军队医护人员军事状态下性格特点与心理健康及处理方式的相关分析

The correlative analysis of military medical personnel's character and mental health and treatment

目的探讨该院野战医疗所人员在军事状态下的性格特点与处理方式。方法应用《症状自评量表SCL-90》、《艾森克个性问卷》、《简易应对方式问卷》对该院参加北京军区"卫勤使命-2014"的野战医疗所121名军人(观察组)进行现场测试,随机选择在院的现役医护人员130例(对照组),进行调查,比较分析两组军人医护人员测试数据。结果在军事演习等军事应激状态下,卫勤军人的SCL-90、性格特点、应对方式评分较正常在院军人得分明显升高,SCL-90中躯体化、强迫性障碍、焦虑情绪、恐惧焦虑情绪、偏精神质比较,差异均有统计学意义(均P<0.05)。性格特点中精神质、外向型、神经质比较,差异均有统计学意义(均P<0.05)。应对方式中,积极应对、消极应对均低于在院军人,差异均有统计学意义(均P<0.05)。Pearson相关分析得出,SCL-90总均分与积极应对、受试者的掩饰倾向呈负相关;与消极应对、精神质、神经质呈正相关。多元回归分析发现,消极应对、积极应对、精神质、神经质、受试者的掩饰倾向等5个因子的回归系数,差异均有统计学意义(均P<0.01),精神质、神经质与SCL-90总均分呈正相关,受试者的掩饰倾向与SCL-90总均分呈负相关。结论军事演习等应激状态下,卫勤军人的心理素质健康与其个性特征和处理方式有重要关联。

Objective To discuss the character and coping styles of field medical staffs in military condition. Methods Field tests were conducted on 121 soldiers (observation group) from the field medical center participating in the " medical service mission-2014" of Beijing military area command by using " symptom self-rating scale SCL-90"," eysenck personality questionnaire" and " simple coping style questionnaire".A total of 130 cases of active medical personnel (control group) in the hospital were randomly selected for investigation,and the test data of the two groups of military medical personnel were compared and analyzed. Results Under military stress such as military exercises,SCL-90,personality characteristics and coping style scores of medical service personnel were significantly higher than those of normal soldiers in the hospital.The differences in somatization,obsessive-compulsive disorder,anxiety,fear and anxiety,and partial psychosis in SCL-90 were statistically significant(P<0.05).There were statistically significant differences in temperament,extraversion and neuroticism(P<0.05).Among the coping styles,positive coping and negative coping were both lower than those of soldiers in the hospital,and the differences were statistically significant(P<0.05).Person correlation analysis showed that the total mean score of SCL-90 was negatively correlated with positive coping and subjects' tendency to cover up.It is positively correlated with negative coping,psychoticism and neuroticism.Multiple regression analysis showed that the regression coefficients of five factors,including negative coping,positive coping,psychoticism,neuroticism and subjects' tendency to disguise,were statistically significant (P<0.01).Psychoticism and neuroticism were positively correlated with the total mean score of SCL-90,and the tendency of concealment was negatively correlated with the total mean score of SCL-90. Conclusion Under stress conditions such as military exercises,the mental health of soldiers in medical service is closely related to their personality characteristics and processing methods.