持续救灾作业官兵疲劳状况及其影响因素调查

目的调查持续军事应激条件下官兵的疲劳情况,并探讨其相关影响因素。方法以持续执行汶川抗震救灾任务的某部官兵869人为研究对象(研究组),并以同期留守未执行任务的同部官兵725人为对照组,采用一般情况调查表(GSIS)、疲劳量表-14(FS-14)、简易应对方式问卷(SCSQ)及个人自评量表(PEI)进行调查分析。结果研究组有明显疲劳症状者355人(43.8%),明显高于对照组的186人(26.2%)(χ2=51.57,P<0.01)。单因素相关分析显示疲劳量表总分(FS)、躯体疲劳因子分(PF)和精神疲劳因子分(MF)均与生活条件、心理卫生、社会支持、积极应对、PEI总分及PEI大部分因子分显著负相关(P<0.01或P<0.05),与消极应对显著正相关(P<0.01或P<0.05);MF与兴趣爱好显著负相关(P<0.05),与心理创伤史显著正相关(P<0.05);FS与心理创伤史呈正相关(P<0.05)。多元逐步回归分析显示,生活条件、消极应对、积极应对、社会支持及PEI的部分因子分别进入FS、PF和MF回归方程。结论部分救灾官兵出现明显疲劳症状,生活条件、社会支持、应对方式、自信心等因素均对官兵疲劳程度有明显影响。

Fatigue status and related factors in the servicemen during earthquake relief work

Objective To investigate the fatigue status of servicemen under the sustained military stress conditions and explore the related factors of servicemen′s fatigue status.Methods By cluster random sampling,869 servicemen who executed earthquake relief work in Wenchuan were selected(study group) and 725 army men in garrison(control group) at the same period of the same troops enrolled into the research.Both the two groups were investigated with the scale of general status invested score(GSIS),fatigue scale-14(FS-14),simplified copy styles questionnaire(SCSQ) and personal evaluation inventory(PEI).Results The ratio of servicemen with obvious fatigue in study group(43.8%) was higher than that in control group(26.2%)(χ2=51.57,P<0.01).The total scores of FS-14,the scores of physical fatigue(PF) and mental fatigue(MF) showed a negative correlation with living condition,knowledge of psychology,social support,positive coping style,total score of PEI and subtotal factors score of PEI(P<0.01 or P<0.05),and a positive correlation with negative coping style(P<0.01 or P<0.05).MF was negatively related with interest(P<0.05),and positively related with history of psychological trauma(P<0.05).FS was positively related with history of psychological trauma(P<0.05).By multivariantgradual regressive analysis,living condition,negative coping style,positive coping style,social support,and the factors(f5 and f8) of PEI enrolled into regression equation of FS,PF and MF.Conclusion The obvious fatigue status appears in a part of servicemen who attend earthquake relief work,and it is related with living condition,social support,coping style and self-confidence.