中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2011年
1期
31-33
,共3页
杨昌燕%曹云飞%叶汉深%詹道成%吕信东
楊昌燕%曹雲飛%葉漢深%詹道成%呂信東
양창연%조운비%협한심%첨도성%려신동
水面舰艇%远航%心理健康状况
水麵艦艇%遠航%心理健康狀況
수면함정%원항%심리건강상황
Surface naval vessel%Prolonged deployment%Mental health status
目的 研究水面舰艇长远航期间舰员的心理状况变化情况,为制定合理的心理卫生保健措施提供依据.方法 采用症状自评量表(SCL-90),分别于出航前7 d和出航第77、142、204天时,对执行远航任务的某水面舰艇官兵进行"重复性横断面"团体问卷抽样调查分析,并与中国军人常模作比较.结果 出航前舰员的群体心理状况良好,SCL-90总均分和多项因子分值均明显低于军人常模值(P＜0.05);出航第77天舰员的SCL-90总均分、躯体化、敌对性、偏执、其他因子均分都高于出航前水平(P＜0.05),其中敌对性和偏执因子分明显高于军人常模值(P＜0.01).出航第142天和204天,舰员SCL-90总均分和各因子分值明显回落,仅"其他"因子项均分仍显著高于出航前(P＜0.01).SCL-90筛查阳性率比较显示,出航第77天(15.1%)和出航第204天(20.0%)均明显高于出航前(2.4%)(P＜0.01),而出航第142天(7.7%)与出航前相比差异无统计学意义(P＞0.05).结论 舰员的群体心理状态在长远航早期明显低落,而在中后期经调整适应后趋于常态化;但舰员的个体心理状态在后期出现了明显的分化趋势.
目的 研究水麵艦艇長遠航期間艦員的心理狀況變化情況,為製定閤理的心理衛生保健措施提供依據.方法 採用癥狀自評量錶(SCL-90),分彆于齣航前7 d和齣航第77、142、204天時,對執行遠航任務的某水麵艦艇官兵進行"重複性橫斷麵"糰體問捲抽樣調查分析,併與中國軍人常模作比較.結果 齣航前艦員的群體心理狀況良好,SCL-90總均分和多項因子分值均明顯低于軍人常模值(P＜0.05);齣航第77天艦員的SCL-90總均分、軀體化、敵對性、偏執、其他因子均分都高于齣航前水平(P＜0.05),其中敵對性和偏執因子分明顯高于軍人常模值(P＜0.01).齣航第142天和204天,艦員SCL-90總均分和各因子分值明顯迴落,僅"其他"因子項均分仍顯著高于齣航前(P＜0.01).SCL-90篩查暘性率比較顯示,齣航第77天(15.1%)和齣航第204天(20.0%)均明顯高于齣航前(2.4%)(P＜0.01),而齣航第142天(7.7%)與齣航前相比差異無統計學意義(P＞0.05).結論 艦員的群體心理狀態在長遠航早期明顯低落,而在中後期經調整適應後趨于常態化;但艦員的箇體心理狀態在後期齣現瞭明顯的分化趨勢.
목적 연구수면함정장원항기간함원적심리상황변화정황,위제정합리적심리위생보건조시제공의거.방법 채용증상자평량표(SCL-90),분별우출항전7 d화출항제77、142、204천시,대집행원항임무적모수면함정관병진행"중복성횡단면"단체문권추양조사분석,병여중국군인상모작비교.결과 출항전함원적군체심리상황량호,SCL-90총균분화다항인자분치균명현저우군인상모치(P＜0.05);출항제77천함원적SCL-90총균분、구체화、활대성、편집、기타인자균분도고우출항전수평(P＜0.05),기중활대성화편집인자분명현고우군인상모치(P＜0.01).출항제142천화204천,함원SCL-90총균분화각인자분치명현회락,부"기타"인자항균분잉현저고우출항전(P＜0.01).SCL-90사사양성솔비교현시,출항제77천(15.1%)화출항제204천(20.0%)균명현고우출항전(2.4%)(P＜0.01),이출항제142천(7.7%)여출항전상비차이무통계학의의(P＞0.05).결론 함원적군체심리상태재장원항조기명현저락,이재중후기경조정괄응후추우상태화;단함원적개체심리상태재후기출현료명현적분화추세.
Objective To investigate changes in the nental health status of the ship crew onboard surface naval vessels during a prolonged deployment, so as to provide scientific basis for the development of sound psychological health service measures for the ship crew. Methods Reproducibility and cross - sectional survey were conducted to investigate the emotional status of the ship crew aboard a certain naval surface vessel with symptom check list (SCL-90), 7 days before deployment, and on the 77th, 142nd, and 204th days after deployment during a prolonged ocean - going voyage. The obtained data were compared with the norms of the Chinese servicemen. Results The mental health status of the ship crew was on the whole in good mode before deployment. Total average score and various SCL-90 patterns were obviously lower than the norms of the Chinese servicemen(P＜0. 05 ). On the 77th day after deployment, the psychological state of the ship crew degraded markedly, manifested by the elevation of the SCL-90 total mean score and other scores, such as somatizaion, hostility, crankiness and other factors, when compared with those after deployment( P ＜0. 05 ).Of all the scores, the scores of hostility and crankiness were significantly higher than the norms of the Chinese servicemen( P ＜0. 01 ). Total SCL-90 average score and various factor scores on the 142nd and 204th days after deployment dropped sharply, except that one other factor score of SCL-90 was higher than that before deployment(P ＜0. 01 ). Screening positive rate of SCL-90 indicated that positive rates on the 77th( 15. 1% )and 204th days ( 20% ) were all obviously higher than that of pre - deployment( 2. 4% ) ( P ＜ 0. 01 ). However,no statistical differences could be seen in the scores on 142nd day(7.7% ), when compared with that of predeployment(2. 4% ) ( P ＞ 0. 05 ). Conclusions The psychological status of the ship crew, on the whole,degraded markedly during the initial stage of a prolonged deployment, then, would gradually come to normal with adaptation thereafter. Nevertheless, individual psychological status showed a tendency of obvious differentiation in the late stage of deployment.
