经历医疗纠纷的医师心理健康调查分析

An Investigation on the Mental Health of Doctors Who had Experienced Medical Dispute

目的了解经历了医疗纠纷的医师心理健康与应对方式情况。方法:采用症状自评量表(SCL-90)和简易应对方式问卷(SCSQ)对200名持有医师职业资格证的医师进行调查,并将未经历医疗纠纷者作为空白对照组,结果采用SPSS.12进行统计处理,并进行组间对比分析。结果经历医疗纠纷的医师在人际敏感、抑郁、焦虑、敌对等因子与应付方式积分上高于未经历的医师,经历医疗纠纷的医师中,年青医师在人际敏感、抑郁、焦虑、敌对等因子与应付方式积分上高于高龄医师,统计学检验P<0.05或P<0.01。结论医疗纠纷对医师的心理健康呈负面影响,但医师经历越多这种负面影响越小,值得将老医师的经验向年青及未经历医疗纠纷的医师推广运用。

Objective To investigate the mental health status and coping style of the doctors who experienced medical disputes. Methods SCL- 90 and SCSQ were adopted to investigate 200 who had the Doctor Professional Certificate. Those who experienced the medical disputes were taken as the experimental group, while those who hadn＇t experienced that as the control group. Results The doctors who experienced medical disputes were higher significantly than those who hadn＇t experienced on interpersonal sensitization, depression, anxiety, hostility and coping styles et al, and the younger doctors were higher significantly than the older ones （P〈0.05 or P〈0.01）. Conclusion Medical disputes have negative effects on doctors＇ mental health, but more such experiences, less negative effects. So such experiences are worth to be shared to the young doctors without such experiences.