某校集训期间卫生学兵躯体疾病与心理健康状况的关系  

ASSOCIATION OF SOMATIC DISEASES WITH MENTAL HEALTH STATUS AMONG HEALTH SOLDIERS DURING SCHOOL TRAINING

作　　者：李俊丽[1] 高秋菊[1] 李珊[1] 胡卫民[1] 滑树红[1] 张世勇[2] 

机构地区：[1]白求恩医务士官学校军事心理教研室,石家庄050081 [2]石家庄市疾病预防控制中心

出　　处：《解放军预防医学杂志》2015年第4期390-392,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

摘　　要：目的了解某校集训期间卫生学兵躯体疾病与心理健康状况的关系，为有效预防躯体疾病提供依据。方法以1124名卫生学兵为调查对象，用病例对照研究方法分析躯体患病与心理健康状况的关系。结果（1）31．2％的卫生学兵患躯体疾病，男兵躯体疾病患病率（33．3％）明显高于女兵（20．3％）（P〈0．01），中专学历者患病率（36．7％）明显高于高中（30．8％）和大专以上学历者（27．3％）（P〈0．05）。（2）18．7％的卫生学兵心理诊断阳性，躯体患病与心理健康状况有统计学关联（P〈0．01），RR（95％CI）=1．67（1．22—2．27）。躯体患病组躯体化、强迫症状、焦虑、敌对、偏执和精神病性因子分和总分均明显高于未患病组（P〈0．05，P〈0．01）。（3）分层分析发现，心理诊断阳性者较心理诊断阴性者，女性RR=2．60（1．04～6．51），男性RR=1．54（1．11～2．13），军龄1年RR=1．71（1．24～2．36），高中RR=1．61（1．03～2．50）。结论卫生学兵躯体患病与心理健康状况有统计学关联，心理诊断阳性者中女性、军龄短、文化程度低者更易发生躯体疾病，因此需进行针对性的心理卫生干预．以减少躯体疾病的发生。Objective To understand the association between somatic diseases and mental health status a- mong the health soldiers during school training, so as to provide the basis for preventing somatic diseases. Methods The case-control study was used to analyze the association of somatic diseases and mental health status among 1124 health soldiers. Results ①The total prevalence rate of somatic diseases among the health soldiers was 31.2%. The prevalence rate of somatic diseases in male health soldiers （33.3%） was higher than that in female （20.3%） （P= 0. 001 ）. 36.7% in the secondary school graduates＇ health soldiers vs 30.8% in the senior middle school graduates＇ vs 27.3% in the college graduates＇（P=0.049）. ②18.7% of the health soldiers were positive for psychological diagno- sis. The somatic diseases was associated with the mental health status （P=0.001）, RR （95% CI）= 1.67 （ 1.22 2.27）. The total scores and scores of somatization, obsessive-compulsive symptoms, anxiety, hostility, crankiness and psychotic among the somatic diseases group were significantly higher than that of among the non-somatic diseases group （P〈0. 05, P〈0.01 ）. ③By the stratification analysis, the RR （95% CI） of female soldiers and male soldiers was 2.60 （1.04 -6.51）, and 1.54 （1.11 -2.13）, respectively. The RR （95% CI） of 1 year of military service was 1.71 （1.24 -2.36）, the RR （95% CI） of senior middle school graduates was 1.61 （1.03 -2.50）. Conclu- sions Somatic diseases are statistically associated with mental health status among health soldiers. When diagnosed as psychological positive, the female health soldiers with short service for military and low level of education are prone to suffer physical illness. The psychological intervention should be done to improve the mental health and reduce the oc- currence of somatic diseases among health soldiers.

关 键 词：卫生学兵 心理健康 躯体疾病 

分 类 号：R821.2[医药卫生—临床医学]