消防官兵抑郁现状及相关影响因素的分析

Depression symtoms and related factors of fire fighters

目的了解天津市滨海新区消防官兵心理健康现状及其影响因素,为进一步制定心理干预措施、提高消防官兵心理健康水平提供客观依据。方法 2019年1至4月,选取天津市滨海新区全部消防官兵399名作为调查对象,采用《付出回报-失衡(ERI)量表》、抑郁量表PHQ-9问卷调查职业应激及抑郁症状,运用χ^(2)检验进行分类资料差异性检验,应用二元logistic回归模型分析影响抑郁症状的相关因素。结果调查对象抑郁症状检出率为71.1%(280/394)。不同岗位、ERI职业应激、是否患有疾病、有无生活压力、不同饮食状况和不同睡眠状况组消防官兵间抑郁症状检出率差异有统计学意义(P<0.05)。失眠、有生活压力和ERI职业应激为消防官兵抑郁症状的危险因素(OR=1.921,95%CI=1.002~3.682;OR=2.852,95%CI=1.561~5.212;OR=2.367,95%CI=1.163~4.818,P<0.05)。结论消防官兵抑郁症状的检出率较高,应及时关注并采取措施改善消防官兵的心理状况。

Objective To analysis the status of the mental health and related factors of fire fighters in Tianjin Binhai New District,and to provide suggestions for their psychological health protection.Methods 399 fire fighters in Tianjin Binhai New District were selected as study subjects in Jan to April 2019.Depression symptoms were measured by the depression module of the Patient Health Questionnaire(PHQ-9).The Chinese version of Efrort Reword Imbalance(ERI)Questionnnaire were used to investigate and evaluate their occupational stress.Chi-Square test was used to analysis Categorical data.Binary logistic regression model was used to analysis the ralated factors of depression.Results Among the 399 fire fighters,71.1%(280/394)were found high level of depression symptom.The detection rates of depression symptoms in the related influceing factors ERI、station、disease、life pressure、eating habits and sleep disorder occupational stress were difierent(P<0.05).Sleep disorder,life pressure and ERI occupational stress were risk factors for depressive symptoms(OR=1.921,95%CI=1.002-3.682;OR=2.852,95%CI=1.561-5.212;OR=2.367,95%CI=1.163-4.818,P<0.05).Conclusion The rate of depression of fire fighters is relatively higher.Government should pay attention to and take measures to improve the psychological condition of fire fighters.