CAJ | 학술논문

目的探讨汶川抗震救援官兵心身健康与社会支持及相关因素的关系,并进行心理干预效果的评价.方法采用随机整群取样法,抽取152名参加汶川救援官兵和139名非救援官兵进行简易心身健康调查表和社会支持量表测查,并对有明显心身问题者进行相应的心理干预或药物治疗.结果抗震救援官兵与未参加救援军人在躯体症状、心理症状、心身健康和社会支持各总分的得分为(4.09±4.70)分,(2.18±3.16)分,(6.27±7.08)分,(6.14±4.20)分和(2.11±4.16)分,(1.37±3.09)分,(3.47±6.55)分,(4.57±4.17)分,均差异有显著性(P＜0.05).救援官兵的躯体症状与心理症状呈明显的正相关,r为0.17～0.52(P＜0.01或P＜0.05).社会支持缺乏与心理症状呈正相关,r为0.18～0.40(P＜0.01或P＜0.05).影响救援官兵心身健康的主要因素是社会支持缺乏;救援官兵躯体症状发生率较心理症状发生率高,经心理及药物干预可收到较好的效果.结论抗震救援官兵心身健康受到不同程度的损害;支持性心理干预及药物治疗可获好的效果.
목적 탐토문천항진구원관병심신건강여사회지지급상관인소적관계,병진행심리간예효과적평개.방법 채용수궤정군취양법,추취152명삼가문천구원관병화139명비구원관병진행간역심신건강조사표화사회지지량표측사,병대유명현심신문제자진행상응적심리간예혹약물치료.결과 항진구원관병여미삼가구원군인재구체증상、심리증상、심신건강화사회지지각총분적득분위(4.09±4.70)분,(2.18±3.16)분,(6.27±7.08)분,(6.14±4.20)분화(2.11±4.16)분,(1.37±3.09)분,(3.47±6.55)분,(4.57±4.17)분,균차이유현저성(P＜0.05).구원관병적구체증상여심리증상정명현적정상관,r위0.17～0.52(P＜0.01혹P＜0.05).사회지지결핍여심리증상정정상관,r위0.18～0.40(P＜0.01혹P＜0.05).영향구원관병심신건강적주요인소시사회지지결핍;구원관병구체증상발생솔교심리증상발생솔고,경심리급약물간예가수도교호적효과.결론 항진구원관병심신건강수도불동정도적손해;지지성심리간예급약물치료가획호적효과.
Objective To investigate the relationship between the anti-earthquake military rescuers' psychosomatic health and social support, and observe the effect of intervention to the army men who suffered troubles.Methods By cluster random sampling, 152 military rescuers and 139 army men not taking part in the rescues were investigated by Facility Psychosomatic Health Scale and Social Support Rating Scale. Mental intervention or medication was performed to those produced psychosomatic health. Results The scores of somatic symptoms,mental status,psychosomatic health and social support of military rescuers and the control group were (4.09±4.70) ,(2.18 ±3.16) ,(6.27 ±7.08) ,(6.14 ±4.20) and (2.11 ±4.16) ,(1.37 ±3.09),(3.47 ±6.55),(4.57 ± 4.17 )respectively, the difference was significant(P＜0.05). The somatic symptoms had significantly positive correlation with mental status in military rescuers (r=0.17～0.52, P＜ 0.05 or 0.01 ). Failure of social support had positive correlation with mental disorders (r=0.18～0.40, P＜0.05 or 0.01). The degree of social support was the main factor which had affected on the psychosomatic health of military rescuers. The somatic symptoms of military rescuers were apparently higher than their mental symptoms. Mental and pharmaceutical intervention showed good effect on them. Conclusion There is an apparent effect for military rescuers injured seriously psychosomatic health through medication or mental intervention.