中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2009年
3期
162-166
,共5页
张理义%宋梓祥%李光耀%涂德华%徐志熊
張理義%宋梓祥%李光耀%塗德華%徐誌熊
장리의%송재상%리광요%도덕화%서지웅
自然灾害%精神卫生%救援作业%医务人员%精神疾病预测量表
自然災害%精神衛生%救援作業%醫務人員%精神疾病預測量錶
자연재해%정신위생%구원작업%의무인원%정신질병예측량표
Natural disasters%Mental health%Rescue work%Medical staffs%Mental disorders predictive scale
目的 探讨汶川地震灾区一线医务救援人员的心理健康变化特点及其相关因素.方法 使用精神疾病预测量表(MDPS)对参加抗震救灾的一线医务救援人员(136名,研究组)和未参加本次抗震救灾的医务人员(274名,对照组)进行心理测试.结果 研究组MDPS总分及成长经历、精神病性、抑郁、跺狂因子等评分上均明显高于对照组(t=2.299～5.301,P<0.01～0.05).研究组中低年龄(<35岁)者的成长经历、心理防御不良、精神病性及人格偏移因子分明显高于高年龄(≥35岁)者(t=2.028～3.602,P<0.01～0.05),而个性内向因子分则明显低于高年龄者(t=——4.429,P<0.01);女性的总分及心理防御不良、精神病性、神经症因子分明显高于男性(t=2.422～5.079,P<0.01～0.05),社会支持缺乏因子分明显低于男性(t=-2.526,P<0.05);未婚者心理防御不良、精神病性、抑郁、神经症因子分明显高于已婚者(t=1.982～2.801,P<0.01～0.05),既往及家族史、个性内向因子分明显低于已婚者(t=-2.077～-4.257,P<0.01～0.05);护士的总分及心理防御不良、抑郁、神经症因子分明显高于医生(t=2.563～4.241,P<0.01～0.05).研究组精神障碍危险因子与精神障碍症状因子密切相关(r=-0.294～0.522).影响研究组心理健康的主要因素为心理防御不良、文化程度、社会支持缺乏、婚姻等,解释了总体方差的64.6%～84.6%.结论 汶川地震灾区一线医务救援人员的心理健康受到一定程度损害,尤以低龄者、女性、未婚者及护士的心理健康问题突出.
目的 探討汶川地震災區一線醫務救援人員的心理健康變化特點及其相關因素.方法 使用精神疾病預測量錶(MDPS)對參加抗震救災的一線醫務救援人員(136名,研究組)和未參加本次抗震救災的醫務人員(274名,對照組)進行心理測試.結果 研究組MDPS總分及成長經歷、精神病性、抑鬱、跺狂因子等評分上均明顯高于對照組(t=2.299～5.301,P<0.01～0.05).研究組中低年齡(<35歲)者的成長經歷、心理防禦不良、精神病性及人格偏移因子分明顯高于高年齡(≥35歲)者(t=2.028～3.602,P<0.01～0.05),而箇性內嚮因子分則明顯低于高年齡者(t=——4.429,P<0.01);女性的總分及心理防禦不良、精神病性、神經癥因子分明顯高于男性(t=2.422～5.079,P<0.01～0.05),社會支持缺乏因子分明顯低于男性(t=-2.526,P<0.05);未婚者心理防禦不良、精神病性、抑鬱、神經癥因子分明顯高于已婚者(t=1.982～2.801,P<0.01～0.05),既往及傢族史、箇性內嚮因子分明顯低于已婚者(t=-2.077～-4.257,P<0.01～0.05);護士的總分及心理防禦不良、抑鬱、神經癥因子分明顯高于醫生(t=2.563～4.241,P<0.01～0.05).研究組精神障礙危險因子與精神障礙癥狀因子密切相關(r=-0.294～0.522).影響研究組心理健康的主要因素為心理防禦不良、文化程度、社會支持缺乏、婚姻等,解釋瞭總體方差的64.6%～84.6%.結論 汶川地震災區一線醫務救援人員的心理健康受到一定程度損害,尤以低齡者、女性、未婚者及護士的心理健康問題突齣.
목적 탐토문천지진재구일선의무구원인원적심리건강변화특점급기상관인소.방법 사용정신질병예측량표(MDPS)대삼가항진구재적일선의무구원인원(136명,연구조)화미삼가본차항진구재적의무인원(274명,대조조)진행심리측시.결과 연구조MDPS총분급성장경력、정신병성、억욱、타광인자등평분상균명현고우대조조(t=2.299～5.301,P<0.01～0.05).연구조중저년령(<35세)자적성장경력、심리방어불량、정신병성급인격편이인자분명현고우고년령(≥35세)자(t=2.028～3.602,P<0.01～0.05),이개성내향인자분칙명현저우고년령자(t=——4.429,P<0.01);녀성적총분급심리방어불량、정신병성、신경증인자분명현고우남성(t=2.422～5.079,P<0.01～0.05),사회지지결핍인자분명현저우남성(t=-2.526,P<0.05);미혼자심리방어불량、정신병성、억욱、신경증인자분명현고우이혼자(t=1.982～2.801,P<0.01～0.05),기왕급가족사、개성내향인자분명현저우이혼자(t=-2.077～-4.257,P<0.01～0.05);호사적총분급심리방어불량、억욱、신경증인자분명현고우의생(t=2.563～4.241,P<0.01～0.05).연구조정신장애위험인자여정신장애증상인자밀절상관(r=-0.294～0.522).영향연구조심리건강적주요인소위심리방어불량、문화정도、사회지지결핍、혼인등,해석료총체방차적64.6%～84.6%.결론 문천지진재구일선의무구원인원적심리건강수도일정정도손해,우이저령자、녀성、미혼자급호사적심리건강문제돌출.
Objective To explore the mental health characters and correlation factors of medical staffs who participated in the rescue work in Sichuan. Methods Altogether 136 medical staffs took part in the rescue work( experimental group) and 274 not in the rescue (control group) were investigated with the Mental Disorders Predictive Scale(MDPS). Results For the total score and factor scores such as growth experience, psychosis, depress, mania, the experimental group were significandy higher than the control group (P <0. 01 -0. 05). The factor scores of growth experience, unhealthy mental defense, psychosis and personality disturbance of the younger medical staffs were obviously higher than those of the elder ( P <0. 01 -0. 05 ), while the score of introversion was lower ( P < 0. 01 ). The total score and factor scores of unhealthy mental defense, psychosis and neurosis of the female medical staffs were notably higher than those of the male ( P <0. 01 -0. 05 ), whereas the score of lack of social support was lower (P < 0. 05 ). The factor scores of unhealthy mental defense, psychosis, depress and neurosis of the unmarried medical staffs were higher than those of the married ( P < 0. 01 - 0. 05 ), however the scores of past and family history and introversion were lower (P < 0. 01 - 0. 05 ). The total score and factor scores of unhealthy mental defense,depression and neurosis of the nurses were higher than those of the doctors (P<0. 01 -0. 05). Risk factors were significantly correlated with symptom factors, the correlation coefficients ranged from -0. 294 to 0. 522. Unhealthy mental defense, educational level, lack of social support and marriage were the main factors which had effect on the mental health of the medical staffs, and explained 64. 6% - 84. 6% of the population variance. Conclusion The mental health of medical staffs, especially the younger, female,unmarried and nurses, are injured certainly during their experience of rescue work.
