目的 探讨新兵应激状态下的心血管反应特点及其与应对方式之间的关系.方法 采用随机整群抽样方法,对2013年10至11月在新疆某部队新入伍的406名新兵采用问卷调查与实验研究相结合的方法进行研究,问卷为简易应对方式问卷,以收缩压(SPB)、舒张压(DPB)和心率(HR)为观察指标,采用描述性统计、相关及回归分析方法分析心血管反应与应对方式之间的相关性.结果 新兵应激状态下心血管反应指标的变化有统计学意义(P=0.000).积极应对方式与年龄(P =0.008)、父亲的文化程度(P=0.010)呈显著正相关,消极应对方式与母亲的文化程度呈正相关(P=0.046).积极应对方式与回忆任务期收缩压(P =0.039)和计算任务期的心率(P=0.025)呈正相关,消极应对方式与基线期-计算任务期收缩压的波动值呈正相关(P=0.034).逐步回归的结果显示,年龄和父亲的文化程度对积极应对方式的影响有统计学意义(P =0.008,P=0.041).基线期-计算任务期收缩压的波动值对消极应对方式的影响有统计学意义(P=0.034).结论 年龄和父亲的文化程度对积极应对方式有正面影响,而给予心理应激则加重新兵的消极应对方式.
Objective To explore the relationship between the cardiovascular responses and coping styles among recruits in psychological stress.Methods Using random cluster sampling method,we chose 406 army recruits in Xinjiang from October 2013 to November 2013,and the questionnaire survey combined with laboratory test was applied.The questionnaire used in this study was the simplified coping style questionnaire.Systolic blood pressure (SPB),diastolic blood pressure (DPB),and heart rate (HR) were recorded.The relationship between cardiovascular responses and coping methods was analyzed using descriptive statistics,correlations,and regression analysis.Results There were statistically significant differences in changes of the indicators of cardiovascular responses (P =0.000).The positive coping styles were significantly associated with age (P =0.008) and father's education degree (P =0.010).The negative coping styles were associated with the mother' s educational degree (P =0.046).The positive coping styles were associated with the SBP in recall task period (P =0.039) and with the HR in calculating task period (P =0.025).The negative coping styles were significantly associated with the SBP difference between the baseline and calculating task period (P =0.034).Stepwise regression analysis showed that age and father' s education degree (P =0.008,P =0.041) had a positive effect on the positive coping styles,and the SPB difference between the baseline and calculating task period had a negative effect on the positive coping styles (P =0.034).Conclusions Age and father' s education degree can affect the positive coping style of the recruits.Increased psychological stress has a negative impact on the negative coping styles of the recruits.