海勤人員壓力反應(yīng)現(xiàn)狀調(diào)查以及干預(yù)方法的比較研究
發(fā)布時間：2019-06-29 14:05
【摘要】：海勤人員是國防戰(zhàn)斗力的重要組成部分,由于其工作具有訓(xùn)練任務(wù)重、職業(yè)風(fēng)險大、工作環(huán)境封閉等特殊性,所以無論是其職業(yè)性質(zhì)、強度、環(huán)境,還是日常生活均異于普通群體,承受的精神壓力較大,容易產(chǎn)生各種心身癥狀,從而影響工作狀態(tài),使戰(zhàn)斗力降低。因此,深入研究海勤人員的壓力反應(yīng)機制和相關(guān)的影響因素,探討各種影響因素之間的相互作用,尋求如何提高相關(guān)心理品質(zhì)的訓(xùn)練方法,將為維護海勤人員的心身健康、提高心理耐受力、提高自信心和對自身職業(yè)的認同度提供科學(xué)依據(jù),并為培養(yǎng)海勤人員的健康身心、提高戰(zhàn)斗力提供有力支持。 為此,本研究通過對來某療養(yǎng)院療養(yǎng)的海勤人員進行調(diào)查,分析海勤人員心理壓力反應(yīng)的現(xiàn)狀和心率變異性特點；探討音樂放松訓(xùn)練與生物反饋訓(xùn)練對海勤人員心率變異性的量化改變以及壓力反應(yīng)和異常情緒的作用。 對象與方法 本研究在在某部隊療養(yǎng)院采用分層隨機抽樣的方法將入院療養(yǎng)員共443人(其中艦艇人員165名,潛艇人員173名,潛水員105名)為研究對象,均為男性,年齡30.46±7.58歲,均無精神異常史,無嚴(yán)重認知障礙。采用了壓力反應(yīng)問卷(SRQ)、功能失調(diào)性態(tài)度問卷、知覺心理壓力量表(CPSS)、卡特爾16種個性因素問卷(16PF)、生活事件量表(LES)、特質(zhì)應(yīng)對方式問卷(TCSQ)、領(lǐng)悟社會支持量表(PSSS)對上述人員進行測評,共發(fā)放問卷443份,全部回收,有效問卷436份,有效率為98.40%。根據(jù)前期測評情況采取自愿的原則對部分被試分別進行音樂放松治療干預(yù)或生物反饋治療干預(yù)。本研究主要的統(tǒng)計分析采用SPSS17.O統(tǒng)計軟件進行,主要統(tǒng)計方法為描述性統(tǒng)計分析、方差分析。 主要結(jié)果 1.壓力反應(yīng)的現(xiàn)狀調(diào)查分析結(jié)果 海勤人員壓力反應(yīng)的主要表現(xiàn)為生理反應(yīng)和心理反應(yīng)。艦艇人員、潛艇人員、潛水員在壓力反應(yīng)各分量表及總量表得分差異無統(tǒng)計學(xué)意義。各年齡組之間壓力反應(yīng)分量表與總量表得分均沒有統(tǒng)計學(xué)意義,但是隨著年齡增大,壓力反應(yīng)量表得分呈下降趨勢。 2.心率變異性特點分析結(jié)果 海勤人員HRV處于一般水平。潛艇人員HRV相對較低。隨著年齡的增高,HRV出現(xiàn)升高,到50歲以后,出現(xiàn)了SDNN的適當(dāng)降低。海勤人員RMSSD與心理反應(yīng)、壓力反應(yīng)呈正相關(guān)。 3.兩種放松訓(xùn)練方法對正常海勤人員心率變異性的作用效果分析結(jié)果 音樂放松訓(xùn)練3周后,出現(xiàn)了頻域指標(biāo)LF的下降和HF的升高,結(jié)果接近顯著性水平,未達到統(tǒng)計學(xué)意義。生物反饋放松訓(xùn)練3周后,出現(xiàn)了頻域指標(biāo)LF的下降和HF的升高,結(jié)果接近顯著性水平,未達到統(tǒng)計學(xué)意義。 4.兩種放松治療方法對海勤人員壓力反應(yīng)和異常情緒的作用分析結(jié)果 經(jīng)過音樂放松治療3周后,海勤人員壓力反應(yīng)量表總測評分與分量表測評分、SAS測評分、SDS測評分均出現(xiàn)了顯著下降,差異具有統(tǒng)計學(xué)意義。經(jīng)過生物反饋放松治療3周后,海勤人員壓力反應(yīng)量表總測評分與分量表測評分出現(xiàn)了顯著下降,SAS、SDS測評分干預(yù)前后對照差異不顯著。音樂放松治療與生物反饋放松治療方法對海勤人員異常情緒的治療效果相似。 結(jié)論 1.海勤人員承受的壓力反應(yīng)是以生理反應(yīng)和心理反應(yīng)為主,主要表現(xiàn)為吸煙增多、感到疲勞、記憶力下降、睡眠不佳、注意力不集中。隨著年齡增大,壓力反應(yīng)逐漸降低。 2.職業(yè)調(diào)查中,潛艇人員整體HRV結(jié)果相對較低,說明潛艇人員自主神經(jīng)調(diào)節(jié)優(yōu)于其他人員。隨著年齡增長,HRV升高。HRV在取代傳統(tǒng)量表調(diào)查應(yīng)激水平就目前來說不是一個很權(quán)威的手段,可以作為輔助手段。 3.音樂放松訓(xùn)練方法和生物反饋訓(xùn)練方法均能改變健康海勤人員的心率變異性,有效調(diào)節(jié)心臟自主神經(jīng)系統(tǒng)功能。 4.音樂放松訓(xùn)練方法和生物反饋訓(xùn)練方法均能有效緩解海勤人員壓力反應(yīng)和異常情緒。
[Abstract]:Haiqin is an important part of the combat effectiveness of the national defense, because its work has the particularity of the training task, the high occupation risk and the close of the working environment, so it is different from the ordinary group in its professional character, intensity, environment, or daily life. It is easy to produce various psychosomatic symptoms, thus affecting the working state and reducing the fighting capacity. Therefore, in-depth study of the pressure reaction mechanism and the related influencing factors of the sea-duty personnel, the interaction between various influencing factors, and the training methods to improve the related mental quality will be discussed, and the mental health and the psychological stress tolerance of the sea-handling personnel will be improved. The invention provides a scientific basis for improving the self-confidence and the recognition of the self-employment, and provides strong support for cultivating the health and the mind and the fighting capacity of the health-care personnel. To this end, the present study investigated the present situation and the heart rate variability of the psychological stress response of the sea-service personnel through the investigation of the sea-service personnel who come to a nursing home. Point: To explore the quantitative change of heart rate variability and the pressure response and abnormal mood in the training of music relaxation training and biofeedback training for A total of 443 patients (165,173, and 105 divers) of the hospital were studied by stratified random sampling in a military sanatorium, and all of them were male, the age of 30.46 and the age of 7.58, none of them were male. The history of mental abnormality, it's not strict. The stress response questionnaire (SRQ), the functional disorder attitude questionnaire, the Perceptual Stress Scale (CPSS), the Cartel's 16 personality factor questionnaire (16PF), the life event scale (LES) and the trait coping style questionnaire (16 PF) were used. (TCSQ), Understanding the Social Support Scale (PSSS) to evaluate the above-mentioned personnel, and issued a total of 443 questionnaires, all of which were recovered, the effective questionnaire was 436, the effective rate was 9. 