突发公共卫生事件期间医务人员心理问题危险性因素研究

A Study on Risk Factors of Psychological Problems among Medical Staff during Public Health Emergencies

目的主要探讨突发公共卫生事件期间医务人员心理问题的危险因素,寻找合适的中西医结合临床治疗方法。方法在突发公共卫生事件期间采用问卷星APP对机构内400人进行流行性调查问卷评估,调查不同年龄、性别、职能部门、婚姻状况等因素对心理的影响,所有数据应用SPSS26.0软件包进行处理分析,制定相应统计图表,未来将根据研究方向制定规范的临床检查流程以便进入后续的中西医结合临床治疗阶段。结果400名被调查人员中,PHQ-9得分在性别、年龄、参加工作时间之间存在差异(P<0.05);PHQ-15得分在性别、职能部门、受教育程度间存在差异(P<0.05)。其中,女性、年龄(<40岁)、参加工作时间(<15年)抑郁得分显著高于其他分组,提示存在更多的抑郁问题;女性、护理单元、医技科室、临床科室、本科以上躯体症状群得分显著高于其他分组,提示存在更多的躯体问题。轻度焦虑、中度焦虑、中重度抑郁、中度躯体症状、重度躯体症状与机构内医务人员一般情况中的已婚、女性、年龄(30~40岁)、工作年限(5~15年)等因素有一定相关性;轻度抑郁、中度抑郁、轻度躯体症状与机构内职工一般情况中的女性等因素有一定相关性。结论机构内医务人员存在焦虑、抑郁、躯体症状等问题,且与机构内医务人员一般情况中的已婚、女性、年龄(30~40岁)、工作年限(5~15年)等因素有关,应关注机构内医务人员的心理问题以及注重对心理相关疾病的疏导和治疗。

Objective To explore the risk factors of psychological problems of medical staff during public health emergencies and to find the appropriate clinical treatment methods of integrated Traditional Chinese and Western medicine.Methods During public health emergencies questionnaire star APP within the institutions on 400 epidemic survey assessment,investigation of different age,sex,functional departments,maRITal status and other factors on the psychological impact,all data application SPSS26.0 software package for processing analysis,formulate the corresponding statistics charts,according to the research direction in the future will make the standardized clinical examination process in order to enter the subsequent stages of clinical traditional Chinese medicine and western medicine.Results Among the 400 respondents,there were differences in PHQ-9 scores among gender,age and working time(P<0.05).Phq-15 scores were different among gender,functional departments and educational level(P<0.05).Among them,the depression scores of females,age(<40 years old)and working time(<15 years old)were significantly higher than those of other groups,indicating the existence of more depression problems.The scores of women,nursing unit,medical technology department,clinical department and above bachelor's degree in somatic symptom group were significantly higher than those of other groups,indicating that there were more somatic problems.Mild anxiety,moderate anxiety,moderate and severe depression,moderate somatic symptoms and severe somatic symptoms are correlated to married,female,age(30-40 years old),working years(5-15 years old)and other factors in general conditions of medical staff in institutions.Mild depression,moderate depression,mild somatic symptoms and the female in the general condition of the staff in institutions have a certain correlation.Conclusion Medical staff in agency problems such as anxiety,depression,somatic symptoms,and the general situation of the medical staff of an organization is married,female,age(30 to 40 years old),working fixed number of year(5 years to 15 years),and other factors,and psychological problems that should be focused on the medical staff of an organization,and pay attention to the psychological counseling and treatment of related diseases.