中国赴利比里亚抗击埃博拉军人心理健康的追踪研究  

Longitudinal investigation on mental health of armymen sent to Liberia against Ebola

作　　者：杨国愉[1] 晏玲[1,2] 王皖曦 赵梦雪[1] 王立菲[1] 刘志峰[3] 何楠[4] 赵一狄 

机构地区：[1]第三军医大学心理学院军人发展与教育心理学教研室,重庆400038 [2]第三军医大学西南医院儿科,重庆400038 [3]解放军第230医院肾内科,辽宁丹东118000 [4]解放军第201医院综合科,辽宁辽阳111000

出　　处：《第三军医大学学报》2015年第22期2229-2236,共8页Journal of Third Military Medical University

基　　金：全军医药卫生"十二五"重大项目(AWS13J003);国家社会科学基金(11XSH016);军队心理卫生应用性科研课题(12XLZ219)~~

摘　　要：目的追踪研究中国人民解放军赴利比里亚抗击埃博拉军人心理健康特点和变化规律。方法将整个赴利比里亚抗击埃博拉医疗任务划分为5个阶段,分为医生、护士和行政后勤3种人员类别,采用症状自评量表（SCL-90）,对医疗队中150名军人进行动态追踪调查,比较不同任务阶段军人心理健康的动态变化及每个阶段的性别、年龄、人员类别、人员层次和文化程度差异。结果 1军人SCL-90强迫、人际敏感、抑郁、焦虑因子得分及总均分呈现显著的阶段差异（P〈0.05,P〈0.01）,集结期显著高于其他4个阶段（P〈0.05,P〈0.01）。2除恐怖和偏执外,男性SCL-90各因子得分和总均分呈显著阶段差异（P〈0.05,P〈0.01）,集结期最高;除医学观察期外,女性躯体化、强迫、抑郁、焦虑因子得分及总均分显著高于男性（P〈0.05,P〈0.01）。3〉30-40岁组和〉40岁组的强迫、抑郁、焦虑因子得分和总均分呈显著的阶段差异（P〈0.05）;〉40岁组集结期焦虑因子得分显著高于≤30岁组（P〈0.05）,国内集训期抑郁因子得分显著高于≤30岁组（P〈0.01）。4医生和护士的强迫、抑郁和焦虑因子得分呈显著阶段差异（P〈0.05,P〈0.01）;除医学观察期外,护士得分显著高于医生和行政后勤组（P〈0.05,P〈0.01）。5军官在任务前4个阶段的SCL-90部分因子得分显著高于战士（P〈0.05,P〈0.01）。6本科学历组在任务前4个阶段的部分因子得分显著高于研究生组和专科生组（P〈0.05,P〈0.01）。结论赴利比里亚抗击埃博拉军人心理健康状况呈明显阶段差异和人群差异,开展心理工作时需密切关注集结阶段以及女性、护士和年龄较大人群。Objective To investigate the mental health characteristics and change regulation of the PLA armymen sent to Liberia against Ebola. Methods The armymen were divided into doctors,nurses and logistics staffs. The mental health dynamic change of 150 PLA armymen and the differences of the gender,age,category,military rank and education level in 5 mission stages（ aggregation stage,training stage,mission early stage,mission late stage,and medical observation stage） were compared using the symptom checklist 90（ SCL-90） scale. Results The single-factor scores and the total average score of the obsession,social sensitivity,depression and anxiety factors varied significantly in the 5 mission stages（ P 0. 05,P 0. 01）,and the scores were the highest in the aggregation stage（ P 0. 05,P 0. 01）. The single-factor scores（ except for phobia and obsession factors） and the total average score of males were the highest in the aggregation stage（ P 0. 05, P 0. 01）. Females showed higher scores than males in somatization,obsession,depression,and anxiety factors in the first 4 stages（ P 0. 05,P 0. 01）. The single-factor scores and total average score of the obsession,depression and anxiety factors varied significantly between the group（ 31-40 years old） and the group（ 40 years old）（ P 0. 05,P 0. 01）. The group（ 40 years old）had higher scores in anxiety factor in the aggregation stage（ P 0. 05,P 0. 01） and higher scores in depression factor in the training stage（ P 0. 05,P 0. 01）. The single-factor scores and the total score of the obsession,depression and anxiety factors varied significantly between the doctors and nurses（ P 0. 05,P 0. 01）,and the nurses showed higher scores than the doctors and logistics staffs in the first 4 stages.Military officers had higher single-factor scores and total average score in some factors than the soldiers in the first 4 stages（ P 0. 05,P 0. 01）. The single-factor scores and the total average score of some factors in the armymen with bachelor de

关 键 词：埃博拉 利比里亚 心理健康 军人 追踪研究 

分 类 号：R197.8[医药卫生—卫生事业管理]