接触职业有害因素工人心理健康状况判别分析及验证

目的早期发现可疑心理异常人群,为工人的健康促进提供依据。方法待判样本组为684名接触不同职业有害因素男性工人,以症状自评量表(SCL-90)结果为指标,以筛选出同样接触职业有害因素并有心理异常的788名男性火车司机为训练样本组,对两组SCL-90的9个因子的得分进行了u检验和非参数判别分析。并对判别结果使用SF-36进行验证。结果待判样本组9个因子平均得分明显低于训练样本组(P<0.01),非参数判别分析显示,3个单位有109名男工为可疑心理异常者。经过现场验证调查,96名工人为可疑心理异常者,验证符合率分别为91.30%,80.65%,90.63%。结论3个单位接触职业有害因素工人的总体心理健康状况好于火车司机,但是进一步的研究显示,这3个单位接触职业有害因素的工人中仍存在一部分可疑心理异常的人群,对这部分人应采取必要的支持性措施,加强保护。

Discriminating Analysis and Verification of Mental Hygiene Status of Occupationally Exposed Workers

Objective To find earlier the high risk of mental aberrational population,and to provide criteria for health promotion.Methods 684 male workers with various occupational exposures in three factories were chosen as subject group(Group 1)being discriminated,taking the results of SCL-90 as the indexes.788 male locomotive drivers with same occupational exposures and mental aberration were chosen as the sample group(Group 2)to be trained.The scores of nine factors of SCL-90 in both groups were subjected to u test and non-parametric discriminating analysis.The discriminated results were verified with SF-36.Results The average scores of nine factors in Group 1 were significantly lower than those of Group 2(P<0.01);109 male workers in 3 factories were discriminated as suspect mental aberration by non-parametric analysis.96 workers were suspect psychological abnormal through field verification survey;the compliance rates of verification were 91.30 %,80.65 % and 90.63 % respectively.Conclusions In general,the mental hygiene status of workers in 3 factories with occupational exposures is better than that of locomotive drivers;however,further study finds that suspect psychological obstruction still exists among a part of workers with occupational exposures.Supporting measures should be taken to promote the protection of this part of workers.