Objective To investigate the psychological stress level and its influence factors of the motor transport soldiers in Military Station C at high altitude, and provide the data basis for the proper stress management. Methods A cluster random sampling was performed on the motor transport soldiers in Military Station C. And SCL-90 were adopted to measure the psychological stress level of the motor transport soldiers while the self-made basic information questionnaire was conducted to collect the information of demographic characteristic, length of military service, driving years. Then the effect of basic information on the psychological stress level was analyzed. Results 1 692 soldiers in Military Station C were enrolled in this survey. The scores of somatization, depression, psychosis and the total score of the SCL-90 of these soldiers were higher than the norm (allP values<0.001). The scores of interpersonal relationship, depression, terror and stubborn of the only child were higher than those of non-only-child (P=0.034,P=0.039,P=0.025,P=0.002). The scores of interpersonal relationship and anxiety were positively correlated with their education levels (P=0.008,P=0.026). The compulsory servicemen had higher scores of anxiety, terror and psychosis (P<0.001,P=0.026,P=0.001) but lower scores of somatization (P<0.001) compared with the sergeants. Those who suffered from neck discomfort had higher somatization scores (P<0.001). Conclusion Some factors involved in psychological stress level of the motor transport soldiers in Military Station C are higher than the norm, suggesting that more attention should be paid to their psychological states by the army administrators and the health management department, especially the only child, new recruits, junior soldiers and those who suffers from somatization discomfort.
目的:了解汶川大地震自然災難對幸存者心理健康狀況的影響。方法:在地震發生后1月內采用SCL-90對地震災區幸存者進行心理健康狀況評估。結果:SCL-90各因子分中,軀體化、抑郁、焦慮及敵對因子災區幸存者均高于常模,其余各因子災區幸存者均低于常模;男性、女性之間和不同文化程度之間比較, SCL-90總均分及各因子分差異均無統計學意義(P均gt;0.05);不同居住地之間比較,軀體化、恐怖和偏執因子差異有統計學意義。 其中,軀體化癥狀中,居住農村者均分最高(2.06±1.23),其次為山區幸存者(1.75±0.47),城市幸存者最輕(1.63±0.51)(P= 0.042),而在恐怖、偏執因子分中,居住山區者最高(1.36±0.68;1.59±0.79),其次為農村(1.15±0.39;1.34±0.45),城市最低(1.07±0.30;1.25±0.35)(P均= 0.015)。結論:特大地震自然災難給幸存者造成的心理創傷很普遍,需要對幸存者進行及時的心理危機干預,政府衛生部門在制定救援政策時有必要納入心理危機干預計劃。