Event Scale-Revised (IES-R). Bivariate analysis was performed using Chi-squared test and Fisher’s test, followed by multivariate analysis using logistic regression. Results: The prevalence of probability of PTSD participants was 27%. Bivariate analysis revealed significant differences in PTSD levels based on sex (p-value = 0,02), age (p-value = 0,009), occupation (p-value = 0,02), severity of disaster (p-value = 0,008), the presence of injured family members (p-value = 0,018), and evacuation history (p-value = 0,001). The multivariate analysis revealed the factors related to PTSD after the landslide as gender and severity of the disaster impact. Conclusions: The level of PTSD was significantly different based on gender, age, occupation, severity of the disaster, the presence of injured family members, and a history of evacuation. Mental health and psychosocial support services need to be developed to help reduce the impact of disasters and to assist survivors to cope better with the outcomes of those events.
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