赴利比里亚抗埃博拉病毒致感染性疾病中国军队医疗队员睡眠与心理应激状况调查  

A Study on the Sleep and Psychological Stress Status of Chinese Military Medical Staff in Fighting Against Infectious Disease Induced by Ebola Virus in Liberia

作　　者：陶永[1] 李训军[1] 许志强[1] 周华东[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所神经内科,重庆400042

出　　处：《解放军医药杂志》2015年第11期40-43,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：军队"十一五"科研课题(06MB233)

摘　　要：目的探讨2014年赴利比里亚抗击埃博拉病毒致感染性疾病的中国军队医疗队员的睡眠及心理健康状况。方法选择赴利比里亚抗击埃博拉病毒致感染性疾病的78人中国军队医疗队员为研究组,选择未参加抗击埃博拉病毒致感染性疾病的军队医护人员89人为对照组。于研究组回国后1个月采用匹兹堡睡眠质量指数量表(PSQI)对两组主观睡眠质量进行评定比较,采用症状自评量表(SCL-90)对两组心理健康进行调查比较。对研究组筛检出有睡眠障碍及心理问题者进行针对性个体心理干预,40 min/次,2次/周,为期2个月。比较心理干预前后睡眠质量与心理健康水平。结果研究组PSQI评定睡眠障碍者比例显著高于对照组(χ2=16.250,P<0.05),共有11例(14.1%)SCL-90心理症状筛查阳性,焦虑、抑郁、躯体化、恐怖因子阳性率较高,SCL-90焦虑、抑郁、恐怖、躯体化因子分及总均分显著高于对照组(P<0.05),躯体化、焦虑、恐怖、抑郁因子分显著高于军人常模(P<0.05)。研究组筛检出有睡眠障碍及心理问题者行针对性心理干预后睡眠质量与心理健康水平较干预前显著改善。结论赴利比里亚执行抗击埃博拉病毒致感染性疾病任务影响军队医护人员的睡眠质量与心理健康,及时行针对性心理干预必要且有效。Objective To investigate the sleep and mental health status of the Chinese military medical staff in Liberia fighting against infectious disease induced by Ebola virus in 2014. Methods A total of 78 Chinese military med- ical members fighting against infectious disease induced by Ebola virus in Liberia were selected as research group, while 89 Chinese military medical members who did not participate in the fighting against infectious disease induced by Ebola virus in Liberia were selected as control group. The subjective sleep quality of the two groups was evaluated and compared with Pittsburgh sleep quality index （PSQI） ; the mental health status of the two groups was evaluated and compared with the symptom checklist-90 （SCL-90） 1 month after the members in the research group returning to China; Members with sleep disorders and psychological problems were selected from the research group, and then the targeted psychological in- tervention was given for 2 months （40 min/1 time, 2 times/1 week）. The levels of sleep quality and mental health status before and after the psychological intervention were compared. Results In the research group, the ratio of those with sleep disorders was significantly higher than that in the control group evaluating by PSQI （X2 = 16. 250, P 〈 0. 05） , and positive SCL-90 mental symptoms was found in 11 members （14.1% ） , and positive rates of anxiety, depression, somati- zation and terror were high, and scores of SCL-90 anxiety, depression, terror somatization and total average score were significantly higher than those in the control group （P 〈 0. 05）. The scores of somatization, anxiety, terror and depres- sion in the research group were significantly higher than those of the military norms （ P 〈 0. 05 ）. The levels of sleep qual- ity and mental health status after the psychological intervention in members with sleep disorders and psychological prob- lems were significantly improved compared with those before the psychological intervention. Conclusio

关 键 词：军事医学 埃博拉病毒 心理健康 睡眠质量 医护人员 

分 类 号：R824.6[医药卫生—临床医学]