关键词: 死亡, 丧亲事件, 影响因素分析

Abstract: Objective　To investigate the status and associated factors for health outcomes among the bereaved individuals，proving a theoretical reference for offering help for the bereaved.Methods　From November 2015 to June 2016，by convenience sampling combined with snowball sampling，we enrolled the bereaved individuals.We used a self-developed Sociodemographic Data Questionnaire and Chinese version of Impact of Event Scale-Revised （IES-R） to collect the sociodemographic characteristics and health outcomes，respectively.IES-R score was analyzed by sociodemographic characteristics and its associated factors were explored by multiple linear regression analysis.Results　441 of the totaled 500 participants returned responsive questionnaires，giving a response rate of 88.2%.The IES-R score was （33.2±16.9）.  Post-traumatic stress disorder （PTSD） was found in 176 cases （39.9%）.  The IES-R score varied significantly by age，educational level，marital status，the relationship with the deceased，intensity of feelings toward the deceased，causes of death of the deceased，age of the deceased，and length of period following the death of the deceased （P<0.05）.  Multiple linear regression analysis revealed that death of a spouse（β=16.221），intensity of feelings toward the deceased（β=6.503），accident-induced death of the decreased（β=5.311），suicide of the decreased（β=9.776），died of old age（β=-6.435），length of period following the death of the deceased （β=-2.523） were associated factors of IES-R score of the bereaved individuals （P<0.05）. Conclusion　The relationship with the deceased，the emotional level of the deceased，the reason for the death of the deceased，and the time of the death of the deceased will affect the IES-R score of the bereaved.Targeted interventions can be developed based on the relationship between the bereaved and the deceased，and the conditions of the bereaved.

Key words: Death, Bereavement events, Root cause analysis