广西4575名医护人员心理健康及影响因素分析

Mental health survey on 4575 medical staff in Guangxi province and influencing factors analysis

目的了解广西医护群体的心理健康状况及影响因素。方法采取整群分层随机方法，并使用症状自评量表（SCL-90）和自编一般资料调查表对4575名广西医护人员进行问卷调查。结果广西医护群体在SCL-90阳性项目数和9个症状因子上的得分与全国常模相比较差异有显著性（均P〈0．01）；Logistic单因素回归分析显示，文化程度、单位等级、单位所在地、职业、工作科室、参加工作时间、婚姻现状是影响医护群体心理健康的关联因素，Logistic多因素回归分析发现，文化程度、工作科室、婚姻现状是危险因素（回归系数为-0．220～0．118）。结论医护人员心理健康水平低于一般正常人群，应对其实施心理卫生三级保健工作。

Objective The objective is to understand mental health of Guangxi medical staff and influencing factors. Method The self-report symptom inventory （SCL-90） and self-made genral questionnaire were used to survey 4575 samples with involvement of combination of layered-random and group-random. Results The number of positive items and 9 symptom factors scores in SCL-90 were significantly different from norm （ P 〈 0. 01 ）. Educational level, grade of organization, location of organization, occupation, section office of working, working years and status of marriage were relevant factors influencing mental health of medical staff. Logistic regression analysis showed that educational level, section office of working and status of marriage were risk factors （ regression coefficient： -0. 220 -0. 118）. Conclusion Mental health level of medical staff was lower than that of ordinary person;and it was suggested that third class protection of mental health should be implemented to medical staff.