发热门诊医护人员心理健康影响因素的研究

Correlation study on influential factors psychic health of doctors and nurses in febrile out-patient clinic

目的 分析社会支持及应对方式对发热门诊医护人员心理健康状况的影响 ,为心理干预措施提供科学依据。方法 采用中国科学院心理研究所设计的心理测评量表 ,对 8所军队医院发热门诊和普通病房的 717名医护人员进行心理健康、社会支持及应对方式问卷测评 ,对 2组人群的社会支持、应对方式与心理健康水平的关系进行多元回归分析。结果 发热门诊医护人员负性情绪因子自评分显著高于普通病房医护人员 ,即其心理健康水平显著低于普通病房医护人员。主观社会支持因素 ( 1)评分为 2 70 39± 0 5 4 98,主观社会支持因素 ( 2 )评分为 1 5 192±0 4 84 2 ,主观社会支持分与心理健康因子分呈负相关 ;直面应对评分为 0 4 394± 0 14 36 ,回避应对评分为 0 2 0 98±0 5 5 0 0 ,屈服应对评分为 0 15 6 4± 0 12 14。直面应对与心理健康因子分呈现负相关 ,屈服应对与心理健康水平呈正相关 ,回避应对与心理健康水平相关性无显著性意义。结论 不良的社会支持和消极的应对方式是影响发热门诊医护人员心理健康的重要因素 ,应及时帮助他 (她 )

Objective To analyze the effect of social support and coping style on the psychic health of doctors and nurses in febrile out-patient clinic,which could provide scientific testimony for psychic intervention study.Methods The psychic test scales were designed by Institute of Psychology.CAS(Chinese Academy of Sciences)was used to investigate the effect of social support and coping style on the psychic health of doctors and nurses,717 doctors and nurses in febrile out-patient clinic and ordinary out-patient clinic of Military Hospital underwent this investigation,multiple regression analysis was used to analyze the results of the two groups.Results The self-rating scores of negative emotional factors of doctors and nurses in febrile out-patient clinic were significantly higher than that of ordinary out-patient clinic personnel,namely the former's psychic health level was significantly lower than that of the latter's.The scorse of subjective social support factors 1 and 2 were 2 703?9 ±0 549?8 and 1 159?2±0 484?2 respectively.The subjective social support score was notable inversely related to psychic health factor score;the score of directly coping style was 0 439?4±0 143?6,the score of avoidance coping style was 0 209?8±0 550?0,the score of yielding coping style was 0 156?4±0 121?4,there was a inverse relation between directly coping style score and psychic health factor score and a directly relation between yielding coping style score and psychic health factor score.While no correlation was found between avoidance coping style score and the level of psychic health.Conclusion Superior social support and passive coping style were the great factors that influenced the psychic health of doctors and nurses in febrile out-patient clinic,so it was important to help them improve the sensation of social support and the skill of coping style.