医院船医疗卫生人员晕船病与心身健康状况的关系  

Relationship of medical workers’ seasickness with physical and mental health status in hospital ship

作　　者：曾伟杰[1] 吴桂荣[1] 肖波[1] 谢栋[1] 

机构地区：[1]解放军第四二一医院,广东省广州市510318

出　　处：《中国组织工程研究与临床康复》2007年第25期4949-4952,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

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±0.57,1AIM： To analyze the relationship of medical workers＇ seasickness with physical and mental health status in hospital ship. METHODS： A total of 46 medical workers were selected from one hospital ship from February to March in 2006 as the inquiry objects, including 26 males and 20 females, aged 17-40 years, stayed for 1-20 years in ship and （28.7±40.1） times of launching out. They were investigated at one week before going to sea and on the tenth day after launching out by self-designed questionnaire, Zung self-rating depressive scale （SDS） and symptom checklist （SCL）-90. Zung SDS included 20 questions, namely gloom, morning severe and evening light, easy to cry, obstacle to sleep, anorexia, losing interest of sex, losing weight, constipation, heart-throb, easy to tire, hard to think, losing ability, unease, despair, easy to be offended, hard to make a decision, feeling of uselessness, feeling of vacuity, feeling of insignificance and losing interest. Among them, 10 questions were contrarily graded questions. SCL-90 contained 90 items and was divided into 5 classes. The number of positive items and the scores of 9 symptom checklists were the primary statistic indexes, including somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism. The degree of seasickness was graded as： （1）no seasickness： absolutely not seasick or had light reaction only when ship was acutely rock.（2）mild seasickness： obviously seasick only when ship was severely wallow and rock. （3）moderate seasickness： obviously seasick when ship was moderately wallow and rock.（4）severe seasickness： obviously seasick just when ship lightly wallow or common voyage. RESULTS： Totally 46 questionnaires were distributed and 46 valid questionnaires were drawn back.（1）Eight subjects had no seasickness and 38 suffered seasickness, among them, 25 mild seasickness,. 10 moderate seasickness and 3 severe seasickness. The primary

关 键 词：医院船 医疗卫生 晕船 心身健康 

分 类 号：R197.6[医药卫生—卫生事业管理]