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目的:调查了解军队传染病医院医务人员职业暴露后的心理健康状况和创伤后应激障碍(PTSD)发生情况,以及与应对方式、社会支持的相关性,为实施心理危机干预提供依据。方法:选择2012年10月-2014年8月某军队传染病医院发生职业暴露的医务人员,采取问卷调查法,运用症状自评量表(SCL-90)、PTSD自评量表(PCL-C)、简易应对方式问卷、社会支持问卷等进行调查。结果:发生职业暴露后,除2个因子外,SCL-90总分值及各因子分值均显著高于国内军人常模(P<0.05);PTSD发生率为17.8%。相关分析结果显示,SCL-90部分因子和PTSD自评分值与主观支持、积极应对呈显著负相关(P<0.05),与消极应对呈显著正相关(P<0.05);Logistic多元逐步回归分析结果显示,年龄、主观支持、消极应对进入以SCL-90总分为因变量的回归方程,性别、年龄、消极应对等进入以PCL-C总分为因变量的回归方程。结论:军队传染病医院医务人员发生职业暴露后,应加强职业防护、社会支持及心理危机干预。
Objective: To investigate the mental health status and the incidence of post traumatic stress disorder (PTSD) among medical staffs in the Infectious Diseases Hospital of Invass and its relationship with coping style and social support, and to provide basis for the intervention of mental crisis. Methods: The medical staff who occupational exposure occurred in a military infectious disease hospital from October 2012 to August 2014 were surveyed by questionnaire survey, using self-rating symptom scale (SCL-90), PTSD self-rating scale (PCL-C ), Simple coping style questionnaire, social support questionnaire survey. Results: After occupational exposure, the total scores of SCL-90 and scores of each factor were significantly higher than those of domestic military personnel (P <0.05) except for 2 factors. The incidence of PTSD was 17.8%. Correlation analysis showed that SCL-90 partial factors and PTSD self-rating scores were significantly negatively correlated with subjective support and positive responses (P <0.05), positively correlated with negative responses (P <0.05); Logistic multiple stepwise regression analysis The results showed that age, subjective support, and negative responses entered the regression equation with the total score of SCL-90 as the dependent variable, gender, age, negative response, etc., entering the regression equation with the PCL-C total score as the dependent variable. Conclusion: After the occupational exposure of medical staff in the army infectious disease hospital, occupational protection, social support and psychological crisis intervention should be strengthened.