急救人员心身健康影响因素的结构方程研究  

Influencing Factors of Psychosomatic Health among Ambulance Personnel: A Structual Equation Modeling Research.

作　　者：王红[1] 霍莉钦[1] 蒋晓燕 陈志 赵蕊[3] 

机构地区：[1]北京大学医学部医学心理学教研室,100083 [2]北京市120急救中心 [3]兰州大学基础医学院医学心理学教研室

出　　处：《中国健康心理学杂志》2007年第11期1051-1054,共4页China Journal of Health Psychology

基　　金：首都医学发展科研基金资助;项目号:2003-307;学科代码:C010804

摘　　要：目的利用结构方程模型初步探讨主观应激、社会支持、应对方式对急救人员心身健康的影响。方法用中文版的知觉压力量表、社会支持评定量表、简易应对方式问卷和SCL-90,随机抽取111名急救人员进行问卷调查,运用结构方程模型技术进行数据分析。结果主观应激、社会支持和消极应对方式对心身健康均有预测性,其中主观应激的预测能力最强(62.6%),是影响心身健康的最主要因素。主观应激对心身健康既有直接作用,也可通过社会支持和消极应对方式的中介机制影响心身健康,其直接作用大于间接作用。社会支持可直接影响心身健康,也可缓冲应激的消极影响。结论心身健康是一个多因素相互作用的系统,主观应激和社会支持是心身健康的重要影响因素。Objective To study the relations of perceived stress, social support, coping style and psychosomatic health among ambulance personnel by structural equation modeling. Methods 111 ambulance personnel were investigated with CPSS （Chinese Perceived Stress Scale）, SSRS （Social Support Rating Scale）, TCSQ （Trait Coping Style Questionnaire） and SCL-90, then structural equation modeling was employed for data analysis. Results Perceived stress, social support and negative coping can predict psychosomatic health, the strongest predictable factor is perceived stress （62. 6%）. Perceived stress contribute psychosomatic health not only directly, but also indirectly through the mediation of social support and negative coping. Social support can predict psychosomatic directly and buffer the outcome of stress. Conclusion Psychosomatic health is a multiple correlation system of psychosomatic health related factors, perceived stress and social support were major factors of psychosomatic health.

关 键 词：心身健康 急救人员 结构方程模型 主观应激 社会支持 应对方式 

分 类 号：R195.1[医药卫生—卫生统计学]