广东省妇产科住培医师职业压力对心理健康状况的影响

Effect of occupational stress on psychological health of obstetrics and gynecology residents in Guangdong Province

目的分析广东省参加住院医师规范化培训(以下简称“住培”)的妇产科医师的职业压力对其心理健康状况的影响。方法采用便利抽样方法,选择509名广东省国家级西医住培基地的妇产科住培医师为研究对象,采用《症状自评量表》《临床医生工作压力源量表》调查其心理健康状况和职业压力;采用二分类logistic回归分析广东省妇产科住培医师的职业压力对心理健康状况的影响。结果广东省妇产科住培医师心理健康阳性检出率为47.5%(242/509),职业压力偏大检出率为63.9%(325/509)。二分类logistic回归分析结果显示,在排除混杂因素的影响后,职业发展、人际关系和职业兴趣均是其心理健康的影响因素(P值均<0.05);职业发展、人际关系和职业兴趣维度的职业压力偏大者,其心理健康状况较差。结论广东省妇产科住培医师心理健康状况总体较差,职业发展、人际关系和职业兴趣均是其心理健康状况的危险因素。

Objective To analyze the effect of occupational stress on the psychological health of obstetricians and gynecologists who participated in the standardized residency training(hereinafter referred to as"obstetrics and gynecology residents")in Guangdong Province.Methods A total of 509 obstetrics and gynecology residents from national-level western medicine residency training bases in Guangdong Province were selected as the research subjects using a convenience sampling method.The psychological health status and occupational stress were investigated using the Symptom Checklist-90 and the Clinician Occupational Stressor Scale.The effects of occupational stress on psychological health of obstetrics and gynecology residents in Guangdong Province were analyzed by binary logistic regression.Results The positive detection rate of psychological health in obstetrics and gynecology residents in Guangdong Province was 47.5%(242/509),and the detection rate of high-level occupational stress was 63.9%(325/509).The results of binary logistic regression analysis showed that career development,interpersonal relationships,and professional interests were influencing factors of their psychological health after controlling the confounding factors(all P<0.05).Residents with high level of occupational stress in career development,interpersonal relationships,and professional interests had poor psychological health.Conclusion The psychological health of obstetrics and gynecology residents in Guangdong Province is generally poor,with career development,interpersonal relationships,and professional interests being risk factors for their psychological health.