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目的研究综合心理干预对涉核官兵心理健康状况的影响。方法将90名涉核官兵按疗养的时间和批次随机分为对照组和研究组各45名,对照组采用常规疗养,研究组在此基础上给予综合心理干预(包括团体心理辅导及训练、个体认知干预、行为矫治、宣泄疗法、社会支持等干预措施),比较两组涉核官兵疗养干预前后症状自评量表(SCL-90)因子评分、因子总均分及阳性项目情况。结果①两组涉核官兵疗养干预后SCL-90各因子评分、因子总均分、阳性项目数均有所下降;研究组各观察指标降低有显著性统计学意义(t=3.9526,4.0898,3.9342,3.2503,3.4350,3.5029,3.0494,2.8325,2.8466,3.6485,2.9665;P<0.01),对照组各观察指标变化无统计学意义(t=1.6398,1.8593,1.2378,1.0392,1.7934,1.8318,1.8529,0.7142,0.7892,1.7174,0.5535;P>0.05);②两组涉核官兵在疗养干预前SCL-90各观察指标无统计学差别(t=0.8955,0.9577,0.8731,0.9836,1.1797,0.9555,1.1292,1.1585,1.0586,1.0990,0.8837;P>0.05),疗养干预后研究组各观察指标的改善均优于对照组(t=3.0817,3.7191,4.4447,2.3702,2.4597,2.1631,2.7006,2.4540,2.3717,2.2823,1.7517;P<0.05或P<0.01);③两组涉核官兵阳性指标及阳性人数在疗养干预后均有所下降;研究组降低有统计学意义(χ2=4.9390,4.0500,3.8726,4.1860,7.2827,9.6800;P<0.05或P<0.01),对照组降低无统计学意义(χ2=0.4500,0.9321,0.3351,0.1549,0.5488,0.1235,0.000,0.7200,0.6527;P>0.05)。结论综合心理干预可提高涉核官兵整体心理健康水平,并可有效的改善涉核官兵各种心理问题症状。
Objective To study the effect of comprehensive psychological intervention on the mental health status of officers and soldiers involved in nuclear industry. Methods Ninety-four officers and soldiers involved in the nuclear medicine were randomly divided into control group and study group with 45 in each group. The control group was treated with conventional therapy. The research group was given comprehensive psychological intervention (including group counseling and training, Individual cognitive intervention, behavioral correction, catharsis therapy and social support intervention). The SCL-90 score, total factor score and positive items before and after the intervention were compared between the two groups. Results ①The scores of SCL-90, the total factor score and the number of positive items decreased after the two groups of interventional officers and soldiers intervened in the treatment group. There was a significant statistical difference in the observation indexes in the two groups (t = 3.9526,4.0898,3.9342 , 3.2503,3.4350,3.5029,3.0494,2.8325,2.8466,3.6485,2.9665; P <0.01). There was no significant difference in the control group (t = 1.6398,1.8593,1.2378,1.0392,1.7934,1.8318,1.8529,0.7142 , 0.7892,1.7174,0.5535; P> 0.05); ②The two groups of nuclear officers and soldiers in the intervention before intervention of SCL-90 each index no significant difference (t = 0.8955,0.9577,0.8731,0.9836,1.1797,0.9555,1.1292,1.1585 , 1.0586,1.0990,0.8837; P> 0.05). After treatment, the improvement of each observation group in the study group was better than that in the control group (t = 3.0817,3.7191,4.4447,2.3702,2.4597,2.1631,2.7006,2.4540,2.3717,2.2823, 1.7517; P <0.05 or P <0.01); ③The positive index and positive number of both officers and men in both groups decreased after the intervention; the study group had a significant decrease (χ2 = 4.9390,4.0500,3.8726,4.1860,7.2827 , 9.6800; P <0.05 or P <0.01), but no significant difference in the control group (χ2 = 0.4500,0.9321,0.3351,0.1549,0.5488,0.1235,0.000,0.7200,0.6 527; P> 0.05). Conclusion Comprehensive psychological intervention can improve the overall psychological health of the officers and men involved in the nuclear industry and effectively improve the psychological symptoms of the officers and soldiers involved in the nuclear industry.