汶川地震一个月后救援部队官兵心理健康状况调查

发布时间：2019-01-05 09:14

【摘要】：目的:了解抗震救灾1个月后部队心理健康状况,探索重要相关事件对部队指战员心理健康的影响。方法:在应急救援开始后32～42d对驻映秀镇成都军区某红军师炮兵团、济南军区某师炮兵团和四川武警部队三支主力部队指战员为研究对象,随机整群抽样170人,采用症状自评量表(SCL-90)进行调查。救援部队人员SCL-90因子分值分别与中国正常人常模和中国军人常模比较,采用两样本t检验确定差异显著性。结果:78份调查表符合要求纳入分析。救援部队官兵的SCL-90总分为130.25±33.07,阳性项目数为27.59±15.75,各因子分值在1.28～1.64之间;与中国正常人18～29岁常模相比,救援部队官兵躯体化症状因子偏高(P0.05),而人际关系敏感因子偏低(P0.01);与中国军人男子组常模比较,救援部队官兵强迫因子、人际关系敏感因子、抑郁因子、焦虑因子、偏执因子和精神病性因子均偏低(P0.05);比较参与和没有参与遇难者遗体挖掘处理的官兵,发现参与组在睡眠和饮食因子有较低的评分(P0.01),而阳性症状均分有较高的评分(P0.01)。结论:地震救援部队官兵在震后32～42d的心理卫生状况基本正常,某些阳性症状与遇难者遗体处理等抗震救灾相关事件相关,对官兵抗震救灾事件相关心理问题的定期监测能有效发现和干预可能的心理疾患。
[Abstract]:Objective: to understand the mental health status of troops after 1 month of earthquake relief and to explore the influence of important events on the mental health of officers and soldiers. Methods: two hundred and forty two days after the emergency rescue, 170 officers were randomly selected from a Red Army Artillery Regiment of Chengdu military region in Yingxiu Town, an artillery regiment of a certain division of Jinan military region and three main units of Sichuan Armed Police Force. Symptom Checklist (SCL-90) was used to investigate. The scores of SCL-90 factor of rescue troops were compared with the normal Chinese norm and the Chinese military norm respectively. The difference was significant by using the t test of two samples. Results: 78 questionnaires were included in the analysis. The total score of SCL-90 was 130.25 卤33.07, the number of positive items was 27.59 卤15.75, the score of each factor was 1.28 卤1.64; Compared with the Chinese normal 180-year-old norm, the factor of somatization symptom was higher (P0.05), but the sensitive factor of interpersonal relationship was lower (P0.01). Compared with the norm of Chinese military men group, the compulsive factors, interpersonal sensitivity factors, depression factors, anxiety factors, paranoid ideation factors and psychotic factors were lower in the rescue troops (P0.05). Compared with the officers and soldiers involved in the exhumation of the bodies of the victims, it was found that the scores of sleep and diet factors were lower (P0.01), while the average score of positive symptoms was higher (P0.01) in the participating group. Conclusion: the mental health status of the officers and soldiers of the earthquake rescue troops was basically normal at 32 days after the earthquake, and some positive symptoms were related to the events related to earthquake relief, such as the treatment of the remains of the victims. Regular monitoring of psychological problems related to earthquake relief events can effectively detect and intervene possible psychological disorders.
【作者单位】：第二军医大学抗震救灾防疫二队;
【分类号】：R19;R82

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