压力源与医师心理健康调查分析

Investigation of Doctors' Pressure Source and Their Mental Health Status

目的:调查了解医师的心理压力来源及压力下的心理健康与应付方式情况。方法:采用症状自评量表(SCL-90)和简易应对方式问卷(SCSQ)对100名持有医师执业资格证的医师根据压力的有无、不同压力分为压力组、无压力组及工作压力组与家庭压力组源进行调查,结果采用SPSS.12进行统计处理,并进行组间对比分析。结果:压力组医师在人际敏感、抑郁、焦虑、敌对4个因子及应付方式上得分较无压力组高,工作压力组在躯体化、人际敏感、敌对及应付方式上和家庭压力组比较具有显著差异,统计学检验P<0.05。结论:医师的压力主要来源于工作,青年医师是承受压力的主要群体,压力对医师的身心健康有着明显的负面影响,需要给予积极的干预和指导。

Purpose： To investigate doctors′pressure source, their mental health status and coping methods with pressure. Method： Based on their marks in the scales of SCL-90 and SCSQ, 100 doctors are divided into non- pressure group, the pressure group, the working pressure group, and the family pressure group. The data from the scales are processed statistically with SPSS. 12, and inter- group contrast analysis is conducted. Results： Doctors in pressure group get higher marks in terms of interpersonal sensitivity, depression, anxiety, and hostility compared with those in non- pressure group. There is a statistical difference in somatization, interpersonal sensitivity, hostility and pressure coping methods between doctors in the working pressure group and those in family pressure group, with a P 〈 0.05. Conclusion： The majority of doctors′ pressures origins from their work. Young doctors suffer most in the pressure. The pressure has an obvious negative influence on doctors＇physical and mental health, and positive intervention and instruction should be given to them.