南水北调中老年移民心理干预效果分析

发布时间：2018-07-03 12:19

本文选题：中老年移民 + 干预　；参考：《现代预防医学》2016年06期

【摘要】：目的探索南水北调中老年移民群体的心理干预效果及其心理健康、社会心理应激、社会支持的关系。方法采用分层整群抽样,将辉县、荥阳、宝丰3个安置地的35岁以上991名中老年移民进行为期2年的心理干预。实验组移民进行心理健康讲座以及个体及团体心理咨询、心理治疗、建议精神科治疗3个层次的心理干预,对照组移民仅接受定期的心理健康讲座和团体心理咨询,干预前后均对2组移民使用心理健康状况自评量表(SCL-90)、心理社会应激调查表(PSSG)以及社会支持评定量表(SSRS)进行心理测量。结果 (1)经过不同的干预处理后,2组移民心理的健康状况自评量表(SCL-90)在躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对等10个因子得分及总分上差异均有统计学意义(P0.05);心理社会应激调查表(PSSG)的得分除积极情绪体验因子的得分差异无统计学意义以外(Z=-1.587,P=0.112),生活事件、消极情绪体验、消极应对、积极应对因子以及总分上差异均有统计学意义(P0.05);社会支持评定量表(SSRS)除在客观支持因子上的得分差异无统计学意义以外(t=-0.738,P=0.461),主观支持、对支持的利用度因子以及总分上差异均有统计学意义(P0.05)。(2)关联规则模型和神经网络模型分析结果显示,中老年移民的社会支持、心理社会应激以及心理健康有较强的关联性,并且较低的社会支持和较高的心理社会应激会对中老年移民的心理健康产生不利影响。结论接受3层次心理干预等措施的实验组中老年移民心理状况好于对照组中老年移民。中老年移民的心理健康受社会心理应激、社会支持的影响较大。因此,调动移民的主观积极情绪,引导积极应对方式,提高主观社会支持感是增强中老年移民心理健康的关键举措。
[Abstract]:Objective to explore the effect of psychological intervention and the relationship among psychological health, social psychological stress and social support in the middle and old immigrant population of South-to-North Water diversion Project. Methods 991 middle-aged and elderly immigrants aged 35 years or older in Huixian, Xingyang and Baofeng were selected by stratified cluster sampling for 2 years. The immigrants in the experimental group received psychological health talks, individual and group psychological counseling, psychotherapy, and suggested three levels of psychological intervention for psychiatric treatment, while the control group only received regular mental health lectures and group psychological counseling. Before and after the intervention, the mental health status self-rating scale (SCL-90), psychological stress questionnaire (PSSG) and social support rating scale (SSRS) were measured. Results (1) after different intervention, self-rating scale of mental health (SCL-90) showed somatization, obsessive-compulsive symptoms, sensitive interpersonal relationship, depression and anxiety. The scores of 10 factors such as hostility and total scores were statistically significant (P0.05), the scores of psychological and social stress questionnaire (PSSG) had no significant difference except positive emotional experience factors (ZG-1. 587, P0. 112), life events, negative emotional experiences, negative coping. There were significant differences in positive coping factors and total scores (P0.05), while there was no significant difference in scores of social support rating scale (SSRS) except for objective support factors (t = -0.738P0. 461), but subjective support. There were significant differences in the utilization factor and total score of support (P0.05). (2) association rule model and neural network model. The results showed that the social support, psychosocial stress and mental health of the middle-aged and elderly immigrants had strong correlation. Lower social support and higher psycho-social stress have adverse effects on the mental health of middle-aged and elderly immigrants. Conclusion the psychological status of the middle-aged immigrants in the experimental group was better than that in the control group. The mental health of middle-aged immigrants is influenced by social psychological stress and social support. Therefore, mobilizing the subjective positive emotion, guiding the positive coping style and enhancing the subjective sense of social support are the key measures to enhance the mental health of the middle-aged and elderly migrants.
【作者单位】：郑州大学公共卫生学院;郑州大学教育系;河南省卫生厅;河南省医学情报研究所;
【基金】：河南省南水北调移民迁安科研计划基金资助项目(2010020016)
【分类号】：B844.4

【相似文献】