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關于陸軍航空兵空勤人員實施心理健康措施的一年效果

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作者:賽曉勇,張建國,閆永平

【關鍵詞】 心理測量 【Abstract】 AIM: To evaluate the roles of oneyear psychological intervention in psychological health care of army airmen. METHODS: One hundred and twentytwo army airmen were investigated respectively by Cornell Medical IndexHealth Questionnaire (CMI) before and after psychological intervention and the results were compared. RESULTS: The lowscored total scores (0-14) after intervention were higher than those before intervention (P<0.05). While the lowscored MR scores (0-9) after intervention were higher than those before intervention, no significant difference was found. The highscored total scores (≥30) after intervention were lower than those before intervention(P<0.05). While the highscored MR scores (≥10) after intervention were lower than those before intervention, no significant difference was found. The scores of five pilots were higher than the screening standard (total scores≥30, MR scores≥10) after intervention. The analysis of the answers of CMI surveys showed that the items with high positive answer rate (>20%) decreased (12 before intervention, 7 after intervention) while the ones with low positive answer rate (<1%) increased (41 before intervention, 61 after intervention). CONCLUSION: The psychological status of pilots after intervention is better than that before intervention. 、 【Keywords】 army airman;cornell medical indexhealth questionnaire;psychological survey 【摘要】 目的:評估在陸航空勤人員心理健康措施實施的效果. 方法:實施措施前后采用康奈爾健康量表(CMI)對122名直升機飛行員進行了測試并進行比較. 結果:CMI總分低得分率(總分0~14分)實施后均高于實施前(P<0.05);MR部分低得分率(總分0~9分)實施后高于實施前,但差異不顯著(P>0.05);CMI高得分率(總分≥30分)實施后低于實施前(P<0.05);MR部分高得分率(總分≥10)實施后均低于實施前,但差異不顯著(P>0.05);實施后得分高于精神篩查標準(CMI總分≥30,MR分≥10)者5例(4.1%). 高陽性回答率(>20%)項目減少,低陽性回答率(<1%)項目增加. 結論:心理健康措施實施后精神健康狀況優于實施前. 【關鍵詞】 陸軍航空兵;康奈爾健康量表;心理測量 0引言 陸軍航空兵空勤人員訓練任務重,易導致軀體和心理問題. 2000年我們對陸航某部空勤人員進行現況調查并實施心理健康措施. 為評價措施的效果于2001年再次調查,將結果報告如下. 1對象和方法 1.1對象 陸航現役空勤人員122名,均為男性,漢族,年齡23~52歲. 1.2方法 調查于心理健康措施實施前后(200005/200105)進行,采用國內外公認信度、效度較好的康奈爾健康量表(Cornell Medical IndexHealth Questionnaire,CMI)[1]. 全問卷分AR18個部分共195個問題,問卷為北京醫科大學提供,采用常用篩查精神障礙參照標準(CMI總分≥30,MR分≥10)對測試結果進行判定,全部調查工作采用不計名、集中填寫方式、被調查者獨立完成,當場交卷.

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