我国医疗救援队员心理健康状况的Meta分析  

Mental health status of the medical rescuers in China: a meta-analysis of Chinese literatures

作　　者：马敬[1] 郭建华[1] 刘中民[1] 张涛[1] 叶玮[1] 

机构地区：[1]同济大学附属东方医院南院外科监护室,上海200123

出　　处：《职业卫生与应急救援》2015年第5期315-318,328,共5页Occupational Health and Emergency Rescue

摘　　要：目的总结我国医疗救援队员执行任务过程中心理健康状况的变化，为对医疗救援队成员进行心理干预提供循证医学依据。方法制定原始文献的纳入标准、排除标准及检索策略，检索维普中文科技期刊全文数据库（VIP）、知网同方全文数据库和万方医学数据库（1998-2014年），提取有关我国医疗救援队员执行任务过程中心理健康状况的文献，评价纳入研究的文献质量，并提取有效数据后采用RevMan5．2软件进行Meta分析。结果纳入研究的12篇文献，共计705例，症状自评量表（SCL-90）的9项因子中，阳性增高因子是躯体化、焦虑和恐怖3项，3项在各研究间均存在异质性（P〈0．05），采用随机效应模型进行Meta分析，躯体化因子分检验显示，Z=5．92，加权均数差（MD）=0．23（95％CI为0．15～0．31，P〈0．01）；焦虑因子分检验显示，Z=4．26，MD=0．19（95％CI为0．10—0．28，P〈0．01）；恐怖因子分检验显示，z=4．40，MD=0．19（95％CI为0．11～0．28，P〈0．01）。结论执行任务的医疗救援队员存在有明显的心理健康状况异常，必须在日常和战时做好医疗救援队员的心理干预工作。Objective To explore the mental health status of Chinese medical rescuers during domestical assignment, in order to provide EBM evidences for psychological interventions. Methods Setting of original documents inclusion criteria, exclusion criteria and retrieval strategy, a systematic literature search was conducted in CQVIP database ,Wanfang network database and CNKI network database （1998-2014）. Study selection was done by two reviewers independently according to inclusion and exclusion criteria. Meta analysis was performed by using Revman 5.0. Results A total of 12 studies containing 705 members were finally included. Within the 9 factors of the SCL-90 scale, somatization factor, anxiety factor and phobia factor were positive items. Among all the studies these three factors show heterogeneity of data （P 〈 0.05）. A recta-analysis was done with random effects model. Somatization factor subgroup showed Z = 5.92, MD = 0.23 （95%CI 0.15 - 0.31 ,P 〈 0.01 ）; anxiety factor subgroup showed Z = 4.26, MD = 0.19 （95%CI 0.10 - 0.28,P 〈 0.01）; phobia factor subgroup showed Z = 4.40, MD = 0.19 （95%CI 0.11 - 0.28,P 〈 0.01 ）. Conclusion There were obvious psycho-problems among the medical rescuers during domestical assignment in China. We must do our best to improve their mental health levels through the psychological intervention in the daily work and emergency.

关 键 词：医疗救援 心理健康 症状自评量表 META分析 躯体化因子 焦虑因子 恐怖因子 

分 类 号：R135[医药卫生—劳动卫生]