心理行为干预对抗震救灾官兵心身健康水平的影响

目的探讨抗震救灾条件下心理行为干预对官兵心身健康水平的影响。方法将参加抗震救灾的某部80名官兵,以班为单位随机分为心理行为干预组（研究组）和支持性心理治疗组（对照组）。在执行任务的第31~33天起分别对研究组进行渐进性肌肉松弛训练、表象训练等心理行为干预,对照组进行常规心理卫生知识讲授,研究为期4周。应用中国心身健康量表（Chinese Psychosom atic Health Scale,CPSHS）于干预前后进行测评和比较。结果干预前研究组和对照组CPSHS总分及各项因子分差异均不显著（P〉0.05）。CPSHS总分干预后研究组（22.12±10.55）和对照组（27.75±13.34）分别较干预前显著降低（32.99±15.83）、（34.84±17.86）,t分别为3.47和2.24,P〈0.01和0.05],呼吸系统、心血管系统、消化系统、骨骼肌肉、焦虑、抑郁因子分较干预前显著降低（P〈0.01或0.05）。研究组有效率48.65%、好转率91.89%均高于对照组的26.32%和71.05%（χ2=4.00、5.36,P〈0.05）。结论心理行为干预是提高抗震救灾官兵心身健康水平的有效方法。

Effect of Psychological Behavior Intervention on Psychosomatic Health of the Armymen Attending Earthquake Relief Work

Objective To explore the effects of the psychological behavior intervention on the psychosomatic health of army men attending earthquake relief work.Methods A total of 80 armymen attended the earthquake relief work in Sichuan province were randomly dividided into psychological behavior intervention group（study group） and supportive psychological treatment group（control group）.Psychological behavior intervention included progressive muscle relaxation and image practice in study group from 31th to 33th day after attending earthquake relief for 4 weeks,meanwhile routin mental health knowkedge were given in control group.CPSHS（Chinese Psychosomatic Health Scale） was used to assess the mental status of all the subjects before and after intervention.The intervention effects were anlyzed.Results The total scores of CPSHS and its factor scores had no significant differences between two groups before intervention.Compared with before intervention,the total scores of CPSHS in study group（32.99±15.83） vs（22.12±10.55）,t=3.47] and in control group （34.84±17.86） vs（27.75±13.34）,t=2.24] and the respiratory apparatus,alimentary system,skeletal and musculature,anxiety, depression factor scores were significantly lower after intervention（P0.05 or 0.01）.The effective rate in study group was higher than that in control group（48.65% vs 26.32%,P0.05）.Conclusion The psychological behavior intervention is an effective method on improving psychosomatic health in the armymen attending earthquake relief work.