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：蒋小燕[1] 王红[2] 霍莉钦[2] 陈志[1] 赵蕊[2] 

机构地区：[1]北京急救中心,100031 [2]北京大学医学部医学心理学教研室

出　　处：《中国急救复苏与灾害医学杂志》2008年第4期209-211,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：首都医学发展科研基金项目(NO2003-3071)

摘　　要：目的利用结构方程模型探讨主观应激、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,男34人(30.6%),女77人(69.40%);平均年龄(36.4±8.62)岁,进行问卷调查,运用结构方程技术进行数据分析。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。社会支持急救人员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急救人员心身健康的重要影响因素。Objective To study the influences of perceived stress, social support ,and coping style on the psychosomatic health of the ambulance personnel by structural equation modeling. Methods 111 ambulance personnel, 34 males and 77 females, aged （36.4±8.62）, were investigated with Chinese Perceived Stress Scale （CPSS）, Social Support Rating Scale （SSRS）, Trait Coping Style Questionnaire （TCSQ）, and Symptom Checkist 90 （SCL-90）, and then structural equation modeling was employed for data analysis. Results Perceived stress,social support, and negative coping could predict the psychosomatic health,the strongest predictable factor being perceived stress （62.6%）. Perceived stress influenced the psychosomatic health not only directly, but also indirectly through the mediation of social support and negative coping. Social support could predict the psychosomatic health directly and buffered the negative influence of stress. Conclusion Psychosomatic health is a multiple correlation system of psychosomatic health related factors. Perceived stress and social support are the major factors of psychosomatic health among the ambulance oersonnel.

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：R622[医药卫生—整形外科]