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目的:了解高原军人对生活事件的主观评价,并分析其与自测健康状况的关系。方法:于2004-07/2004-08采用随机整群抽样法,选择驻西藏某部队男性官兵490人,应用生活事件量表和自测健康评定量表进行调查。自测健康评定量表由许军编制,由10个维度48个条目组成,包括个体健康的生理、心理和社会3个子量表。生活事件量表包括26个条目,每个条目评价从没有影响到严重影响,采用0～4的5级评分法,经因素分析提取适应因子、人际因子、突发事件因子、工作环境因子、前途因子5个因子。对生活事件评价的平均分越高表明相应生活事件对其影响程度越大。在调查过程中由观察对象独立完成测试。主要记录高原军人生活事件量表的适应因子、人际因子、突发事件因子、工作环境因子和前途因子分以及总均分。同时按照生活事件量表项目:生活事件对精神影响程度(轻度、中度和重度影响)的主观评价不同来分组,比较对生活事件主观评价不同的高原军人的自测健康量表总分、生理、心理及社会3个子量表分,并进行生活事件主观评价与自测健康的相关分析。结果:发放问卷490份,调查后共获回答完整、规范合格问卷485份,有效率为99.0%。①对高原军人影响较大的生活事件是来自适应因子、人际因子和工作环境因子,其评分依次为(1.32±0.72),(1.07±0.86),(1.02±0.73)分。②对生活事件主观评价不同的3组高原军人自测健康子量表得分和总分差异均有显著性意义[生理健康:(8.13±0.97),(7.67±0.97),(7.53±1.04)分,F=14.615,P<0.01];[心理健康:(7.00±1.40),(5.85±1.43),(5.52±1.28)分,F=42.610,P=0.000];[社会健康:(7.00±1.39),(6.63±1.40),(6.53±1.88)分,F=9.288,P=0.000];[总分:(7.44±1.00),(6.71±1.00),(6.57±0.93)分,F=32.728,P=0.000]。③高原军人对生活事件的主观评价得分与自测健康3个子量表得分和总分显著负相关(r=-0.235～-0.445,P<0.01)。结论:对高原军人影响较大的生活事件是来自适应、人际关系和工作环境,高原军人对生活事件的主观评价对其自测健康状况有显著影响,可以通过转变认知态度来提高其健康水平。
Objective: To understand the subjective evaluation of life events by servicemen in plateau and to analyze their relationship with self-rated health status. METHODS: From July 2004 to August 2004, a random cluster sampling method was used to select 490 male officers and men of a certain unit in Tibet. The life event scale and self-rated health assessment scale were used to investigate. Self-rated health assessment scale prepared by Xu Jun, composed of 10 dimensions 48 entries, including individual health, psychology and social three subscales. The life event scale consists of 26 items, each of which has never affected the serious impact. The 5-point scale of 0 ~ 4 is adopted to extract the factors of adaptation, interpersonal, emergency, work environment, and future through factor analysis Factor 5 factors. The higher average score of life events indicates that the greater the impact of life events on them. In the course of the investigation by the observer independently completed the test. Mainly record the adaptation factors, interpersonal factors, emergency factors, working environment factors and future factors of the Plateau Soldiers’ Life Events Scale and the total average scores. At the same time, according to the life event scale item: subjective appraisal of life impact on mental extent (mild, moderate and severe impact), the self-rated health scale total score of plateau soldiers with subjective evaluation of life events was compared, Physical, psychological and social sub-subscales, and subjective evaluation of life events and self-test of health related analysis. Results: 490 questionnaires were distributed. After investigation, a total of 485 responses were obtained. The effective rate was 99.0%. (1) The life events that had a great impact on the plateau military personnel were factors of adaptation factor, interpersonal factor and work environment. The scores were (1.32 ± 0.72), (1.07 ± 0.86) and (1.02 ± 0.73) points respectively. (2) There were significant differences in subjective self-rated health subscale score and total score among 3 subgroups of subjective evaluation of life events [Physiological health: (8.13 ± 0.97), (7.67 ± 0.97), (7.53 ± 1.04) points , F = 14.615, P <0.01]; [Mental health: (7.00 ± 1.40), (5.85 ± 1.43), (5.52 ± 1.28), F = 42.610, P = 0.000]; [Social health: (7.00 ± 1.39 (6.63 ± 1.40), (6.53 ± 1.88), F = 9.288, P = 0.000]; [Total score: 7.44 ± 1.00, 6.71 ± 1.00, 6.57 ± 0.93, F = 32.728 , P = 0.000]. (3) There was a significant negative correlation between subjective evaluation scores of life affair soldiers and self-rated health subscale scales and total scores (r = -0.235-0.445, P <0.01). CONCLUSION: The life events that have a great impact on plateau military personnel come from adaptation, interpersonal relationship and working environment. The subjective evaluation of life events on plateau military personnel has a significant impact on their self-rated health status, which can be improved by changing their cognitive attitude .