摘要
目的 探讨舰艇官兵长远航期间的焦虑状况及影响因素。方法 采用随机整群抽样法抽取740名舰艇官兵,应用焦虑自评量表(self-rating anxiety scale, SAS)、疲劳量表14(fatigue scale 14,FS-14)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index, PSQI)、中医体质量表及自行设计的基本情况调查问卷进行焦虑状态及影响因素调查。结果 本研究共回收有效问卷630份。在航行前、航行15天后及航行30天后,舰艇官兵焦虑状态检出率分别为10.16%(64/630)、17.62%(111/630)、15.08%(95/630),SAS评分分别为(38.13±9.36)分、(40.98±9.74)分、(39.46±9.42)分,不同航行时间官兵SAS得分比较差异有统计学意义(F=14.183,P<0.01);各阶段SAS评分与国内常模比较差异均有统计学意义(t值分别为17.640、23.660、20.410,P均<0.01)。舰艇官兵长远航期间焦虑状态与中医体质、睡眠状况、疲劳状况等因素存在相关性,其中血瘀质、气郁质等体质类型,以及睡眠障碍、脑力疲劳等因素可能是官兵发生焦虑的独立危险因素,平和质是焦虑状态的保护因素(P均<0.05)。结论 舰艇官兵长远航期间焦虑状态检出率较高,可以从改善睡眠、疲劳等亚健康状态及调理中医体质入手,以提升舰艇官兵在长远航过程中的身心健康水平。
Objective To investigate the anxiety status and influencing factors of Navy serviceman during long voyage.Methods A total of 740 Navy serviceman served on the ship were selected as the subjects by random cluster sampling method.The investigation of their anxiety status and influencing factors was assessed by the self-rating anxiety scale(SAS),fatigue scale 14(FS-14),Pittsburgh sleep quality index(PSQI),TCM constitution scale and the self-designed basic situation questionnaire.Results A total of 630 valid questionnaires were collected.Before the voyage,15 days and 30 days after voyage,the incidence of anxiety of the Navy serviceman were 10.16%(64/630),17.62%(111/630),15.08%(95/630)respectively,the SAS scores were(38.13±9.36),(40.98±9.74)and(39.46±9.42)respectively,and the differences were statistically significant(F=14.183,P<0.01);and the SAS scores of each stage were significantly different compared with the domestic norm(t=17.640,t=23.660,t=20.410 respectively,all P<0.01).There was a correlation between anxiety and TCM constitution,sleep status,fatigue status and other factors among the Navy serviceman during a long voyage,among them,constitutional types like blood-stasis,Qi-stagnation,and sleep disorders,mental fatigue and other factors might be independent risk factors for anxiety,and peace constitution was protective factor for anxiety(all P<0.05).Conclusion There are high distribution of anxiety status in Navy serviceman during long voyage.It is necessary to improve the sub-health states such as sleep and fatigue and regulate the constitution of traditional Chinese medicine to improve the physical and mental health of the Navy servicemen during long voyage.
作者
戚秀中
QI Xiuzhong(Department of Traditional Chinese Medicine,Qingdao Special Service Sanatorium of Chinese People′s Liberation Army Navy,Qingdao Shandong266071,China)
出处
《联勤军事医学》
CAS
2024年第2期157-160,170,共5页
Military Medicine of Joint Logistics
基金
军队中医药服务能力培育与提升专项计划(2021ZY016)。
关键词
舰艇官兵
长远航
焦虑状态
影响因素
中医体质量表
Navy serviceman
Long voyage
Anxiety status
Influencing factor
TCM constitution scale
