A study on the mental health of Tibetan assistant cadres exposed to high altitude
10.3760/cma.j.issn.1672-7088.2019.26.011
- VernacularTitle: 高原暴露对援藏干部心理健康的研究
- Author:
Aiguo JIANG
1
;
Qiang TU
2
;
Xinlong TANG
3
;
Tingting WU
4
;
Xiaowei MA
5
;
Haibo ZHANG
3
;
Feng GUO
6
;
Xiaodong XU
5
Author Information
1. Department of Nursing, the Second People′s Hospital of Anhui Province, Luan 237008, China
2. Department of Information China University of Science and Technology, Hefei 230051, China
3. Department of Psychology, Second People′s Hospital of Anhui Province, Luan 237008, China
4. Department of Five Faculties, Luan City Hospital of Traditional Chinese Medicine, Luan 237000, China
5. Department of Medical and Health, Shannan People′s Hospital, Tibet Autonomous Region, Nanshan 856000, China
6. Department of Hematology, Luan City People′s Hospital, Luan 237005, China
- Publication Type:Journal Article
- Keywords:
Exposed to high altitude;
Tibetan cadres;
Mental health
- From:
Chinese Journal of Practical Nursing
2019;35(26):2050-2055
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effects of altitude exposure and altitude exposure on mental health of Tibetan cadres.
Methods:105 cadres in Tibet were selected as the research objects. Among them, 74 cadres in Shannan and Lhasa of Tibet (average altitude 3 680 m), 31 in Shigaze and Ali (above 3 800 m) and 14 in Ali (above 4 300 m) were selected. Using Symptom Checklist 90 (SCL-90), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Ascension Insomnia Scale (AIS), 105 Tibetan aid cadres were tested by SAS, SDS, AIS and SCL-90 one week after entering Tibet and one week before leaving the plateau. The scores were collected and the mental health and sleep status of Tibetan aid workers were measured.
Results:The number of positive items of SCL-90 of 105 Tibetan cadres increased from (13.21±9.05) one week after entering Tibet to (38.35±18.84) one week before leaving Tibet. SAS, SDS and AIS also increased from (25.49±5.19), (26.41±5.15), (5.16±3.54) points one week after entering Tibet to (36.78±7.53), (41.42±9.15), (8.71±4.64) points one week before leaving Tibet. The difference was significant in the last week (Z = 8.420, 8.689, 6.277, P<0.01). The correlation analysis between SCL-90 and SAS, SDS and AIS showed that SCL-90 was positively correlated with SAS, SDS and AIS scores (r = 0.651, 0.616, 0.356, P<0.01). Different altitudes have an effect on the mental health of Tibetan aid cadres. The paranoid item scores of Tibetan aid cadres with altitude>4 300 m in SCL-90 were (1.68 ± 0.50) points, which were higher than those of Tibetan aid cadres with altitude<4 300 m (1.24±0.28) points and (1.40± 0.38) points. The difference was statistically significant (F=5.255, P=0.007); The SDS scores of Tibetan aid cadres with altitude>4 300 m were (46.64 ± 7.24) points, which were higher than those of Tibetan aid cadres with altitude<4 300 m (40.76 ± 8.99) points and (40.58 ± 8.28) points. The difference was statistically significant (F=3.223, P=0.044).
Conclusion:Exposure to high altitude affects the mental health of cadres assisting Tibet to varying degrees. The mental health of cadres assisting Tibet deserves attention.
