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远航官兵心理健康影响因素结构方程模型分析
引用本文:吕奕鹏,薛晨,葛阳,刘威,张鹭鹭. 远航官兵心理健康影响因素结构方程模型分析[J]. 第二军医大学学报, 2016, 37(8): 1007-1011. DOI: 10.16781/j.0258-879x.2016.08.1007
作者姓名:吕奕鹏  薛晨  葛阳  刘威  张鹭鹭
作者单位:第二军医大学卫生勤务学系卫生勤务学教研室,上海,200433
基金项目:军队“十二五”重大专项(AWS12J002),国家自然科学基金(71233008,91224005),上海市卫生系统重要疾病联合攻关项目(2013ZYJB0006).
摘    要:目的 了解远航官兵的心理健康状况,分析其心理健康的影响因素,并针对关键因素提出切实有效的预防和救治措施.方法 采用随机抽样的方法,对某海域2 987名长远航官兵进行问卷调查.调查内容包括个人基本情况、患病情况、心理卫生服务的利用和认知及心理健康状况,通过结构方程模型进行影响因素分析.结果 共收回有效问卷2 695份.调查对象以年轻男性为主,平均(25.0±4.3)岁,军龄平均(5.9±4.3)年.76.8%(2 070/2 695)的官兵自认没有心理疾病,44.5%(1 200/2 695)的官兵对部队生活表示喜欢.结构方程模型结果显示,心理卫生服务的利用和军人心理健康有直接关系,而身体健康状况对心理健康情况也有一定的影响.结论 需要进一步提高远航官兵心理卫生服务的利用率,针对重点人群开展心理干预和救治,拓展心理干预的方法,增强长远航官兵的心理健康.

关 键 词:精神卫生  结构方程模型  影响因素  问卷调查
收稿时间:2016-03-07
修稿时间:2016-07-06

Structure equation model analysis of navy soldiers' mental health during long distant sailing
Affiliation:Department of Military Health Service, Faculty of Military Health Services, Second Military Medical University, Shanghai 200433, China*Corresponding author
Abstract:Objective To know about the mental health of navy soldiers during long distant sailing and its influencing factors, and to put forward the effective preventive and treatment measures. Methods A questionnaire survey was conducted among 2 987 randomly chosen navy soldiers experiencing long distant sailing. The data collected included general situation, disease prevalence, utilization and cognition of mental health services and mental health state.The structure equation model was used to analyze the influencing factors. Results Totally 2 695 effective questionnaires were collected. Young males were the dominant participants, with a mean age of (25.0±4.3) years old and a mean period of military service of (5.9±4.3) years. It was showed that 76.8% (2 070/2 695) of the soldiers thought that they had no mental illness, 44.5% (1 200/2 695) of the soldiers admitted that they liked army life. The structure equation model analysis showed that the mental health of the navy soldiers was associated with the utilization of mental health service and the physical health was also related to the mental health. Conclusion The navy soldiers experiencing long distant sailing should make full use of the mental health service, and preventive intervention should be given to targeted population so as to improve the mental health of navy soldiers experiencing long distant sailing.
Keywords:mental health  structure equation model  influencing factors  questionaires
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