住院军队患者心理应激及影响因素  

Psychological stress and its influencing factors in army inpatients

作　　者：付藏红[1] 刘延彤[1] 安花花[1] 邱俊杰[1] 孙玉玲[1] 李红[1] 张金霞[1] 

机构地区：[1]兰州军区兰州总医院,甘肃兰州730050

出　　处：《西北国防医学杂志》2015年第11期737-739,共3页Medical Journal of National Defending Forces in Northwest China

基　　金：全军医药卫生科研项目(CLZ14JB04;CLZ14JA06)

摘　　要：目的:探讨住院军队患者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250名军队患者进行调查。结果:住院军队患者心理应激发生率较高的3个项目依次是对危险事情警觉(20.9%)、睡眠不好(15.6%)、心身疲惫(13.9%);住院军队患者在心理应激条目"容易惊跳"、"不愿交往"、"心身疲惫"得分显著高于门诊军队患者;住院军队患者与门诊军队患者应对方式得分不存在显著差异;住院军队患者焦虑、抑郁得分显著高于门诊军队患者;住院军队患者心理应激与积极应对相关不显著,与消极应对、焦虑、抑郁呈显著正相关;焦虑、消极应对住院军队患者的心理应激有正向预测作用。结论:住院军队患者心理应激明显,缓解焦虑、减少消极应对可降低其心理应激水平。Objective：To explore the psychological stress status and its influencing factors in the army inpatients.Methods：A total of 250 army inpatients were tested with psychological self-evaluation test,self-rating depression scales（SDS）,self-rating anxiety scales（SAS）and simple coping style.Results：Three stress symptoms with higher incidence of psychological stress were high sensitivity（20.9%）,poor sleep（15.6%）and tiredness（13.9%）.The scores of psychological stress items including ‘hyperarousal＇,‘introverted＇and ‘tiredness＇ in army inpatients were higher than those in outpatients.There was no significant difference in coping style between army inpatients and outpatients.The scores of the items‘anxiety＇and ‘depression＇in army inpatients were higher than those in outpatients.The psychological stress in army inpatients had no relationship with active coping style,but had obviously positive relationship with passive coping style,anxiety and depression.Anxiety and negative coping style could positively predict psychological stress.Conclusion：Psychological stress in army inpatients was obvious,and releasing anxiety and negative coping style could reduce psychological stress.

关 键 词：军队患者 心理应激 焦虑 抑郁 简易应对方式 

分 类 号：R82[医药卫生—临床医学]