摘要
目的分析坦克实弹射击对乘员心理和生理的影响因素,探讨干预调控措施,为装甲部队战斗力的提升探索新途径。方法利用症状自评量表(Symptom Checklist 90,SCL-90)、中国军人心理健康量表(Chinese Military Men-tal Health Scale,CMMHS)采集实弹射击前后坦克乘员心理数据,采集血液检测血糖(glucose,GLU)、血乳酸(lacticacid,LA)、急性反应蛋白(C-reactive protein,CRP)、丙二醛(malondialdehyde,MDA)、外周血白细胞(white blood cell,WBC)、皮质醇浓度和五羟色胺(5-hydroxytryptamine,5-HT)等生化指标,利用DS-100A Durasensor生命体征检测仪监测心率(heart rate,HR)、血氧饱和度(oxygen saturation,SaO2)、舒张压等生理指标。干预组采用心理卫生教育、心理咨询、心理行为训练等的综合心理行为训练方法。通过实验验证调控措施的有效性。结果 126名坦克乘员实弹射击前后SCL-90各因子分值除强迫因子外均有统计学差异(P<0.05或P<0.01);生化指标GLU、LA、CRP、MDA、WBC、5-HT水平比较有统计学差异(P<0.01);HR、SaO2、舒张压等比较有统计学差异(P<0.01)。实弹射击后,干预组SCL-90总分及其躯体化、抑郁、偏执和焦虑因子得分均显著低于对照组(P<0.01),CMMHS得分异常率明显低于对照组(P<0.05),血糖明显低于对照组(P<0.01)。结论坦克实弹射击对乘员心理生理均产生一定影响,对其进行科学干预和调控,可以有效降低不良心理生理反应发生率,进而提高训练效能和战斗力。
Objective To analyse the influential factors of tank firing practice on the psychology and the physiology of the crew,discuss the intervention measures,and explore the new way to promote the battle efficiency of the Armored force. Methods Before and after tank firing practice,the psychological data of the crew was obtained by Symptom Checklist 90（SCL-90） and Chinese Military Mental Health Scale（CMMHS）.The biochemical indexes including blood glucose（GLU）,lactic acid（LA）,C-reactive protein（CRP）,malondialdehyde（MDA）,white blood cell（WBC） and 5-hydroxytryptamine（5-HT） were tested.The heart rate（HR）,oxygen saturation（SaO2） and diastolic pressure were monitored by DS-100A Durasensor.The intervention group accepted psychological health education,psychological consult and psycho-behavior training.These measures were studied and validated by the experiments. Results Before and after firing practice,the factor scores of SCL-90 in the 126 tank crew were significantly different except the compulsion factor（P0.05 or P0.01）;GLU,LA,CRP,MDA,WBC and 5-HT levels,HR,SaO2 and diastolic pressure were significantly different（P0.01）.After firing practice,compared with those in the control group,the total SCL-90 score and the factor scores of somatization,depression,paranoid and anxiety were significantly lower（P0.01）,the abnormality rate of CMMHS scores and the GLU were significantly lower（P0.05 or P0.01） in the intervention group. Conclusion The tank firing practice has certain influence on the psychology physiology of the crew.Scientific intervention and regulation can effectively reduce the abnormal psychological and physiological reaction rate and enhance the training potency and battle efficiency.
出处
《华南国防医学杂志》
CAS
2011年第5期417-420,共4页
Military Medical Journal of South China
关键词
实弹射击
坦克乘员
心理生理
干预措施
Firing practice
Tank crews
Psychology and physiology
Intervention measure
