改装体检飞行人员生命质量与心理健康的相关分析

Investigation of quality of life and mental health of pilots about to fly different aircraft

目的探讨改装体检飞行人员生命质量与心理健康状况的关系,为提高飞行人员健康水平提供参考。方法采用生命质量量表(SF-36)、症状自评量表(SCL-90)和一般情况调查表,对2012年1月—2016年12月在解放军451医院空勤科住院改装体检的384名军事飞行人员进行调查。结果 (1)改装体检飞行人员SF-36量表各项得分与国内常模比较,改装体检飞行人员生理职能、总体健康、社会功能、情感职能和精神健康维度得分高于国内常模(P<0.01);疼痛维度得分低于国内常模(t=-2.74,P<0.01)。(2)改装体检飞行人员心理健康状况阳性率为9.4%;与成人常模进行比较,SCL-90各因子得分除躯体化、焦虑、恐怖和精神病性因子外,其他因子都显著低于成人常模(P<0.01);与军人常模进行比较,改装体检飞行人员SCL-90总分及各因子分显著低于军人常模(P<0.01)。(3)Pearson相关分析结果显示,改装体检人员SF-36量表总分及躯体疼痛、总体健康、精力、社会功能、情感职能和精神健康分值与SCL-90总分及各因子得分均呈显著负相关(P<0.05或P<0.01)。结论改装体检军事飞行人员整体生命质量和心理健康状况优于一般人群,生命质量和心理健康状况密切相关。

Objective To investigate the quality of life and mental health of pilots who are to fly a different aircraft so as to provide reference for improving the pilots＆#39; health.Methods Three hundred and eighty-four pilots who were about to fly a different aircraft were admitted to our hospital for medical checkups between January 2012 and December 2014. Their health status was investigated with the MOS 36-item short-form health survey questionnaire （SF-36）, symptom checklist-90 （SCL-90） and general information questionnaire scale.Results ①The scores of the 384 pilots from such items as physiological functioning, general health,social functioning, emotional functioning and mental health in SF-36 were significantly higher than those of the general population（P〈0.01）, whereas the score of the bodily pain was significantly lower in these pilots than that of the general population（P〈0.01）.②The positive rate of psychological health among these pilots was 9.4%. Their scores from each factor of SCL-90 were clearly lower than those of the norm of China （P〈0.01） except for somatization, anxiety, phobia anxiety and psychoticisim. Their total and subscales scores of SCL-90 were all lower than those of the PLA norms （P〈0.01）.③Pearson correlation analysis showed that there were significantly negative correlations between the overall score in SF-36, bodily pain, general health, vitality, social functioning, emotional functioning, mental health and the total and subscales scores of SCL-90.Conclusion Military pilots who are about to fly a different aircraft enjoy better quality of life and mental health than the general population, and quality of life is closely correlated with mental health.