高原武警官兵情绪状态及影响因素分析  

Mood status and its influencing factors of armed police forces in plateau

作　　者：刘清源[1] 孙振学[1] 谭川江[1] 张倩 杨春梅[1] LIU Qingyuan;SUN Zhenxue;TAN Chuanjiang;ZHANG Qian;YANG Chunmei(Outpatient Department of the Head-quarters, General Hospital of Chinese People＇ s Armed Police Force, Beijing 100089, China;Tibet General Hospital of Chinese People＇ s Armed Police Force, Lhasa 850003, China)

机构地区：[1]武警总医院总部机关门诊部,北京100089 [2]武警西藏总队医院,拉萨850003

出　　处：《武警医学》2018年第5期437-440,444,共5页Medical Journal of the Chinese People's Armed Police Force

基　　金：全军十二五重大课题(AWS14J011)

摘　　要：目的探讨入伍时间、海拔高度、焦虑、抑郁和睡眠对高原武警官兵情绪状态的影响。方法采用多阶段随机抽样方法,于2015年4-10月,选取西藏地区的武警官兵共1621名进行横断面调查,采用情绪状态量表(POMS)评价其情绪状态。结果 (1)入伍时间(F=3224.000,P<0.001)、海拔高度(F=1614.000,P<0.001)、焦虑(F=4832.000,P<0.001)、抑郁(F=4832.000,P<0.001)、睡眠(F=1614.000,P<0.001)对情绪状态的紧张-焦虑(T)、忧郁-沮丧(D)、愤怒-敌意(A)、有力-好动(V)、疲惫-惰性(F)、困惑-迷茫(C)六个维度的得分均有明显影响(P<0.001);(2)入伍时间在3~5年的官兵,T、D、F和C四个维度的得分最低,而V维度的得分最高。海拔高度越高,焦虑、抑郁越重、睡眠越差,T、D、A、F、C得分越高,V得分越低;(3)多重线性回归模型结果显示:在调整了年龄、学历、婚姻状况和官兵类别后,入伍时间与V和F得分有关;海拔高度与T、D、A、F和C得分有关,与V得分无关;焦虑程度和睡眠质量与POMS量表的6个维度得分均有关系(P<0.05)。结论入伍3~5年的一期士官情绪状态最好,应作为部队的中坚力量。心理和睡眠干预,是改善武警官兵情绪状态的有效途径。Objective To investigate the mood state of Armed Police Force soldiers on the plateau,and to explore the influence of length of military service,altitude,anxiety,depression and sleep on the mood. Methods A total of 1621 troops were selected using the multi-stage random sampling method from the Tibet Autonomous Region between April 2015 and October 2015 and were given a cross-sectional interview. Their mood status was measured using Profile of Mood State（ POMS）. Results（ 1） The length of service（ F = 3224. 000,P〈0. 001）,altitude（ F = 1614. 000,P〈0. 001）,anxiety（ F = 4832. 000,P〈0. 001）,depression（ F = 4832. 000,P〈0. 001） and sleep（ F = 1614. 000,P〈0. 001） all had significant influence on the mood state,involving tension（ T）,depression（ D）,anger（ A）,vigor（ V）,fatigue（ F） and confusion（ C）（ P〈0. 001）.（ 2） For those who had served in the army for three to five years,the scores of four dimensions-T,D,F and C-were the lowest,while the score of dimension V was the highest. As the altitude was elevated,anxiety and depression deteriorated and sleep got much worse. The score of dimension V showed a negative correlation with the score of dimensions T,D,A,F and C.（ 3） Multiple linear regression model analysis indicated that after excluding the influence of age,levels of education,marital status,and ranks,the length of service was correlated with dimension V and F,the altitude with dimension T,D,A,F and C,but not V,while the degree of anxiety and the quality of sleep were related to the six dimensions of POMS. Conclusions Soldiers who have served for three to five years are in the best mood and should serve as the pillar forces of the army. Psychological and sleep interventions are an effective method for improving the mood state of Armed Police officers.

关 键 词：武警官兵 情绪 情绪状态量表 影响因素 

分 类 号：R824.1[医药卫生—临床医学]