8.40%. According to the pre-assessment, the voluntary principle is adopted to perform the music relaxation treatment intervention or the biological inversion on the part of the participants, respectively. The main statistical analysis of this study was carried out using the SPSS17.0 statistical software. The main statistical methods were descriptive statistics and statistical analysis. variance score Analysis of main results 1. Pressure inversion The main table of the pressure reaction of the sea handling personnel shall be investigated and analyzed according to the current situation investigation and analysis results. now is a physiological response and a psychological response. The ship, the submarine, the diver, and the total amount of each component and the total amount of the pressure reaction There is no statistical significance in the difference of the table scores. There is no statistical difference between the pressure response component table and the total table score between each age group, but as the age increases, the pressure The score of the reaction scale decreased. 2. Analysis results of heart rate variability The HRV of the sea-service personnel is at the same time. At the same level, the submarine's HRV is relatively low. As age increases, HRV increases to 50. In the future, an appropriate reduction of the SDNN has occurred. The operator RMSS D is positively related to the psychological reaction and the pressure reaction.3. The two relaxation training methods are normal. After 3 weeks of relaxation training, the decrease of the frequency domain index LF and the rise of HF were observed after 3 weeks of relaxation training. Results The results were close to the significance level and the statistical significance was not reached. After 3 weeks of the biological feedback relaxation training, the decrease of the frequency domain index LF and the increase of HF were observed. And the results were close to the significance level, and the statistical significance was not reached. The results of the analysis of the effect of the pressure reaction and the abnormal emotion on the personnel of the sea handling personnel were measured by the music relaxation therapy for 3 weeks, and the total assessment of the pressure response scale of the sea-service personnel and the assessment of the component table Score, SAS evaluation score, S There was a significant decrease in the evaluation of DS, and the difference was of statistical significance. After 3 weeks of biological feedback and relaxation, the total assessment of the pressure response scale of the sea-service personnel was significantly lower than that of the component table. There was no significant difference in the control of health, SAS and SDS before and after the intervention. feed-in Conclusion 1. The stress response of the crew is mainly based on the physiological response and the psychological reaction, and the main performance is as follows:1. increased smoking, fatigue, and memory loss, sleep is not good, attention is not concentrated. As age increases, the pressure response is gradually reduced.2. In the professional investigation, the submarine personnel The body HRV results are relatively low, indicating The self-regulation of the submarine's personnel is superior to that of other personnel. With the increase of age, the HRV is increased. HRV is in place of the traditional scale. It is not a very authoritative means to check the stress level, which can be used as an auxiliary means.3. The training method of music relaxation and the training method of biological feedback Can change the heart rate variability of the health-care personnel and effectively regulate the function of the autonomic nervous system of the heart.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：B844
本文編號：2507869
[Abstract]:Haiqin is an important part of the combat effectiveness of the national defense, because its work has the particularity of the training task, the high occupation risk and the close of the working environment, so it is different from the ordinary group in its professional character, intensity, environment, or daily life. It is easy to produce various psychosomatic symptoms, thus affecting the working state and reducing the fighting capacity. Therefore, in-depth study of the pressure reaction mechanism and the related influencing factors of the sea-duty personnel, the interaction between various influencing factors, and the training methods to improve the related mental quality will be discussed, and the mental health and the psychological stress tolerance of the sea-handling personnel will be improved. The invention provides a scientific basis for improving the self-confidence and the recognition of the self-employment, and provides strong support for cultivating the health and the mind and the fighting capacity of the health-care personnel. To this end, the present study investigated the present situation and the heart rate variability of the psychological stress response of the sea-service personnel through the investigation of the sea-service personnel who come to a nursing