伤病士兵训练倦怠与脑电图的关联

Relationship between training burnout and electroencephalogram of sick and wounded soldiers

目的探讨伤病士兵训练倦怠与脑电图的关联,为伤病士兵的训练管理及心理健康保健工作提供依据。方法 2017年11-12月,采用判断抽样方法选取某军区总医院神经内科行脑电图检查的门诊男性伤病士兵64例作为病例组,同时选取健康男性士兵66例作为对照组,对其进行士兵训练倦怠自评问卷测评和脑电图检查。结果病例组人群脑电图异常率均高于对照组(25.0%vs 4.6%,均P<0.01);病例组人群训练倦怠总分及身心耗竭、低成就感得分中位数均高于对照组(34.0 vs 30.0、18.0 vs 13.0、9.5 vs 8.0,均P<0.01)。病例组异常脑电图亚组人群训练倦怠总分及身心耗竭、训练疏离、低成就感得分中位数均高于脑电图正常亚组(38.0 vs 25.0、18.0 vs 12.0、6.5 vs 6.0和10.5 vs 7.0,均P<0.01);Logistic回归分析显示,随着训练疏离程度的增高,伤病士兵发生脑电图异常的可能性增加,OR(95%CI)为3.09(1.19~7.05)。结论训练疏离与伤病士兵脑电图异常有一定程度的关联性,建议加强伤病士兵心理健康宣传教育和心理干预,提高其应激能力和心理健康水平。

Objective To explore the relationship between the training burnout and electroencephalogram of the sick and wounded soldiers,provide the basis for the training management and mental health work of the sick and wounded soldiers.Methods By using the judgment sampling method,64 male sick and wounded soldiers were selected as the cases group and 66 male healthy soldiers were selected as the control group from the Department of Neurology of a military General Hospital in November to December of 2017. electroencephalogram and the self-assessment questionnaire examination of the soldiers’ training burnout were conducted by the two groups. Results The abnormal rate of electroencephalogram in the cases group was higher than that of the control group(25.0% vs 4.6%,all P<0.01). The median of total scores of training burnout, and medians of scores of physical and mental exhaustion and low accomplishment in the cases group were higher than those in the control group(34.0 vs 30.0,18.0 vs 13.0,9.5 vs 8.0,all P<0.01). In the cases group,the median of total scores of training burnout,and medians of scores of physical and mental exhaustion,training alienation and low accomplishment in the abnormal electroencephalogram subgroup were higher than those in the normal electroencephalogram subgroup(38.0 vs 25.0,18.0 vs 12.0,6.5 vs 6.0,10.5 vs 7.0,all P<0.01). Logistic regression analysis suggested that the possibility of abnormal electroencephalogram in the sick and wounded soldiers increased with the increase of training alienation,the OR(95%CI) was 3.09(1.19-7.05). Conclusion electroencephalogram abnormality of sick and wounded soldiers is related to their training alienation in a certain extent. It is suggested to strengther the propaganda and education of mental health and psychological intervention to improve the stress ability and mental health level of wounded soldiers.