医院船医疗卫生人员晕船病与心身健康状况的关系

发布时间：2018-02-01 13:44

本文关键词： 医院船医疗卫生晕船心身健康　出处：《中国组织工程研究与临床康复》2007年25期 　论文类型：期刊论文

【摘要】：目的:分析医院船医疗卫生人员晕船状况与心身健康的关系。方法:于2006-02/03以某部医院船46名医疗卫生人员为调查对象,男26名,女20名,17～40岁,舰上年限为1～20年,出海次数(28.7±40.1)次,在出航前1周和出航第10天采用自行设计一般项目调查表,Zung氏的抑郁自评量表和症状自评量表进行测评。Zung氏的抑郁自评量表共20项问题,包括忧郁、晨重晚轻、易哭、睡眠障碍、食欲减退、性兴趣减退、体重减轻、便秘、心悸、易倦、思考困难、能力减退、不安、绝望、易激惹、决断困难、无用感、生活空虚感、无价值感、兴趣丧失。其中10项为反向评分问题。应用症状自评量表由90个项目组成,分为5个等级,主要统计指标为阳性项目数和9个症状分量表分,包括躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性。晕船程度的划分:①不晕船指完全不晕船或船体剧烈摇摆下才有轻度反应者。②轻度晕船指船体重度颠簸或摇摆下才出现明显晕船症状者。③中度晕船指船体中度颠簸或摇摆下就出现明显晕船症状者。④重度晕船指船体轻度颠簸或一般航行中就出现明显晕船症状者。结果:共发放问卷46份,收回有效答卷46份。①不晕船8名,晕船者共38名,其中轻度晕船25名,中度晕船10名,重度晕船3名。晕船病主要症状为头晕、头痛、恶心、呕吐、厌食、出冷汗、面色苍白。晕船后注意力难以集中25名,难以入睡或易惊醒20名,易惊惹或易发脾气8名,出现过分的惊跳反应10名,86%的人主观感觉疲劳在航行后四五天开始,第六七天最明显。②出航第10天抑郁自评量表中食欲减退、能力减退、思考困难、易哭、睡眠障碍、易倦、晨重晚轻、体质量减轻、兴趣丧失、绝望、决断困难、不安、忧郁的评分均明显高于出航前[出航前:1.76±0.86,1.85±1.10,1.73±0.98,1.10±0.43,1.60±0.57,1.48±0.67,2.18±0.80,1.30±0.68,1.73±0.87,1.92±1.03,2.20±1.01,1.54±0.79,1.39±0.62;出航10d后:2.71±0.89,2.57±1.07,2.40±1.12,1.37±0.55,1.89±0.58,1.80±0.72,2.60±0.95,1.57±0.70,2.11±1.02,2.34±1.14,2.60±1.09,1.89±0.96,1.63±0.69,P0.05,P0.01,P0.001]。③出航第10天症状自评量表阳性项目数、精神病性、抑郁、焦虑、躯体化评分均明显高于出航前[出航前:19.09±18.24,1.17±0.21,1.21±0.30,1.20±0.35,1.36±0.40;出航第10天:29.33±25.03,1.39±0.51,1.41±0.44,1.40±0.50,1.53±0.45,P0.05]。结论:风浪和涌是引起晕船病的主要因素,晕船者存在情绪不稳定和精神疲劳现象。
[Abstract]:Objective: to analyze the relationship between seasickness and psychosomatic health of hospital ship health workers. Methods: 46 medical and health workers (26 males) were investigated in a hospital ship in March 2006. The 20 females were 1740 years old, the length of the ship was 1- 20 years, and the number of sea trips was 28.7 卤40.1. The questionnaire of general items was designed one week before the voyage and 10 days after the voyage. Zung's self rating Depression scale and symptom Checklist. Zung's self rating Depression scale included 20 questions, including depression, late morning and light, easy to cry, sleep disorder and loss of appetite. Decreased sexual interest, weight loss, constipation, palpitations, weariness, difficulty in thinking, decreased ability, restlessness, despair, irritability, difficulty in making decisions, feelings of uselessness, feeling of emptiness in life, feeling of no value. Ten of them were reverse scoring problems. The symptom Checklist (SCL-90) was composed of 90 items and was divided into 5 grades. The main statistical indexes were the number of positive items and the scores of 9 symptom subscales, including somatization. Compulsion, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia. Psychosis. Division of seasickness:. 1 non-seasick refers to total non-seasickness or severe hull swaying before mild reaction. .2 mild seasickness refers to severe hull turbulence or swaying before visible seasickness symptoms. 3 moderate seasickness refers to moderate hull turbulence or swaying. (4) severe seasickness refers to mild turbulence in the hull or apparent seasickness during general navigation. Results:. A total of 46 questionnaires were sent out. Among them, 25 were mild seasickness, 10 were moderate seasickness and 3 were severe seasickness. The main symptoms of seasickness were dizziness, headache, nausea and vomiting. Anorexia, cold sweat, pale complexion. After seasickness attention is difficult to concentrate 25, difficult to fall asleep or easily wake up 20, easily frightened or easily angry 8, appear excessive shock reaction 10. 86% of the subjects began to feel tired four or five days after the voyage, and 67th days were the most obvious. 2 on the 10th day of the voyage, the appetite decreased, the ability of depressive scale decreased, the thinking difficulty, the easy to cry, the sleep disorder, and the tiredness. The scores of morning, late, light, loss of interest, despair, difficulty in making decisions, uneasiness and melancholy were significantly higher than those before sailing. [Before sailing, 1.76 卤0.86U 1.85 卤1.10U 1.73 卤0.98U 1.10 卤0.43U 1.60 卤0.57U 1.48 卤0.67. 2.18 卤0.80, 1.30 卤0.68, 1.73 卤0.871.92 卤1.03, 2.20 卤1.01, 1.54 卤0.79, 1.39 卤0.62; After 10 days of voyage, 2.71 卤0.89U 2.57 卤1.07U 2.40 卤1.12U 1.37 卤0.55U 1.89 卤0.58U 1.80 卤0.72. 2.60 卤0.95U 1.57 卤0.70m 2.11 卤1.02U 2.34 卤1.14U 2.60 卤1.09U 1.89 卤0.96U 1.63 卤0.69. P0.05, P0.01, P0.001] .3 the number of positive items of SCL-10, psychosis, depression, anxiety and somatization were significantly higher than those before sailing. [Before sailing, 1: 19.09 卤18.24U 1.17 卤0.21 卤0.30 卤1.20 卤0.35 卤1.36 卤0.40; On the 10th day of voyage, 1: 29.33 卤25.03t 1.39 卤0.51g 1.41 卤0.44U 1.40 卤0.50g 1.53 卤0.45. Conclusion: wind and waves are the main factors causing seasickness, and seasickness has emotional instability and mental fatigue.
【作者单位】：解放军第四二一医院解放军第四二一医院解放军第四二一医院解放军第四二一医院
【分类号】：R82
【正文快照】： 0引言心理战正在从传统的服务保障作用变为直接参与作战,心理战的研究和训练已经成为一个重要问题。在现代战争条件下,心理战正在被赋予新的内涵,将被发挥更加重要的作用,也将面临新的挑战。现代高技术局部战争实践表明:心理战正在成为一种重要的作战手段,军人在战场上首先面

【参考文献】