CAJ | 학술논문

目的：了解健康体检者的心理压力状况。方法应用压力反应量表、压力源量表电脑问卷软件，对2011年1-12月来我院体检中心的6345例体检者进行测试，分析总体得分水平并比较男女间的得分差异。结果（1）77.2%体检者压力正常或压力适中，19.2%压力较大，3.6%压力过大。（2）体检者中，女性压力反应总分高于男性体检者（P=0.000），表现为生理、情绪、认知3方面的压力反应得分均高于男性（P=0.000）。（3）压力源分析结果显示，工作和健康是主要压力源，各占13.3%、12.5%；男性在经济、社交、工作的压力源得分均高于女性（P分别为0.006、0.000、0.000）；而婚恋家庭压力源得分低于女性（P=0.000）；两性在健康压力源得分差异无统计学意义。结论在我院体检中心的体检者中，绝大部分（77%左右）体检者心理压力属于正常范围，但两性的心理压力和生活事件中的压力源存在差别。提示应根据不同性别、压力源的差异，提供心理压力疏导教育和健康指导。
목적：료해건강체검자적심리압력상황。방법응용압력반응량표、압력원량표전뇌문권연건，대2011년1-12월래아원체검중심적6345례체검자진행측시，분석총체득분수평병비교남녀간적득분차이。결과（1）77.2%체검자압력정상혹압력괄중，19.2%압력교대，3.6%압력과대。（2）체검자중，녀성압력반응총분고우남성체검자（P=0.000），표현위생리、정서、인지3방면적압력반응득분균고우남성（P=0.000）。（3）압력원분석결과현시，공작화건강시주요압력원，각점13.3%、12.5%；남성재경제、사교、공작적압력원득분균고우녀성（P분별위0.006、0.000、0.000）；이혼련가정압력원득분저우녀성（P=0.000）；량성재건강압력원득분차이무통계학의의。결론재아원체검중심적체검자중，절대부분（77%좌우）체검자심리압력속우정상범위，단량성적심리압력화생활사건중적압력원존재차별。제시응근거불동성별、압력원적차이，제공심리압력소도교육화건강지도。
Objective To investigate psychological stress in subjects for health examination. Methods A computer-administered version of the Pressure Assessment Rating Scale and Stressor Scale were used to assess psychological stress and stressors of 6 345 subjects in health examination center from January to December of 2011. The total score of stress reaction was analyzed and scores from males and females were compared. Results Of the total, 77.2% of the subjects were with normal or moderate stress, while 22.8%with great stress. Mean value of total score of stress reaction in female subjects were higher than that in male (P=0.000). Mean scores of stress reaction in physiology, emotion, cognition in female subjects were higher than those in male ( P=0.000), respectively. Mean scores in economic, social, job stress reaction in male subjects were higher than those in female subjects( P<0.05), respectively;and mean scores in marriage, love and family in female subjects were higher than those in male ( P=0.000). There was no significant difference of scores between genders in health stress reaction. Conclusion The great majority of subjects are normally stressed or pressured (eustress)but there are different stress and stressors in life events in both genders. Therefore, it is necessary to offer individually psychological assistance and stress management education according to genders and different stressors for males and females respectively.