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目的:调查了解驻高原地区武警某部官兵的心身健康水平,并分析其影响因素。方法:随机整群抽取高原地区某部武警官兵492例为观察组,平原地区某部武警官兵526例为对照组,采用中国军人心身健康量表、军人社会支持量表、自尊量表及一般自我效能感量表,对驻高原地区武警官兵的心身健康水平进行测评,并与平原地区武警官兵比较。结果:观察组肌肉骨骼症状、呼吸系统症状、心血管症状、神经系统症状、消化系统症状、生殖泌尿症状、睡眠状态、情绪状态、焦虑状态、行为状态、情感状态、语言状态、躯体化症状、心理症状及心身健康等因子分值,均非常显著高于对照组(P<0.01)。Pearson相关分析结果显示,社会支持与心理症状、躯体化症状和心身健康呈非常显著正相关(P<0.01);自我效能感与心理症状、躯体化症状和心身健康呈非常显著负相关(P<0.01);自尊与心理症状呈显著负相关(P<0.05)。多元逐步回归分析结果显示,社会支持和自我效能感进入以心身健康为因变量的回归方程(P<0.05)。结论:高原地区武警官兵心身健康水平低于平原地区武警官兵,社会支持和自我效能是驻高原武警官兵心身健康的影响因素。
Objective: To investigate and understand the mental and physical health of officers and soldiers in a certain armed police located in the plateau area and to investigate the influencing factors. Methods: A total of 492 cases of armed police officers and soldiers were selected as the observation group from a random group. 526 officers and soldiers of a certain armed police in the plain region were used as control group. The Chinese military psychosomatic health scale, military social support scale, self-esteem scale and general self- Efficacy scale, to assess the mental and physical health of armed police officers and soldiers stationed in the plateau area, and compared with the armed police officers and soldiers in the plain areas. Results: The musculoskeletal symptoms, respiratory symptoms, cardiovascular symptoms, nervous system symptoms, digestive system symptoms, genitourinary symptoms, sleep states, emotional states, anxiety states, behavioral states, emotional states, verbal states, somatization symptoms, Psychological symptoms and physical and mental health scores were significantly higher than the control group (P <0.01). Pearson correlation analysis showed that there was a significant positive correlation between social support and psychological symptoms, somatization symptoms and mental health (P <0.01). There was a significant negative correlation between self-efficacy and psychological symptoms, somatization symptoms and mental health (P < 0.01). There was a significant negative correlation between self-esteem and psychological symptoms (P <0.05). Multiple stepwise regression analysis showed that social support and self-efficacy entered the regression equation with psychosomatic health as the dependent variable (P <0.05). Conclusion: The mental and physical health of armed police officers and soldiers in the plateau area is lower than that of the armed police officers and soldiers in plain areas. The social support and self-efficacy are the influencing factors of the mental and physical health of the armed police officers and soldiers in the plateau area.