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目的探讨赴黎巴嫩维和卫勤保障人员心理健康状况及影响因素,为心理健康教育提供依据。方法应用相关因素问卷、症状自评量表(SCL-90)、自我和谐量表(SCCS)、状态-特质焦虑问卷(STAI)、应对方式问卷对54名赴黎巴嫩维和卫勤保障人员进行集中测试。结果①维和卫勤保障人员SCL-90总分及躯体化、强迫、人际关系、焦虑、敌对性、精神病性因子分显著低于中国军人常模(P﹤0.01或P﹤0.05)。SCCS总分与中国军人常模比较差异无统计学意义(P﹥0.05),自我与经验的不和谐、自我的灵活性、自我的刻板性3个维度因子分均显著低于中国军人常模(P﹤0.01或P﹤0.05)。状态焦虑、特质焦虑分与国内常模比较差异无统计学意义(P﹥0.05)。②维和卫勤保障人员SCL-90总分及各因子分与不成熟及混合性应对方式(自责、幻想、退避、合理化)呈显著正相关,与求助因子分无显著相关性;除精神病性因子分外,SCL-90总分及其他各因子分与解决问题因子分呈显著负相关。SCL-90除躯体化外其他各因子分及总分与SCCS总分、自我与经验的不和谐因子分呈显著正相关;SCL-90总分及各因子分与状态、特质因子分呈显著正相关。③多元线性逐步回归分析显示,影响SCL-90总分的主要因素依次为:自责、退避、状态焦虑、SCCS总分。4个变量的决定系数R2=0.43,对方程检验,F=15.11,P=0.00。结论维和卫勤保障人员整体心理健康状况良好;减少不成熟应对方式,保持适度可控焦虑水平,有利于进一步提高维和军人自我和谐度及心理健康水平。
Objective To explore mental health status and influencing factors of medical personnel in peacekeeping support in Lebanon and provide basis for mental health education. Methods A total of 54 peacekeepers in Lebanon were enrolled in the study using the relevant factors questionnaire, the SCL-90, the SCCS, the STAI and the coping style questionnaire. . Results ① The scores of SCL-90 and the factors of somatization, obsessive-compulsive disorder, interpersonal relationship, anxiety, hostility and psychosis in the staff of peacekeeping medical service were significantly lower than those of the Chinese military (P <0.01 or P <0.05). There was no significant difference between the SCCS total score and Chinese norm (P> 0.05), the self-experience discordance, self-flexibility and self-stereotyping were all significantly lower than those of the Chinese military P <0.01 or P <0.05). There was no significant difference in status anxiety, trait anxiety scores and domestic norm (P> 0.05). (2) There was a significant positive correlation between SCL-90 total score and each factor and immature and mixed coping styles (self-blame, fantasy, evasion and rationalization) in peacekeeping medical support staff and no significant correlation with seeking help factor. In addition to psychotic In addition to the factors, SCL-90 total score and other factors were significantly negatively correlated with the problem-solving factors. In addition to somatization, SCL-90 scores and total scores were significantly and positively correlated with SCCS total scores, self-experience and disharmony factors; SCL-90 total score and each factor score and status, trait factor score was significantly positive Related. ③ Multiple linear stepwise regression analysis showed that the main factors affecting the SCL-90 total score were: self-blame, withdrawal, state anxiety, SCCS score. The determination coefficient of four variables R2 = 0.43, the equation test, F = 15.11, P = 0.00. Conclusions The overall mental health status of peacekeeping medical staff is good. Reducing immature coping styles and maintaining moderately controlled anxiety levels are beneficial to further improving the self-consistency and mental health of peacekeepers.