突发性群体暴力事件后一线救援医护人员心理健康状况调查

目的 探讨突发性群体暴力事件后一线救援医护人员的心理健康状况,为制定有针对性的心理干预措施提供依据.方法 将突发性群体暴力事件后某部队医院55名一线救援医务人员设为研究组,随机抽取同期普通病房医护人员82名设为对照组,采用事件冲击量表、睡眠量表及症状自评量表对两组进行测评分析.结果 两组事件冲击量表及睡眠量表评分均显著高于正常人群,研究组事件冲击量表总分及各因子分、睡眠量表总分均显著高于对照组(P＜0.05或0.01).研究组症状自评量表总分及焦虑、偏执因子分显著高于对照组(P＜0.05或0.01),总分、总均分、阳性项目数及除强迫症状因子外的8个因子分显著高于中国常模(P＜0.01),总均分、阳性项目数及躯体化、焦虑、敌对、恐怖因子分显著高于军人常模(P＜0.01);对照组症状自评量表总分、总均分、阳性项目数及除强迫症状、偏执因子外的其他因子分均显著高于中国常模(P＜0.05或0.01),阳性项目数及强迫症状、焦虑、敌对、恐怖、偏执因子分与军人常模比较差异有显著性(P＜0.05或0.01).结论 突发性群体暴力事件后一线救援医护人员普遍存在不同程度的心理问题,及时开展有针对性的心理健康教育对提高其心理健康水平具有重要意义.

Surveys of mental health status among front line aid medical staff after sudden group violence events

Objective To explore the mental health status of the front-line aid medical staff after sudden mass violence extents in order to provide for instituting purposeful mental intervention measures. Methods Fifty-five front-line aid medical staff of a army hospital after sudden mass violence events were assigned to research group and randomly selected 82 ones at general wards to control group, and assessments carried out with the Impact of Event Scale （IES）, Sleep Scale （SS） and Symptom Checklist-90 （SCL-90） among them. Results The IES and SS scores of both groups were significantly higher than those of normal population, so were the total and each factor score of the IES and SS total score in the reaserch than in the control group （P〈0. 05 or 0.01）. The total anxiety and paranoia score of the SCL-90 were significantly higher in the reaserch than in the control group （P〈0.05 or 0.01）, so were total and total average score, positive items and other 8 factor scores except obsessive-compulsive symptom than Chinese norm （P〈0. 01）, so were total average score , positive items, somatization, anxiety, hostility, phobias score than military norm （P〈0.01）; total and total average score, positive items and other factor scores except obsessive compulsive symptom and paranoia in the control group were all significantly higher than Chinese norm （P〈0. 05 or 0.01）, and positive items, anxiety, hostility, phobias score had significant differences from military norm （P〈0.05 or 0.01）. Conclusion Front-line aid medical staff after sudden group violence events generally has different degree of psycho-problems and prompt purposeful mental health education does important significance for improving their mental health levels.