北京机关单位体检人群SCL-90测量结果分析

An Analysis of the SCL-90 of the Physical Check-up Population in Administrative Units in Beijing

目的了解体检者的心理健康状态,为心理健康指导及体检护理服务方式的完善提供依据。方法采用症状自评量表(Symptom Checklist-90,SCL-90)(通用型)对489例体检者的心理状态进行自评,并对评定的分值按性别、民族、收入、职业、年龄、婚姻、受教育程度进行比较。结果本组SCL-90得分中10个因子分均显著高于常模(P<0.01);躯体化因子存在性别间差异(P<0.01),躯体化、强迫、偏执因子因教育程度不同呈现的差异有统计学意义(P<0.01)。结论中青年、从事脑力劳动的体检者心理健康水平明显低于中国常模,且在性别及教育程度上存在差异。提示体检护理服务中应强调对该群体的心理调节和指导,尤其关注女性、大专以下学历者的心理。

Objective To understand the mental health status of the physical check-up population, and thus to provide some basis for offering mental health guidance and improving the nursing service for physical check-up. Methods By means of SCL-90, a survey was made with 489 persons who had taken the physical check-up, and then comparisons were made of the self-assessed scores in terms of the sex, nationality, income, occupation, age, marital status and educational background. Results The scores for 10 factors in the SCL-90 were significantly higher than the domestic norm （P〈0.01）, with difference in the somatization factor existing between the two sexes（P〈0.01）, and the differences in the somatization, obsessive-compulsive and paranoid factors between those with different educational backgrounds having statistical significance （P〈0.01）. Conclusion The mental health status of young and middle-aged people, and those doing intellectual work was distinctly worse than the domestic norm, with differences existing in the aspects of sex and educational background. This points to the necessity of paying attention to offering psychological guidance to this population in physical check-up nursing service, especially to females and those with senior college education or lower.