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目的:探讨高原驻训伤病员心理应激与心理弹性的相关性。方法:随机抽取高原驻训住院伤病员52例,采用军人心理应激自评问卷和心理弹性问卷,对其心理应激与心理弹性进行测评,并分析其相关性。结果:高原驻训住院伤病员的我睡眠不好(条目1)分值显著低于军队住院患者(P<0.05);很小的声音也会使我惊跳(条目3),我不愿与人交往(条目5),我感觉过度兴奋,我做事冲动且甘冒风险(条目9),在我的脑海里、梦里常浮现某种灾难事件的场景(条目10)分值显著高于军队住院患者(P<0.05);条目1、我对危险的事情保持警觉(条目4)分值显著低于高原武警官兵(P<0.05);条目3、条目5、工作不再引起我的兴趣,我觉得无精打采(条目6),我感到心身疲倦(条目7),条目9分值显著高于高原武警官兵(P<0.05)。Pearson相关分析结果显示,坚韧性与条目3、条目5、条目6、我容易被激惹想发火(条目8)及条目9、10呈显著或非常显著负相关(P<0.05,P<0.01);力量与条目3、5、6、7、8、9、10呈显著或非常显著负相关(P<0.05,P<0.01);乐观性与条目1、我感觉紧张、烦躁和不安(条目2)及条目3、5、6、7、8、9、10呈显著或非常显著负相关(P<0.05,P<0.01)。Logistic多元逐步回归分析结果显示,乐观性进入条目1、2、3、5、6、7、9为因变量的回归方程,力量进入条目8、10为因变量的回归方程。结论:高原驻训住院伤病员心理应激与心理弹性显著相关,乐观性和力量是其主要影响因素。
Objective: To investigate the correlation between psychological stress and mental resilience of stationed wounded and sick patients in plateau. Methods: Fifty-two inpatients were selected randomly from the plateau stationed in the plateau. The military psychology stress self-assessment questionnaire and the psycho-elastic questionnaire were used to evaluate the psychological stress and psychological resilience. The correlations were also analyzed. Results: I had a poor sleep status (entry 1) in hospitalized wounded and sick at the plateau, which was significantly lower than that of the military inpatient (p <0.05); a small voice could also surprise me (entry 3) Engaging with people (entry 5), I feel over-excited, I am impulsive and risk-taking (entry 9). In my mind, the score of a scene with a catastrophic event in my dreams (entry 10) was significantly higher Item 1, I was on alert to dangerous events (entry 4) scores were significantly lower than the Armed Police Corps officers (P <0.05); entry 3, entry 5, work is no longer cause for my interest , I feel listless (entry 6), I feel tired (entry 7), entry 9 scores significantly higher than the Armed Police Corps (P <0.05). Pearson correlation analysis showed that there was a significant or very significant negative correlation (P <0.05, P <0.01) between tenacity and item 3, item 5 and item 6, and I was easily irritated and wanted to get angry (item 8) (P <0.05, P <0.01); optimism and item 1, I feel nervous, fretful and restless (entry 2 ) And entries 3, 5, 6, 7, 8, 9, and 10 were significantly or very significantly negatively correlated (P <0.05, P <0.01). Logistic regression analysis showed that optimistic entry items 1, 2, 3, 5, 6, 7, and 9 were regression equations of dependent variables, and power entry items 8 and 10 were regression equations of dependent variables. CONCLUSION: Psychological stress and mental resilience of hospitalized and injured patients in stationed training are significantly correlated with optimism and strength as the main influencing factors.