home. Point: To explore the quantitative change of heart rate variability and the pressure response and abnormal mood in the training of music relaxation training and biofeedback training for A total of 443 patients (165,173, and 105 divers) of the hospital were studied by stratified random sampling in a military sanatorium, and all of them were male, the age of 30.46 and the age of 7.58, none of them were male. The history of mental abnormality, it's not strict. The stress response questionnaire (SRQ), the functional disorder attitude questionnaire, the Perceptual Stress Scale (CPSS), the Cartel's 16 personality factor questionnaire (16PF), the life event scale (LES) and the trait coping style questionnaire (16 PF) were used. (TCSQ), Understanding the Social Support Scale (PSSS) to evaluate the above-mentioned personnel, and issued a total of 443 questionnaires, all of which were recovered, the effective questionnaire was 436, the effective rate was 9. 8.40%. According to the pre-assessment, the voluntary principle is adopted to perform the music relaxation treatment intervention or the biological inversion on the part of the participants, respectively. The main statistical analysis of this study was carried out using the SPSS17.0 statistical software. The main statistical methods were descriptive statistics and statistical analysis. variance score Analysis of main results 1. Pressure inversion The main table of the pressure reaction of the sea handling personnel shall be investigated and analyzed according to the current situation investigation and analysis results. now is a physiological response and a psychological response. The ship, the submarine, the diver, and the total amount of each component and the total amount of the pressure reaction There is no statistical significance in the difference of the table scores. There is no statistical difference between the pressure response component table and the total table score between each age group, but as the age increases, the pressure The score of the reaction scale decreased. 2. Analysis results of heart rate variability The HRV of the sea-service personnel is at the same time. At the same level, the submarine's HRV is relatively low. As age increases, HRV increases to 50. In the future, an appropriate reduction of the SDNN has occurred. The operator RMSS D is positively related to the psychological reaction and the pressure reaction.3. The two relaxation training methods are normal. After 3 weeks of relaxation training, the decrease of the frequency domain index LF and the rise of HF were observed after 3 weeks of relaxation training. Results The results were close to the significance level and the statistical significance was not reached. After 3 weeks of the biological feedback relaxation training, the decrease of the frequency domain index LF and the increase of HF were observed. And the results were close to the significance level, and the statistical significance was not reached. The results of the analysis of the effect of the pressure reaction and the abnormal emotion on the personnel of the sea handling personnel were measured by the music relaxation therapy for 3 weeks, and the total assessment of the pressure response scale of the sea-service personnel and the assessment of the component table Score, SAS evaluation score, S There was a significant decrease in the evaluation of DS, and the difference was of statistical significance. After 3 weeks of biological feedback and relaxation, the total assessment of the pressure response scale of the sea-service personnel was significantly lower than that of the component table. There was no significant difference in the control of health, SAS and SDS before and after the intervention. feed-in Conclusion 1. The stress response of the crew is mainly based on the physiological response and the psychological reaction, and the main performance is as follows:1. increased smoking, fatigue, and memory loss, sleep is not good, attention is not concentrated. As age increases, the pressure response is gradually reduced.2. In the professional investigation, the submarine personnel The body HRV results are relatively low, indicating The self-regulation of the submarine's personnel is superior to that of other personnel. With the increase of age, the HRV is increased. HRV is in place of the traditional scale. It is not a very authoritative means to check the stress level, which can be used as an auxiliary means.3. The training method of music relaxation and the training method of biological feedback Can change the heart rate variability of the health-care personnel and effectively regulate the function of the autonomic nervous system of the heart.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：B844
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