女性新兵躯体症状对心理健康的影响  

Influence of Physical Symptoms on the Mental Health of Female Recruits

作　　者：宫媛[1] 刘荣[1] 贺纳斯[1] 李红政[2] 

机构地区：[1]解放军181医院心理科,广西桂林541002 [2]解放军303医院心理服务中心

出　　处：《华南国防医学杂志》2013年第3期169-170,175,共3页Military Medical Journal of South China

基　　金：军队心理卫生应用性科研课题(12XIZ204)

摘　　要：目的了解女性新兵躯体症状对其心理健康的影响,提升该群体身心健康水平。方法驻粤某部女性新兵199人,采用康奈尔医学指数(Cornell medical index,CMI)问卷分别于入伍时及入伍3个月后进行测试,将两次结果进行对比分析,并对其进行团体访谈。结果入伍3个月后女兵CMI各项分值除循环系统、皮肤、神经系统、既往史项目外,其余各项目分值均较入伍时明显上升,其中A～L部分中眼与耳(t=3.96)、呼吸系统(t=14.58)、消化系统(t=20.52)、肌肉骨骼系统(t=30.31)、泌尿生殖系统(t=14.22)、疲劳度(t=40.66)、疾病频度(t=29.71)、生活习惯(t=24.11)得分均比入伍时升高,具有统计学意义(P<0.01);M～R部分中不适应(t=34.59)、抑郁(t=33.60)、焦虑(t=26.22)、神经过敏(t=18.56)、愤怒(t=18.46)和紧张(t=20.28)得分均比刚入伍时升高,具有统计学意义(P<0.01)。入伍3个月后A～L部分高阳性回答率(>20%)项目:入睡困难或睡眠不深、易醒(33.16%),嗓子痛、扁桃体肿大(27.04%),经常痛经(26.53%),胃部不舒服(23.46%),感到腿、脚发酸(21.93%)。结论女兵入伍3个月后心身健康水平低于入伍时,躯体症状影响了心理健康。Objective To investigate the influence of physical symptoms to the mental health and further promote the psychosomatic health level of female recruits.Methods A total of 199 female recruits were tested by Cornell Medical Index（CMI） at the enroll and 3 months after intensive training respectively.The results were compared and analysed.Group interview was performed.Results The factor scores in CMI except the items of recycle system,skin,nerve system and the past medical history were all higher at 3 months after enroll compared with those right at enroll.The results were as follows： eye and ear（t=3.96）,breathe system（t=14.58）,digest system（t=20.52）,musculoskeletal system（t=30.31）,genitourinary system（t=14.22）,level of fatigue（t=40.66）,disease frequency（t=29.71） and living habit（t=24.11） in the part of A-L;inadaptation（t=34.59）,depression（t=33.60）,anxiety（t=26.22）,nervouseness（t=18.56）,anger（t=18.46）,tension（t=20.28） in the part of M-R,P0.01.There were 7 items with high scores（20%） 3 months after training,which were sleep difficulty or sleep is not deep,easy to wake up（33.16%）,sore throat,tonsillar enlargement（27.04%）,frequent dysmenorrheal（26.53%）,sick stomach（23.46%） and legs and feet ache（21.93%）.Conclusion The psychosomatic health level of the female recruits reaches is lower at 3 months after training than at enroll.Physical symptoms influence the mental health.

关 键 词：女兵 躯体症状 心理健康 康奈尔医学指数 

分 类 号：R395.6[哲学宗教—心理学]