执行维和任务军人身心健康和个性与防御方式的相关性

Relativity analysis of physical and mental health status,personality and defence pattern between before and after soldier implementing peacekeeping task of the United Nations

目的通过对身心健康、个性及防御方式的调查,探讨军人执行维和任务时身心保障策略。方法用记名的方式,对378名出国维和军人执行任务前后身心健康、个性和防御方式调查。以EPQ量表中的四个维度和DSQ量表中因子为"自变量",执行任务后SCL-90中的因子均分作为"因变量",进行相关分析。结果执行任务前各项正常。执行任务后患高血压病者3.4%(13/378),窦性心动过速者占1.6%(4/378)。B超提示胆系结石1.1%(6/378)。γ-谷氨酰转肽酶阳性者9.8%(37/378),平均值(50.07±1.93)U/L,碱性磷酸酶阳性者7.7%(29/378),平均值(198.7±14.98)U/L;间接胆红素阳性者19.3%(73/378),平均值(18.7±3.18)μmol/L,低密度脂蛋白胆固醇阳性者16.9%(64/378)平均值(4.32±2.94)mmol/L。尿常规检验尿蛋白"1+"～"±"占6.1%(23/378),变化有统计学差异,无临床意义。情绪的稳定性任务前后比较存在统计学差异(P<0.05),E、P、L量表分无明显变化。执行任务前人际关系敏感、抑郁、焦虑、偏执、精神病性等因子分低于执行任务后,应用成熟防御方式42.7%(161/378),中间防御方式48.6%(184/378),不成熟防御方式8.7%(33/378);执行任务后人际关系敏感、、焦虑、偏执、抑郁等因子分高于军人常模,差异非常显著,应用成熟防御方式41.9%(158/378),中间防御方式49.7%(188/378)不成熟防御方式8.4%(32/378),执行任务前后比较成熟防御方式与掩饰因子分有显著性差异(P<0.05),应用成熟防御方式与不成熟防御方式人数减少,平均值增高,应用中间防御方式任务后人数增多,其平均值增高,但无统计学差异。成熟防御与SCL-90因子分呈负相关,情绪稳定性与抑郁、精神病性呈负相关。情绪稳定性与抑郁、精神病性呈负相关,N、P、不成熟防御、中间防御与SCL-90因子分呈正相关。结论执行任务后健康状况总体良好,对部分身心指标有影响,其生理指标变化与个性、心理状况及其防御方式关系密切。

Objective Through investigating physical and mental health, personality characteristics and defense patterns to explore the physical and psychological protection strategies on military personnel on peacekeeping. Methods By recording name way, to investigation body and psychologically healthy condition, individuality, defense in 378 soldiers who were pre-and post-duty by using EPQ, DSQ and SCL-90. Results Before duty each item had natural.After the implementation hypertension was 3.4%（13/378）, tachycardia accounts for 1.6%（4/378）; The gallbladder had the stone 1.1%（6/378）, r-GGT masculine 9.8%（37/378）, average 50.07±1.93, LDL-C masculine 16.9%（64/378）, average 18.7±3.18,ALP masculine 7.7%（29/378）, average 198.7±14.98, IB masculine 19.3%（73/378）, average 18.7±3.18, LDC-L masculine 16.9%（64/378）, average 4.32±2.94. The urine routinization test in urine protein ＂1＋＂-＂±＂ accounts for 6.1%（23/378）. The changes had statistical significance but not clinical significance. Between before and after duty the emotional stability had significant differences in EPQ （P〈0.05）. Before duty the interpersonal relationship sensitive, despondent, anxious, biased, neurosis and etc, were lower than after duty. In DSQ before and after duty mature defense pattern were 42.7%（161/378）, 41.9%, by nonmature way were 8.7%（33/378） and 8.4%（32/378）, by middle defense way were 48.6%（184/378） and 49.7%（188/ 378） respectively. Mature recovery pattern and the SCL-90 factor had negative correlation, the mood stability compared with despondent, neurosis there were the negative correlation; N, P, non-mature pattern compared with SCL-90 factor there were positive correlation. Conclusion The peacekeeping duty has the response to the serviceman mind and body, but their health conditions still better in general; the changes of their physical indexes are closely related with personality, mental status and defense patterns.