4460例高应激救援人员焦虑状况及其影响因素分析  

Across sectional survey of anxiety and its risk factors in 4460 high stress rescuers

作　　者：栾恒钰 李琼轩 晏黎 孙媛媛[2] 弓儒芳[2] 路晓光 李东尧 梁书锋 陈巧[2] 赛晓勇[2] LUAN Hengyu;LI Qiongxuan;YAN Li;SUN Yuanyuan;GONG Rufang;LU Xiaoguang;LI Dongyao;LIANG Shufeng;CHEN Qiao;SAI Xiaoyong(School of Public Health,Xinxiang Medical University,Xinxiang Henan 453003,China;不详)

机构地区：[1]新乡医学院公共卫生学院,河南新乡453003 [2]解放军总医院研究生院统计学与流行病学教研室,北京100853

出　　处：《中国急救复苏与灾害医学杂志》2023年第8期1021-1024,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：军队科学技术委员会基础加强计划技术领域基金(编号:2021-JCJQ-JJ-0528);首都临床特色应用研究(编号:Z181100001718007)。

摘　　要：目的探索救援人员引起焦虑状况的相关危险因素和保护因素,为救援人员可能出现的焦虑状况进行精准防控和早期干预提供参考依据。方法采用横断面研究设计,使用焦虑自评量表、心理韧性量表简化版对4460名救援人员进行整群抽样调查,运用Logistic回归分析焦虑的相关影响因素。结果该部救援人员的焦虑发生率为1.9%;二元Logistic回归分析显示,性别(OR=11.434,95%CI:4.664~28.033)、年龄(OR=1.09,95%CI:1.024~1.161)、饮酒(OR=3.054,95%CI:1.703~5.479)、精神疾病家族史(OR=7.236,95%CI:1.408~37.195)、心理韧性(OR=0.958,95%CI:0.945~0.971)等因素对焦虑有显著影响(P<0.05),基于SAS的ROC曲线下面积(AUC)=0.8142,95%CI:0.774~0.855,特异性0.647,敏感性0.857。结论该部救援人员发生焦虑状况与性别、年龄、饮酒、精神疾患家族史、心理韧性等相关,应针对女性、年龄较大、饮酒及存在精神疾患家族史等的救援人员进行重点防控,以提高焦虑防治效果。Objective To explore the related risk factors and protective factors of anxiety in military rescue workers,and to provide reference for accurate prevention and early intervention of possible anxiety in rescue workers.Methods A cross-sectional study was conducted in 4460 military rescue workers by cluster sampling using selfrating anxiety scale(SAS)and Connor-Davidson Resilience Scale(CD-RISC).Logistic regression was used to analyze the related factors of anxiety.Results The incidence of anxiety in rescue workers was 1.9%.Binary Logistic regression analysis showed that gender(OR=11.434,95%CI:4.664-28.033),age(OR=1.09,95%CI:1.024-1.161),drinking(OR=3.054,95%CI:4.664-28.033),drinking(OR=3.054,95%CI:4.664-28.033),drinking(OR=3.054,95%CI:1.703-5.479),family history of mental illness(OR=7.236,95%CI:1.408-37.195),resilience(OR=0.958,95%CI:0.945-0.971)and other factors had significant influence on anxiety(P<0.05).The area under the ROC curve(AUC)based on SAS was 0.8142,95%CI was(0.774,0.855),specificity was 0.647,and sensitivity was 0.857.Conclusion Gender,age,drinking,family history of mental disorders and mental resilience are related to anxiety in rescue workers.Prevention and control should be focused on female,older age,drinking and family history of mental disorders in rescue workers to improve the effect of prevention and control of anxiety.

关 键 词：高应激 焦虑 心理韧性 横断面调查 救援人员 

分 类 号：R794.41[医药卫生—临床医学]