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目的探讨武警医院护士和通信女兵心理健康状况及影响因素。方法采用症状自评量表(SCL-90)、艾森克人格问卷简式量表中国版(EPQ-RSC)、简易应对方式问卷(SCSQ)和社会支持评定量表(SSRS)对武警某医院127名护士和通信女兵进行测查。结果①护士消极应对和EPQ-RSC-P显著高于通信女兵(t=2.353,3.848;P<0.05)。护士积极应对显著高于全国常模(t=2.873,P<0.01),护士和通信女兵消极应对均显著低于全国常模(t=-8.672,-7.452;P均<0.01)。护士和通信女兵EPQ-RSC-P均显著低于全国常模(t=-4.275,-0.345;P均<0.01)。护士EPQ-RSC-E显著高于全国常模(t=2.035,P<0.05),EPQ-RSC-N显著低于全国常模(t=-2.709,P<0.01),护士和通信女兵EPQ-RSC-L均极显著高于全国常模(t=6.608,3.280;P均<0.01);②护士人际敏感、抑郁、敌对、恐怖、偏执均显著低于全国常模(t=-5.784,-2.838,-2.001,-2.612,-2.188;P<0.01或<0.05);③护士和通信女兵客观支持均显著高于全国常模(t=-5.867,3.445;P均<0.01)。通信女兵支持总分显著高于全国常模(t=2.256,P<0.05);④通信女兵消极应对显著低于合同制护士(F=3.342,P<0.05)。通信女兵EPQ-RSC-P显著低于军护和合同制护士(F=8.138,P<0.05)。合同制护士主观支持、支持总分均显著低于军护(F=3.649,5.758,P均<0.05)。合同制护士对支持利用度显著低于军护和通信女兵(F=7.884,P<0.01);⑤护士和通信女兵心理健康的主要影响因素是应对方式和EPQ-RSC-N(t=-3.105,5.773,6.075;P均<0.01)。结论①护士和通信女兵心理健康状况较好,应对方式恰当,人格特征外向稳定,社会支持良好;②护士精神质较通信女兵高,合同制护士应对方式和社会支持方面不如军护和通信女兵;③消极应对和神经质者心理健康状况差。
Objective To explore the mental health status of nurses and communication women in Armed Police Corps and its influencing factors. Methods A total of 95 cases of Chinese Armed Police Forces were recruited by using the SCL-90, EPQ-RSC, SCSQ and SSRS, 127 nurses and communications female soldiers were tested. Results ① nurses negative coping and EPQ-RSC-P was significantly higher than female communication soldiers (t = 2.353,3.848; P <0.05). Nurses responded positively to the national norm (t = 2.873, P <0.01), and negative responses of nurses and communication women were significantly lower than that of national norm (t = -8.672, -7.452; P <0.01). The EPQ-RSC-P of nurses and communication women were significantly lower than the national norm (t = -4.275, -0.345; P <0.01). The EPQ-RSC-E of nurses was significantly higher than that of the national norm (t = 2.035, P <0.05), EPQ-RSC-N was significantly lower than that of the national norm (t = -2.709, -RSC-L were significantly higher than the national norm (t = 6.608,3.280; P <0.01); ② The interpersonal sensitivity, depression, hostility, terror and paranoia of nurses were significantly lower than those of the national norm (t = -5.784, -2.838, -2.001, -2.612, -2.188 respectively; P <0.01 or <0.05). (3) The objective support of female nurses and female soldiers were significantly higher than that of the national norm (t = -5.867, 3.445; P <0.01). The total score of women support for communication was significantly higher than that of the national norm (t = 2.256, P <0.05). The negative coping rate of communication women was significantly lower than that of contract nurses (F = 3.342, P <0.05). Communication female soldiers EPQ-RSC-P was significantly lower than military and contract nurses (F = 8.138, P <0.05). Subjective supportive and supportive scores of contract nurses were significantly lower than that of military support (F = 3.649, 5.758, P <0.05). (P = 0.01); ⑤ The main influencing factors of psychological health of nurses and communication women soldiers were coping style and EPQ-RSC-N (t = -3.105, 5.773, 6.075; P <0.01). Conclusion ① The mental health of nurses and communication women soldiers is better, the coping style is correct, the personality traits are outward-oriented and the social support is good. (2) The mental quality of nurses is not as good as that of female communication soldiers and the coping styles and social support of contract nurses Female soldiers; ③ negative coping and neurotic poor mental health.