抗震救灾官兵生活质量和心理健康状况及影响因素研究

目的了解抗震救灾官兵生活质量和心理健康状况及影响因素。方法采用随机整群抽样法，应用WHOQOL-BREF和SCL-90量表，对驻昆明某部280名抗震救灾官兵和330名非抗震救灾官兵进行问卷调查。结果（1）抗震救灾官兵生活质量的生理、心理、社会及环境各领域百分制得分分别为（58．65＋15．02）分、（56．88±14．66）分、（63．01±17．92）分、（50．73±15．16）分。除社会领域外，其余三个领域与非抗震救灾官兵之间的差异有统计学意义（P〈0．01或P〈0．05）。（2）在SCL-90评分中，除躯体化因子分外，抗震救灾官兵在其余各因子分均高于非抗震救灾官兵，且在强迫、抑郁、焦虑、恐怖、偏执和总均分两组之间的差异有统计学意义（P〈0．01）。（3）民族、籍贯、学历、职别、婚姻状况和是否为独生子女对抗震救灾官兵生活质量和SCL-90评分有不同程度的影响和相关性（P〈0．01或P〈0．05）。结论抗震救灾官兵生活质量和心理健康水平均比非抗震救灾官兵差，其影响因素主要有民族、籍贯、学历、职别、婚姻状况和是否为独生子女等。

Study on the quality of life and mental health as well as their influence factors in armed officers and soldiers from earthquake relief work

Objective To understand the quality of life and mental health status and influence factors on armed officers and soldiers from earthquake relief work. Methods sing cluster sampling and WHOQOL-BREF as well as the SCL-90 scale, a questionnaire survey was conducted in 280 officers and soldiers from earthquake relief work and 330 officers and soldiers not from earthquake relief work in Kunming. Results The scores of physiological, psychological, social and environmental domains of QOL among officers and soldiers from earthquake relief work were （58.65±15.02）, （56.88±14.66）, （63.01±17.92）, and （50.73±15.16）, respectively. Statistically significant difference was found in the physiological, psychological, and environmental domains between officers and soldiers from earthquake relief work and those not from earthquake relief work （P〈0.01 or P〈0.05）. In the SCL-90 score, in addition to somatlzation factor, the scores in all the other factors tested among officers and soldiers from earthquake relief work were higher than those from earthquake relief work. No statistically significant difference was found in force, depres- sion, anxiety, terror, paranoia and total scores （P〈0.01）. Ethnic, origin, education, job title, marital status, and whether the soldier was the only child had different degrees of impact on the quality of life and the SCL-90 score （P〈0.01 or P 〈0.05）. Conclusion The quality of life and mental health status among the officers and soldiers from earthquake relief work was worse than those not from earthquake relief work. The main influence factors include ethnic, origin, edu- cation, job title, marital status and whether the only child.