心理干预对南海驻礁人员心理健康状况的影响

目的探讨心理干预对南海驻礁人员心理健康状况的影响,为制定合理的心理干预方案提供依据。方法以症状自评量表(SCL-90)、匹兹堡睡眠质量指数(PSQI)、心理健康指数和应激激素水平等作为干预效果的评价指标,分别于心理干预前、后对相同人群进行整群抽样测评。以驻礁期间最关心的问题、睡眠状况及其影响因素等作为细化干预措施的参考,于心理干预前,在研究对象中随机、整群抽取部分人群(201人)进行连续3个月的动态研究。结果干预前,南海驻礁人员总体处于高度应激、低质睡眠和情绪不稳等心理状态。干预后,SCL-90各因子分、总均分、阳性项目数均明显降低(P<0.01),心理健康问题检出率亦明显下降,其中以强迫、敌对、偏执、焦虑下降较为明显(P<0.05,P<0.01);PSQI各因子分及总分明显降低,睡眠质量差(总分>7分)的人数由干预前的46.24%降至干预后的29.85%(P<0.01);心理健康指数各值均明显提高,其中工作积极性指数、情绪指数提高尤为显著(P<0.01);睾酮、皮质醇水平显著降低(P<0.01)。结论心理干预后南海驻礁人员心理健康水平明显提高,干预取得了比较明显的效果。

Effects of mental intervention on the mental health of the staff on the reefs of South China Sea

Objective To investigate the effects of mental intervention on the mental health of the staff on the reefs of South China Sea,then to provide a basis for the making of proper mental intervention proposal.Methods Symptom Check-List 90(SCL-90),Pittsburgh Sleep Quality Index(PSQI),mental health index and stress hormone level were used as evaluating indicators of intervention effectiveness,and cluster sampling testing was performed before and after mental intervention in the same staff.The most concerned matters,sleep condition,and other influencing factors were used as references of refining intervention,and a part of the staff(n=201) were selected randomly in a continuous three-month dynamic study.Results Overall,the staff on the reefs of South China Sea were in the mental states of high stress,low-quality sleep and unstable motion before intervention.After intervention,each factor score,total mean score and positive symptom items of SCL-90 were reduced significantly(P<0.01),and also the relevance ratio of mental health problems such as compulsion,hostility,paranoia and anxiety were reduced more obviously(P<0.05,P<0.01).Each factor score and total score of PSQI were reduced significantly and the number of low sleep quality(overall score>7) was reduced from 46.24% before intervention to 29.85% after intervention(P<0.01).Each value of mental health index was significantly increased,in which work enthusiasm index and motion index was increased more significantly(P<0.01).Testosterone and hydrocortisone were reduced significantly(P<0.01).Conclusion The mental health level of the staff on the reefs of South China Sea was increased significantly after intervention,and mental intervention shows obvious effects.