医护人员抑郁症状及影响因素分析

Prevalence and associated factors of depressive symptoms among hospital staff

目的探讨辽宁省医护人员抑郁症状及影响因素,改善医护人员身心健康及生命质量。方法随机抽取辽宁省20所综合医院工作6个月以上的4 602名医护人员进行自填式问卷调查。应用流行病学调查用抑郁自评量表(CES-D)评价抑郁症状,logistic回归分析探讨医护人员抑郁症状的影响因素。率的比较采用χ2检验,P<0.05为差异有统计学意义。结果辽宁省医生的抑郁症状率为65.3%,高于护士55.7%(P<0.01)。按OR值的顺序,医生抑郁症状的影响因素为高任务不适、医患关系严重紧张、有慢性病、高任务冲突、低理性处事、高任务过重及低社会支持;护士抑郁症状的影响因素为高任务过重、护患关系严重紧张、高任务冲突、有慢性病、低社会支持、高任务不适及低理性处事。结论辽宁省医生的抑郁症状率高于护士,人口学特征、工作状况、职业任务及个体应对资源与抑郁症状密切相关。

Objective To evaluate the prevalence of depressive symptoms and explore its associated factors for improving the health and life quality of hospital staff.Methods The study investigated 4 602 hospital staff,who had been working at least 6 months for one of twenty hospitals.Epidemiologic study depression scale（CES-D） was used to evaluate the depressive symptoms.Logistic regression analysis was performed to explore associated factors of depressive symptoms.Results The prevalence of depressive symptoms was higher among doctors（65.3%） than that among nurses（55.7%）（P〈0.01）.Logistic regression analysis found that the doctor＇s depressive symptoms were associated with role insufficiency,poor relationship with patients,chronic disease condition,overload work schedule,collision of duties and feeling low society support.The logistic regression model also suggested that the nurse′s depressive symptoms were associated with overload work schedule,poor nurse-patient relationship,chronic disease condition,feeling low society support,role insufficiency and poor collaboration work environment.Conclusion Depressive symptoms affected doctors and nurses,and were associated with adverse work environment,overload of work schedule and short of institution and society support.Comprehensive actions need to be taken to improve the observed psychological condition.