温州市三甲综合医院护工抑郁障碍的检出率及相关因素分析

The Detection Rate and Correlates of Depression among Health Care Workers of General Hospitals in Wenzhou

目的:调查温州市三甲医院护工抑郁障碍的检出率及相关因素。方法:对656名护工进行简明国际神经精神访谈中文版抑郁章节访谈,自评完成艾森克人格问卷简式量表中国版、社会支持评定量表和付出——回报失衡问卷。结果:护工抑郁障碍检出率(95%CI)为9.15%(6.94%,11.4%);抑郁障碍的危险因素(比值比)为雇主患有传染病(4.13)、分居/离异/丧偶/再婚(3.87)、女性(2.23)、家庭人均月收入≤500元(1.71)和E/R比分高(1.17),保护因素(OR)为内外倾分高(0.97)和支持利用度分高(0.79)。结论:护工抑郁障碍患病风险高,其抑郁发生与社会人口学、职业、人格特征和社会支持等因素有关。

Objectives： To investigate the detection rate and correlates of depression among health care workers of general hospitals in Wenzhou. Methods： Six hundred and fifty-six health care workers from general hospitals in Wenzhou were interviewed with a Chinese Version of Mini International Neuropsychiatric Interview （depression chapter） and administered with Eysenck Personality Questionnaire-Revised （Short Scale for Chinese）, social support rating scale and Effort-Reward Imbalance Questionnaire. Results： The detection rate （95% Confidence Interval） of depression was 9.15% （6.94%, 11.4%）i Risk factors （Odds Ratio, OR） for depression were employer with infectious disease （4.13）, separation/divorcement/being widowed/remarriage （3.87）, female （2.23）, income per person-month ≤ 500 Yuan （1.71） and High E/R ratio （1.17）. Protection factors （OR） were high score on extrovision （0.97） and utilization in support （0.79）. Conclusions： Health care workers have high risk of depression, its occurrence is associated with socio-demorgraphic, occupational, personality characteristic and social support.