女性医护人员症状自评量表(SCL-90)结果分析

An analysis of the evaluation results of symptom checklist 90 for female medical workers

目的 比较女性医生和护士心理健康状况,了解女性医护人员的心理状况特点,探索影响因素.方法 于2016年7月至9月,采用横断面调查研究方法,选择北京市通州区和怀柔区的部分医院所有女性在职医生和护士共1 578人,并采用症状自评量表(SCL-90)进行心理健康状况调查分析.结果 医生SCL-90量表总分中位数为109分,阳性项目数中位数为16项;护士SCL-90总分中位数为120分,阳性项目数中位数为24项.医生和护士的SCL-90总分、阳性项目数、阳性项目均值、10个因子的中位数和10个因子阳性率都存在差异,差异有统计学意义(P<0.05).医生因子阳性率最高的前3位依次是强迫症状、抑郁和躯体化因子,护士为强迫症状、敌对和躯体化因子.多因素分析结果为近3个月遭遇负向生活事件(OR=2.940,95%CI:2.279~3.792)、亲属患心理疾患(OR=3.683,95%CI:2.251~6.025)、轮班作业(OR=1.611,95%CI: 1.295~2.005)和工作负荷大(OR=2.265,95%CI: 1.793~2.860)为医护人员SCL-90问卷阳性的危险因素.结论 该次调查女性医生和护士的心理健康状况存在差异,护士的心理健康状况相对医生较差,近3个月遭遇负向生活事件、亲属患心理疾患、轮班作业和工作负荷大是医护人员SCL-90阳性的危险因素.

Objective To evaluate the mental health of female doctors and nurses.Methods Investigat the psychologic status of female doctors and nurses using symptom checklist 90.And statistical software was applied to analyze results of symptom checklist 90.Results There were differences in the score of SCL-90 between doctor and nurse groups,the difference was statistically significant (P<0.05).Negative life events (OR=2.940),relative suffer from mental illness (OR=3.683),shift work (OR=1.611)and heavy workload (OR=2.265)were found to risk factors for the positive of SCL-90.Conclusion There were differences in the score of SCL-90 between doctor and nurse groups.Negative life events,relative suffer from mental illness,shift workand heavy workload are risk factors for SCL-90 positive of female doctors and nurses.