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目的:观察心理干预对寒区边防部队新兵集训期心理健康水平的影响。方法:选择寒区边防部队新兵420例,随机分为对照组220例和心理干预组(观察组)200例。采用症状自评量表(SCL-90)对其心理健康水平进行测评、监测部分生理指标,并分析比较其差异。结果:集训前,两组SCL-90总分及各因子分值均差异不显著(P>0.05)。集训后,对照组阳性项目数、躯体化、强迫症状、人际关系敏感、焦虑及SCL-90总分分值显著或非常显著多(高)于集训前(P<0.05,P<0.01);观察组阳性项目数、躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对及SCL-90总分分值显著或非常显著少(低)于集训前(P<0.05,P<0.01),同时非常显著少(低)于对照组集训后(P<0.01)。集训前,两组血液指标差异不显著(P>0.05);集训后,观察组血红蛋白、乳酸、全血黏度高切、全血黏度低切、血浆黏度等指标显著或非常显著低于集训前(P<0.05,P<0.01),同时显著或非常显著低于对照组集训后(P<0.05,P<0.01)。两组脉搏、呼吸、血压水平集训前后均在正常范围。结论:心理干预可有效提高新兵集训期的心理健康水平。
Objective: To observe the effect of psychological intervention on mental health level of recruits from frontier defense forces in cold area. Methods: A total of 420 recruits from the Frontier Defense Corps were selected and randomly divided into control group (220 cases) and psychological intervention group (observation group). The self-rating Symptom Scale (SCL-90) was used to measure the mental health level, some physiological indicators were monitored, and the differences were analyzed. Results: Before training, the scores of SCL-90 and scores of each factor in two groups were not significantly different (P> 0.05). After training, the number of positive items, somatization, obsessive-compulsive disorder, interpersonal sensitivity, anxiety and the total score of SCL-90 in control group were significantly (or significantly) significantly higher than those before training (P <0.05, P <0.01) The scores of positive items, somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility and the total scores of SCL-90 were significantly lower than those before training (P <0.05, P <0.01) Very significantly less (low) after training in the control group (P <0.01). Before training, the indexes of blood in the two groups were not significantly different (P> 0.05). After training, the indices of hemoglobin, lactate, whole blood viscosity, low whole blood viscosity and plasma viscosity in observation group were significantly or very significantly lower than those before training P <0.05, P <0.01), while significantly lower than that of the control group (P <0.05, P <0.01). Two groups of pulse, respiration, blood pressure training before and after training in the normal range. Conclusion: Psychological intervention can effectively improve the psychological health of recruits during training camp.