综合心理干预对亚丁湾护航官兵心理健康和睡眠质量的影响  

Effect of comprehensive intervention on mental health and sleep quality among crew members during Escort Mission in the Gulf of Aden

作　　者：李彩霞 汪红 胡爱霞 宁浩 王新兴[2] 

机构地区：[1]解放军425医院,海南三亚572012 [2]军事医学科学院基础医学研究所,全军军事认知与心理卫生研究中心,北京100850

出　　处：《军事医学》2014年第10期765-767,共3页Military Medical Sciences

基　　金：国家自然科学基金资助项目(81372124;81000584);总后科研基金面上资助项目(CGZ13L006)

摘　　要：目的探索综合性心理干预对亚丁湾护航舰员的心理健康和睡眠质量的影响。方法将同批次两艘护航舰艇分为研究组和对照组,研究组应用综合心理干预方法进行干预,包括:多渠道心理训练、咨询、行为干预、多部门合作等措施。分别于干预前及干预后采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数量表(PSQI)进行调查,分析综合心理干预效果。结果干预前两组各项目差异均无统计学意义(P>0.05),干预后研究组SCL-90中的躯体化、强迫、人际关系、抑郁、焦虑、偏执、敌对因子等评分明显好于对照组,差异有统计学意义(P<0.05)。研究组SAS、SDS评分低于对照组(P<0.05)。睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍因子、PSQI总分均低于对照组,差异有统计学意义(P<0.01)。结论综合性心理干预对亚丁湾护航舰员心理健康和睡眠质量具有一定改善作用,值得推广应用。Objective To discuss the effect of comprehensive mental intervention on mental health and sleep quality among the crew members during the Escort Mission in the Gulf of Aden.Methods The same batch of two escort ships was divided into study group and control group.The study group was intervened by comprehensive psychological intervention methods involving diversified forms of psychological training, counseling, behavioral intervention and cooperation between various departments.A psychological survey was conducted with Symptom Checklist 90（ SCL-90） , Self-rating Anxiety Scale （SAS）, Self-rating Depression Scale（SDS） and Pittsburgh Sleep Scale（PSQI） before and 3 months after intervention. Results There was no significant difference between the two groups before intervention （P＆gt;0.05）.After intervention,the score of SCL-90 of study group was significantly better than that of the control group in somatization,obsessive compulsive disorder,interpersonal relationship,depression, anxiety,bigotry and hostility （P＆lt;0.05）, while the score of SAS and SDS was lower（P ＆lt;0.05）.Sleep quality, the time taken to fall asleep, sleep time, dyssomnia,sleep efficiency,daytime dysfunction factor and the total score of PSQI were significantly more desirable than in control group （P＆lt;0.01）.Conclu-sion Comprehensive intervention can effectively improve mental health and sleep quality of the crew members in the escort mission in the Gulf of Aden.It is worthy of popularization and application.

关 键 词：心理学 综合干预 军事人员 远航作业 睡眠 

分 类 号：R82[医药卫生—临床医学]