临床医生职业压力应对方式与心理健康的关联

Relationship among vocational stress,coping style,and mental health of clinicians

目的探讨临床医生职业压力现状及其与心理健康的关系。方法使用自编的医生工作压力源量表,症状自评量表(SCL-90)和简易应对方式问卷(SCSQ)对708名临床医生进行调查。结果在自评压力感受中76.9%的临床医生认为自己压力大,主要压力来源分别是工作负荷、职业发展和医患关系。不同组间职业压力源状况比较显示,压力来源在不同年龄组、不同学历和对职业状况满意度不同的临床医生之间差异有统计学意义。工作压力源各因子分与症状自评量表各因子分均呈正相关。应对方式、工作压力源人际关系因子和工作负荷因子、职称和性别对临床医生心理健康状况具有预测作用。结论临床医生因面临严重的职业压力而产生心理健康问题,临床医生的职称、应对方式和职业压力是影响其心理健康状况的重要因素。

Objective To investigate the vocational stress of clinicians and the relationship between mental health and vocational stress. Methods Sources of doctor＇s working pressure Scale, SCL - 90 and SCSQ were administered to 708 clinicians. Results In the self - assessment of pressure, 76.9% of clinicians feel under great pressure from workload, vocational development, and relationship between doc- tors and patients. Comparing sources of vocational stress between different groups showed that there were statistical differences between the age, the educational background and satisfaction degree of profession in sources of stress. The item score of sources of stress was positively correlated with the item score of SCL - 90. Coping method, interpersonal relationship, workload, title and gender could prognosticate mental health of clinicians. Conclusion Clinicians have the problem of mental health because of heavy vocational stress. The titles, coping meth- ods and vocational stress have great influence on clinicians＇mental health.