援藏高原某医院护士心理健康状况及影响因素的研究

Study on the psychological health and related influencing factors of military nurses who take part in the Tibetan hospital supporting operation

目的 探讨部队援建藏区高原某医院护士心理健康状况及影响因素.方法 采用90项症状清单、应付方式问卷、个人评价问卷对73名部队援建藏区高原某医院护士进行调查评估.结果 高原藏区医院护士SCL-90各因子得分均高于中国常模与高原军人.相关分析显示,应付方式中的解决问题应付因子与SCL-90中恐惧因子呈负相关（r=-0.231,P〈0.01）,自责因子与SCL-90所有因子呈正相关（r值0.301~0.432;P〈0.01）;个人评价总分与SCL-90所有因子呈负相关（r值-0.308^-0.423;P〈0.01）.结论 部队援建藏区高原某医院护士心理健康状况不佳,应付方式与个人评价是重影响因素.

Objective To study on the psychological health and related influencing factors of military nurses who take part in the Tibetan hospital supporting operation.Methods Symptom checklist 90 （SCL-90）, coping style questionnaire and personal evaluation questionnaire were employed in the survey of 75 military nurses who took part in the Tibetan hospital supporting operation.Results The scores of Tibetan hospital nurses in high altitude areas were significantly higher than normal person and soldiers in each factors of SCL-90. The correlation analysis showed that the coping factor of problem resolving in coping style had negative relationship with fear factor in SCL-90 （r=-0.231,P〈0.01）. Remorse factor had positive correlation with all factors of SCL-90 （r=0.301-0.432;P〈0.01）,while the total score of personal evalation had negatively related to all factors of SCL-90 （r=-0.308--0.423;P〈0.01）.Conclusions The military nurses who take part in the Tibetan hospital supporting operation are in a poor mental state which is greatly influenced by the coping style and personal evaluation.