铁路重点部门职工自测健康与抑郁焦虑情绪的相关性分析  

Correlation Analysis between Self-rated Health and Depression and Anxiety of Railway Workers in Key Sectors

作　　者：王亚斌[1] 崔金玲[1] 秦磊[1] 霍伟[1] 牟宇[2] 薛淑娟[1] 何朝霞[1] 胡英琴[1] 

机构地区：[1]北京铁路局石家庄卫生防疫站,河北省石家庄市050000 [2]河北医科大学附属第二医院

出　　处：《职业与健康》2010年第18期2041-2044,共4页Occupation and Health

基　　金：河北省卫生厅科研基金项目(编号:20090201);河北省2009年医学科学研究重点课题计划

摘　　要：目的了解铁路重点部门职工自测健康与抑郁、焦虑情绪的相关性,为保护铁路重点部门职工的身心健康,确保铁路行车安全提供依据。方法用自测健康评定量表(SRHMS)、自评抑郁量表(SDS)、Zung焦虑自计量表(SAS)作为测评工具,对石家庄铁路地区电力机务段机车乘务员、客运段客运乘务员、车站客运员共1637人进行现场调查和测试。结果不同部门自测健康的3个子量表得分及自测健康量表总分差异均有统计学意义(P<0.05)。心理健康子量表得分、社会健康子量表得分机务段与客运段、机务段与车站差异有统计学意义(P<0.05);客运段与车站差异无统计学意义(P>0.05)。自测健康总分及各子量表得分均以机车乘务员最低,列车乘务员最高。调查对象有抑郁情绪的有1005人(61.39%),抑郁标准得分为53.16±12.59;有焦虑情绪的有777人(47.46%),焦虑标准得分为50.10±13.95。不同部门职工抑郁与焦虑情绪的总分布差别均有统计学意义(P<0.05);3个部门两两比较,差异有统计学意义(P<0.05)。抑郁和焦虑情绪均以机车乘务员最高,列车乘务员最低。3个部门职工中有抑郁、焦虑情绪与无抑郁、无焦虑情绪者的自测健康各维度的得分差异均有统计学意义(P<0.05);且随着抑郁情绪的加重,各子量表各维度的得分呈逐渐下降趋势。多元线性回归分析显示各量表得分与部门均相关;自测健康评定量表总分与性别、受教育程度呈正相关(P<0.05),与婚姻、抑郁、焦虑呈不同程度的负相关(P<0.05)。生理健康子量表得分与性别、受教育程度呈正相关(P<0.05),与年龄、婚姻、抑郁和焦虑情绪呈不同程度的负相关(P<0.05);心理健康子量表得分、社会健康子量表得分均与年龄、性别、受教育程度呈正相关(P<0.05),与婚姻、抑郁和焦虑情绪呈不同程度的负相关(P<0.05)。结论铁路重点部门职工身心健康较差,自测健康与抑郁、焦�[Objective]To understand the correlation between self-rated health and depression and anxiety of railway workers in key sectors,to protect their physical and mental health,and provide evidence for ensuring the safety of the railway.[Methods]Self-rated health measurement scale （SRHMS）,Self-rating Depression Scale （SDS）,Zung Self-rating Anxiety Scale （SAS） were adopted as measurement tools.On-site investigation and test were performed on 1637 attendants in electric locomotive depot and passenger transportation depot,and passenger clerks in station.[Results]The scores of 3 self-rated health subscales and the total score of self-rated health scales were different between different departments（P〈0.05）.Mental health subscale scores,social health subscale scores between passenger depot,locomotive depot and station were significant （P〈0.05）;the difference between passenger depot and station was not significant（P〈0.05）.The total score of self-rated health scales and the scores of subscales were highest in attendants of locomotive and lowest in attendants of train.Totally 1005 attendants （61.39%）had depression,the standard scores of depression were 53.16±12.59;a total of 777 attendants （47.46%） had anxiety,the standard scores of anxiety were 50.10±13.95.The differences of total distribution of depression and anxiety between attendants in different sectors were significant （P〈0.05）;the differences between 3 sectors were significant（P〈0.05）.Both depression and anxiety scores were highest in attendants of locomotive and lowest in attendants of train.Self-rated health scores in each dimension between attendants with depression and anxiety and attendants without depression and anxiety in the 3 sectors were all significant （P〈0.05）;with the increase of depression,the score of each dimension of each sub-scale decreased gradually.Multiple linear regression analysis showed that the scores were associated with the sector;the total score of self-rated health was positively cor

关 键 词：铁路职工 自测健康 抑郁 焦虑 

分 类 号：R181.3[医药卫生—流行病学]