C兵站部汽车运输官兵心理应激水平分析  

Analysis of psychological stress level of motor transport soldiers in Military Station C

作　　者：谭艳[1] 马骁[2] 吴娟[1] 卢士军 卢豪[4] 李运明[1] 杨显君[4] 

机构地区：[1]成都军区总医院医务部,成都610083 [2]四川大学华西公共卫生学院健康行为学教研室,成都610041 [3]农业部食物与营养发展研究所,北京100081 [4]成都军区疾控中心,成都610021

出　　处：《中国循证医学杂志》2017年第1期19-25,共7页Chinese Journal of Evidence-based Medicine

基　　金：成都军区技术革新项目(编号:2013007)

摘　　要：目的全面了解高原C兵站汽车运输官兵心理应激水平,并分析影响因素,为合理开展应激管理提供数据支持。方法采取整群抽样的方法,利用症状自评量表(SCL-90)评估研究对象的心理应激水平,采用自编基本情况调查表采集研究对象的人口学特征、军龄、驾龄等信息,分析基本情况对心理应激水平的影响。结果共调查1 692名官兵,汽车运输官兵SCL-90的躯体化、抑郁、精神病性因子得分及总分高于中国军人常模(P值均<0.001);独生子女的人际关系、抑郁、恐怖和偏执因子分高于非独生子女(P=0.034,P=0.039,P=0.025,P=0.002);学历越高人际关系和焦虑因子得分越高(P=0.008,P=0.026);义务兵焦虑、恐怖、精神病性因子分显著高于士官(P<0.001,P=0.026,P=0.001),躯体化因子分显著低于士官(P<0.001);颈部不适者躯体化和精神病性因子得分较高(P均<0.001)。结论 C兵站汽车运输官兵的心理应激水平部分因子高于中国军人常模,提示军队管理者和卫生管理部门应该重视该群体的心理状况,并重点关注独生子女、新兵及低年资士兵和已有躯体不适症状的群体。Objective To investigate the psychological stress level and its influence factors of the motor transport soldiers in Military Station C at high altitude, and provide the data basis for the proper stress management. Methods A cluster random sampling was performed on the motor transport soldiers in Military Station C. And SCL-90 were adopted to measure the psychological stress level of the motor transport soldiers while the self-made basic information questionnaire was conducted to collect the information of demographic characteristic, length of military service, driving years. Then the effect of basic information on the psychological stress level was analyzed. Results 1 692 soldiers in Military Station C were enrolled in this survey. The scores of somatization, depression, psychosis and the total score of the SCL-90 of these soldiers were higher than the norm （all P values〈0.001）. The scores of interpersonal relationship, depression, terror and stubborn of the only child were higher than those of non-only-child （P=0.034, P=0.039, P=0.025, P=0.002）. The scores of interpersonal relationship and anxiety were positively correlated with their education levels （P=0.008, P=0.026）. The compulsory servicemen had higher scores of anxiety, terror and psychosis （P〈0.001, P=0.026, P=0.001） but lower scores of somatization （P〈0.001） compared with the sergeants. Those who suffered from neck discomfort had higher somatization scores （P〈0.001）. Conclusion Some factors involved in psychological stress level of the motor transport soldiers in Military Station C are higher than the norm, suggesting that more attention should be paid to their psychological states by the army administrators and the health management department, especially the only child, new recruits, junior soldiers and those who suffers from somatization discomfort.

关 键 词：高原 汽车运输官兵 心理应激 SCL-90 

分 类 号：E0-051[军事—军事理论]