目的：探讨综合干预对急进高原前士兵心理健康水平的影响。方法选取急进高原前士兵400名作为调查对象，随机分为对照组(n=198)和综合干预组(n=202)，在综合干预前后采用军人心理应激自评问卷、觉察压力量表，分别对两组士兵进行测评比较研究。采用Pearson法进行相关分析；采用回归方法分析影响心理应激的因素。结果（1）经过综合性干预，急进高原前士兵综合干预组心理应激[（14.14±3.06）vs（13.69±3.01）]分、预测感[（5.21±1.59）vs（4.76±1.51）]分、控制感[（14.02±2.97）vs（13.79±2.85）]分、超载感[（12.79±2.78）vs（12.56±2.67）]分，得分显著低于对照组（t=3.702，P<0.001；t=7.194，P<0.001；t=2.014，P=0.044；t=2.137, P=0.033）；综合干预组干预前心理应激、预测感、控制感、超载感得分明显低于干预后（t=-5.324，P<0.001；t=-7.195，P<0.001；t=-2.021，P=0.039；t=-2.148，P=0.026）。（2）士兵进行综合干预后，预测感、控制感、超载感进入心理应激得分的回归方程（t=8.466，P<0.001；t=5.811，P<0.001；t=3.903，P<0.001）可解释心理应激24.9%的变异量。结论综合干预对提高急进高原前士兵心理健康水平有积极影响。%Objective To investigate the effect of comprehensive intervention on the level of mental health of soldiers before they rush to plateau.Methods 400 soldiers who rushed to plateau were selected as subjects, then randomly divided into control group (n=198) and comprehensive intervention group (n=202). Both groups of soldiers were evaluated by psychological stress self-evaluation test and perceived stress scale before and after the comprehensive intervention, respectively. Using Pearson method for correlation analysis; using regression for analyzing factors affecting the psychological stress.Results (1) Upon comprehensive intervention, score of the psychological stress [(14.14±3.06)vs (13.69±3.01)], prediction [(5.21±1.59)vs (4.76±1.51)], sense of control [(14.02±2.97)vs (13.79±2.85)] and sense of overload [(12.79±2.78) vs (12.56±2.67)] decreased significantly among the soldiers who rush to plateau (t=3.702,P<0.001;t=7.194,P<0.001;t=2.014,P=0.044;t=2.137,P=0.033). Scores of the psychological stress, prediction, sense of control, sense of overload of comprehensive intervention group before intervention, were significantly lower than those after intervention (t=-5.324,P<0.001;t=-7.195,P<0.001;t=-2.021,P=0.039;t=-2.148, P=0.026). (2) Put the sense of prediction, control and overload into the integrated intervention regression equation of psychological stress (t=8.466,P<0.001;t=5.811,P<0.001;t=3.903,P<0.001), which can explain 24.9% of the variance of psychological stress.Conclusions Comprehensive intervention has a significant effect on improving the psychological health level of soldiers before they rush to plateau.
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