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目的了解煤工尘肺患者心理健康的状况,及自我和谐与社会支持对患者心理健康的影响。方法采用90项症状清单、自我和谐量表和社会支持评定量表对重庆某企业煤工尘肺患者进行问卷调查。结果 212名煤工尘肺患者均为男性,年龄在35~58岁,平均年龄46.7岁;患者90项症状清单的总分为(150.92±0.37)分,低于全国常模,差异有统计学意义(P<0.05);心理健康与自我和谐和社会支持的多个因子呈明显相关(P<0.05或P<0.01);多元逐步回归分析显示,进入方程的自变量为自我与经验的不和谐、客观支持、总体自我和谐、社会支持总分,其标准化偏回归系数分别为0.442、-0.215、0.194、-0.086。结论煤工尘肺患者心理健康水平普遍低于全国平均水平,心理健康与自我和谐和社会支持有着密切关系。
Objective To understand the mental health status of coal workers with pneumoconiosis and the impact of self-harmony and social support on mental health of patients. Methods Ninety-nine symptom checklist, self-consistency scale and social support rating scale were used to conduct a questionnaire survey on coal miners and pneumoconiosis patients in a certain enterprise in Chongqing. Results 212 coal miners with pneumoconiosis were all male, aged from 35 to 58 years, with an average age of 46.7 years. The total score of 90 symptom checklist was (150.92 ± 0.37) points, which was lower than the national norm, with significant difference (P <0.05). There was a significant correlation between mental health and self-consistency and social support (P <0.05 or P <0.01). Multiple stepwise regression analysis showed that the independent variables involved in the equation were the self-experience discordance, Objective support, overall self-consistency and social support, the standardized partial regression coefficients are 0.442, -0.215, 0.190, -0.086, respectively. Conclusion The level of mental health of coal workers with pneumoconiosis is generally lower than the national average. There is a close relationship between mental health and self-consistency and social support.