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目的探讨南通市公务员亚健康状态现状及与心理健康、生活事件、生存质量等相关影响因素的相互关系。方法采用自编一般情况调查表、亚健康状态自评量表(16题)、症状自评量表(SCL-90)、WHO生存质量测定简表(WHOQOL-BREF)、生活事件量表(LES),用整体分层随机抽样的方法,对南通市市、区两级党政机关共12个单位887名公务员进行调查。结果公务员亚健康状态现患率10.17%;亚健康组平均年龄(41.36±1.03)岁,非亚健康组平均年龄(35.15±0.43)岁,差异具有统计学意义(P<0.01);SCL-90的总分、躯体化、强迫症状、人体关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性等各因子分均高于非亚健康组(P<0.01);亚健康组WHOQOLBREF的心理、生理、社会、环境等4个领域均高于非亚健康组(P<0.01);亚健康组与非亚健康组的LES中包括职业、学习、婚姻和恋爱、家庭和子女、经济司法、人际关系及健康等生活事件数进行统计分析差异有统计学意义(P<0.05);亚健康组的男女性别差异无统计学意义。结论南通市公务员亚健康状态处在社会人群的正常范畴内较低水平,与国内部分学者研究结果不一致;心理健康水平、生存质量、生活事件数等成为公务员亚健康状态的影响因素,应引起重视。
Objective To explore the status quo of sub-health status of civil servants in Nantong city and their relationship with mental health, life events, quality of life and other related factors. Methods The self-compiled questionnaire, sub-health self-rating scale (16 questions), symptom checklist (SCL-90), WHOQOL-BREF, life events scale ), And conducted a survey on 887 civil servants in 12 units of party and government organs in Nantong City at the district and district levels in a holistic and stratified random sampling manner. Results The prevalence of sub-health status of civil servants was 10.17%. The average age of sub-health group was 41.36 ± 1.03 years old, while that of non-sub-health group was 35.15 ± 0.43 years old (P <0.01) The factors such as total score, somatization, obsessive-compulsive symptoms, sensitive human relations, depression, anxiety, hostility, terror, paranoid and psychosis were all higher than those in non-sub-health group (P <0.01) (P <0.01). The LES of sub-health group and non-sub-health group included occupation, study, marriage and love, family and children, economic justice, interpersonal relationship (P <0.05). There was no significant difference between male and female in sub-health group. Conclusion The sub-health status of civil servants in Nantong City is at a low level within the normal range of social population, which is inconsistent with the findings of some domestic scholars. Mental health status, quality of life, number of life events and so on become the influencing factors of sub-health status of civil servants. .