江苏南通市公务员亚健康状态与相关因素的研究

Study on sub health status and related factors of civil service in Nantong city

目的探讨南通市公务员亚健康状态现状及与心理健康、生活事件、生存质量等相关影响因素的相互关系。方法采用自编一般情况调查表、亚健康状态自评量表(16题)、症状自评量表(SCL-90)、WHO生存质量测定简表(WHOQOL-BREF)、生活事件量表(LES),用整体分层随机抽样的方法,对南通市市、区两级党政机关共12个单位887名公务员进行调查。结果公务员亚健康状态现患率10.17%;亚健康组平均年龄(41.36±1.03)岁,非亚健康组平均年龄(35.15±0.43)岁,差异具有统计学意义(P<0.01);SCL-90的总分、躯体化、强迫症状、人体关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等各因子分均高于非亚健康组(P<0.01);亚健康组WHOQOLBREF的心理、生理、社会、环境等4个领域均高于非亚健康组(P<0.01);亚健康组与非亚健康组的LES中包括职业、学习、婚姻和恋爱、家庭和子女、经济司法、人际关系及健康等生活事件数进行统计分析差异有统计学意义(P<0.05);亚健康组的男女性别差异无统计学意义。结论南通市公务员亚健康状态处在社会人群的正常范畴内较低水平,与国内部分学者研究结果不一致;心理健康水平、生存质量、生活事件数等成为公务员亚健康状态的影响因素,应引起重视。

Objective To investigate the present sub-health status of civil service in Nantong city and relations with mental health,life events and quality of life and other factors. Methods The self-made General Information Questionnaire,16-items Sub-Health Status Self-Assessment Scale,Symptom check list-90 revised（ SCL-90-R）,World Health Organization Quality of Life Instruments（ WHOQOL-BREF）,and Life Events Scale（ also known as the Holmes ＆ Rahe Social Readjustment Rating Scale） were used to survey the mental health,life events and quality of life and other factors among 887 civil servants from 12 units of Party and government offices by using stratified random sampling method. Results Among this samples,the subhealth prevalence rate was 10. 17%; mean age in the sub health group was（ 41. 36 ± 1. 03） years,in the non-sub healthy group was 35. 15 ± 0. 43,the difference was significant（ P 〈 0. 01）; the total score and items score for somatization,obsessive-compulsive symptoms,human relations,depression,anxiety,hostility and sensitive,terror,paranoid,psychotic factors by SCL-90-R in the sub health group were higher than the healthy group（ P 〈 0. 01）; the psychological,physiological,social,environmental areas by WHOQOL-BREF in the sub healthy group were higher than those of non-sub healthy group（ P 〈 0. 01）; sub healthy group and non-sub healthy group showed a statistically significant difference in occupation,learning,marriage and love,family and children,economic and justice,interpersonal relationship and health life events by LES（ P 〈 0. 05）; there was no significant difference between man and women in the sub-health group. Conclusion The sub health state of civil servants in Nantong city is in a lower level as compared with the results of some researches; the mental health,quality of life and the number of life events are the influence factors of sub-health state of civil servants,which should be taken into consideration seriously.