某装甲部队职业性下腰痛官兵心理状态的分析

The Mental Health State of Armored Force with Occupational Low Back Pain

目的探讨在现代军事训练及作业条件下,患有职业性下腰痛官兵的心理健康状态。方法选取某部官兵正常组150人,下腰痛组120人,采用自编被试官兵基本情况调查表,症状自评量表,应对方式问卷,社会支持评定量表进行测试,并进行统计学t检验和方差分析。结果下腰痛组症状自评量表中躯体化、强迫、人际关系敏感及焦虑与正常对照组比较有显著性差异(t=2.144,2.050,2.130,3.342;P<0.05);下腰痛组中主观支持、对支持的利用度、社会支持总分、自责及求助与正常对照组比较有显著性差异(t=3.093,2.614,2.932,1.953,2.454;P<0.05);③不同的文化程度会影响客观支持、主观支持、社会支持总分、解决问题、自责、求助、幻想和退避,并且差异显著(F=4.15,5.84,5.13,5.02,4.98,4.01,7.25,3.12;P<0.05);④不同的军龄会影响客观支持、对支持的利用度以及应对方式的各个因子,并且差异显著(F=3.24,3.02,5.13,8.24,5.36,10.88,9.67,3.87;P<0.05)。结论下腰痛官兵的心理状态与应对方式,社会支持密切相关。

Objective To explcre the mental health state of officers and soldiers with occupational low back pain in the modem mili- tary training and operation conditions Methods Selected 150 normal officers and soldiers and 120 officers and soldiers with low back pain; Then using the Basic information form, Symptoms Checklist 90 （SCL - 90）, coping styles questionnaire （CSQ） and social sup- port rating scale （SSRS） to assess them , and carried out the t - test and Analysis of Variance. Results There were significant differ- ences in somatization, force, interpersonal sensitivity and anxiety between low back pain group and normal control group （ t = 2. 144, 2. 050, 2. 130,3. 342;P 〈 0. 05 ）, There were significant differences in subjective support, support utilization degree, social support score, guilt and help between low back pain group and normal control group （t = 3. 093,2. 614, 2. 932, 1. 953, 2. 454;P 〈 0. 05 ） ; （3） Different cultural degree could also affect coping style, social support , and objective support, subjective support, social support, prob- lem solving, remorse, for help, fantasy and retreat （F =4. 15,5.84,5.13,5.02,4. 98,4. 01,7. 25,3. 12 ;P 〈 0. 05 ）. （4）The length of military service could also affect coping style, social support , and objective support, support utilization degree, and every factor of cop- ing styles （F = 3.24,3.02,5. 13,8.24,5.36,10. 88,9. 67,3.87;P 〈 0. 05 ）. Conclusion Psychological state of officers and soldiers with occupational low back pain is closely related to coping style and social support.