驻海岛官兵心身健康与情境特质应对的相关性分析

Correlation of psychosomatic health and situation idiosyncratic coping of army men garrisoned at islands

目的探讨海岛官兵心身健康水平与情景特质应对的关系。方法随机整群抽取并按标准剔除后获得499名海岛官兵列入研究组，615名非海岛官兵作为对照组，采用中国军人心理健康测评仪（TR-09）中的中国军人心身健康量表和军人情境特质应对方式量表进行测评，并分析其影响因素。结果海岛官兵心身健康各因子分较非海岛官兵高（t=7．513～24．028，P〈0．01）；海岛官兵心身健康各因子中精神病性、焦虑、抑郁3个因子分较其他因子分高，心血管及皮肤因子分数较低；除眼和耳、神经系统因子外，大专及大专以上文化官兵的心身健康分数较初中及高中文化官兵低（F=0．526～3．245，P〈0．05）；已婚官兵心身健康较未婚官兵好（t=0．663～2．869，P〈0．05）；军官心身健康分数较士兵与士官高（t=-1．434— -4．381，P〈0．05，心血管系统因子除外）；海岛官兵心身健康分值与积极应对呈负相关（r=-0．065— -0．121，P〈0．05，精神病性因子除外），与消极应对呈正相关（r=0．062～0．067，P〈0．05）。结论海岛官兵心身健康状况较差；高文化、已婚与低职务的海岛官兵心身健康状况较好；积极应对有益于官兵的心身健康，消极应对则起破坏作用。

Objective To explore the correlation between psychosomatic health and situation idiosyncratic coping of army men garrisoned at islands. Methods By randomized cluster sampling, a total of 499 service men garrisoned at islands were designated as experimental group, and 615 service men garrisoned out of islands were as control group. The both groups were assessed by Chinese Military Psychosomatic Health Scale and Chinese Military Situational Characteristics Scale in the Chinese Soldiers Mental Health Evaluation Instrument （TR-09）, and the influencing factors were analyzed. Results The scores of each psychosomatic health factor of service men in experimental group were higher than those in control group （t=7.513-24.028, P〈0.01）. In the service men of experimental group, the scores of psychotic, anxiety and depression were higher than other factors, and the scores of cardiovascular and skin were lower. With exception of the factors of eye-ear and nervous system, the score of psychosomatic health was lower in the service men with college and above educational background than in those with junior and senior school educational background （F=0.526-3.245, P〈0.05）. The psychosomatic health were better in married service men than in unmarried ones （t=0.663-2.869, P〈0.0S）. With exception of the cardiovascular system, the psychosomatic health score was higher in officers than in soldiers and non-commissioned officers （t=-1.434 - -4.381, P〈0.05）. With exception of psychotic factor, the psychosomatic health score in service men garrisoned at islands was negatively related to the active coping style （r=-0.065 - -0.121, P〈0.05）, and positively related to the inactive coping style （r=0.062-0.067, P〈0.05）. Conclusions The psychosomatic health of service men garrisoned at islands is worse. The psychosomatic health of service men with higher educational level, married and low ranked is better. Active coping style is beneficial to psychosomatic health of service men, while inactive coping style plays a damaged role.