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目的了解骨科病区部队伤病员的心理健康状况,为医护人员对骨科病区部队伤病员及时实施有效的心理健康教育和心理干预提供依据。方法对340名骨科病区的部队伤病员进行症状自评量表SCL-90(Symptom Check List-90,SCL-90)测试,将测试结果进行分析,并与文献中的普通常模和军人常模进行对比性分析。结果与普通常模相比,骨科病区部队伤病员人际关系因子分值无统计学差异(P>0.05),其他各因子分值及总分值、阳性项目数较普通常模高(P<0.01);与军人常模相比,在躯体化、抑郁、焦虑、恐惧分值及阳性项目数上显著高于军人常模(P<0.01),人际关系因子分值低于军人常模(P<0.01),其余因子差别无统计学意义(P>0.05);手术组伤病员在躯体化、抑郁、焦虑、恐惧等因子分值及阳性项目数上显著高于非手术组伤病员(P<0.01),其余因子差别无统计学意义(P>0.05).结论骨科病区部队伤病员心理健康状况整体水平差于普通常模及军人常模,手术伤病员心理健康状况整体水平差于非手术伤病员。
Objective To understand the mental health condition of troops and wounded in the orthopedic ward and to provide evidences for the timely implementation of effective mental health education and psychological intervention by the medical and nursing staff in the orthopedic ward. Methods A total of 340 orthopedic wards were tested for symptom checklist SCL-90 (SCL-90), and the test results were analyzed and compared with the common norm and military Normal mode for comparative analysis. Results Compared with common norm, there was no significant difference in the interpersonal relationship scores among the troops in orthopedic ward (P> 0.05). The score of other factors and the total score, the number of positive items were higher than those of ordinary norm <0.01). Compared with the norm, the numbers of somatization, depression, anxiety, fear scores and positive items were significantly higher than that of the military norm (P <0.01), and the interpersonal factor scores were lower than that of the military norm P <0.01). There was no significant difference in other factors between the two groups (P> 0.05). The scores of somatization, depression, anxiety, fear and other factors in the operation group were significantly higher than those in the non-operation group (P <0.01), and there was no significant difference between the other factors (P0.05) .Conclusion The overall mental health status of military personnel in orthopedic ward is worse than that of ordinary norm and military norm, and the mental health status of patients The level is worse than non-surgical patients.