军队伤病员心理应激及影响因素  

Psychological Stress and Its Factors on the Army Wounded

作　　者：孙玉玲[1] 邱俊杰[1] 安花花[1] 付藏红[1] 李红[1] 

机构地区：[1]兰州军区兰州总医院门诊部,甘肃兰州730050

出　　处：《华南国防医学杂志》2015年第9期682-685,共4页Military Medical Journal of South China

基　　金：全军医药卫生科研项目(CLZ14JB04)

摘　　要：目的探讨军队伤病员心理应激的特点及影响因素。方法运用军人心理应激自评问卷、焦虑自评量表、抑郁自评量表、简易应对方式问卷对400名官兵进行调查。结果军队伤病员心理应激发生率较高的三个项目是"对危险事件保持警觉"(26.4%)、"睡眠不好"(11.0%)、"感到心身疲惫"(8.9%);军队伤病员心理应激条目3、5、6、7、8得分显著高于新兵;门诊军队伤病员、住院军队伤病员、新兵心理应激条目1、3、4、5、6、7、8得分存在显著差异;军队伤病员消极应对、焦虑、抑郁得分显著高于新兵;军队伤病员心理应激与消极应对、焦虑、抑郁、医院环境适应状况、压力程度呈显著正相关;焦虑、消极应对、压力程度、医院环境适应状况对军队伤病员的心理应激有正向预测作用。结论军队伤病员心理应激水平高于新兵,焦虑、消极应对、压力程度、医院环境适应状况是影响心理应激的重要因素。Objective To explore psychological stress status and factors of the army wounded.Methods Four hundred army wounded were tested with psychological self-evaluation test,self-rating depression scales（SDS）,self-rating anxiety scales（SAS）and simple coping style.Results The first third stress symptom was high sensitivity（26.4%）,poor sleep（11%）,tired（8.9%）;the scores of army wounded on psychological stress 3,5,6,7,8 were higher than recruits;there was significant difference among army wounded in outpatient,army wounded in inpatient and recruits;the scores of army wounded on negative coping style,anxiety,depression were higher than recruits;psychological stress of army wounded was actively correlated with coping style,anxiety,depression,adapting to the environment of hospital,the degree of pressure;anxiety,negative coping style,the degree of pressure,adapting to the environment of hospital could positively predict psychological stress.Conclusion Psychological stress of army wounded is higher than recruits,anxiety,negative effect,the degree of pressure,adapting to the environment can effect psychological stress.

关 键 词：军队伤病员 心理应激 焦虑 抑郁 简易应对方式 

分 类 号：R395.1[哲学宗教—心理学]