临床医生职业心理健康状况调查及干预

Survey and Lnterventions of the Professional Psychological Health of Clinical Doctors

目的:了解临床医生的职业心理健康状况,探讨改善临床医生职业心理健康状况的干预措施。方法:随机抽取某三甲综合医院的临床医生220名,采用症状自评量表(SCL-90)对其进行心理健康状况基线测评,再将其随机分为干预组和对照组,对干预组在与对照组相同的日常工作、学习和生活的基础上施加干预措施,1年后对两组再次进行心理健康状况测评并比较。结果:基线调查显示,临床医生SCL-90总均分及躯体化、强迫症状、恐怖、偏执和精神病性各因子得分较全国常模高,差异均具有统计学意义(P<0.05),干预后,干预组的总均分、躯体化、强迫症状、恐怖和偏执因子得分低于对照组,而对照组仍高于常模组,差异均具有统计学意义(P<0.05),干预组的各项得分与常模比,差异无统计学意义(P>0.05)。结论:临床医生的心理健康状况有不同于一般人群的特点,通过针对性的心理指导、健康教育、强化落实医生保健措施等干预措施可以改善临床医生的职业心理健康状况,收到了较好的效果。

Objective：To investigate the professional psychological status of clinical doctors and explore the intervention measures of improving the professional psychological health of clinical doctors. Methods： 220 clinical doctors in a top tertiary hospital were randomly selected and investigated by symptom check list 90 questionaires（SCL-90）,then they were randomly divided into the intervention group and the control group,the intervention measures were made for ones in the intervention group on the basic of daily work, learning and life the same with ones＇ in the control group, they were investigated by symptom check list 90 questionaires（SCL-90） again one year later. Results：The total average of SCL-90 and the scores of socialization, forced symptoms, phobia, paranoid symptoms, psychoticism in SCL-90 of all doctors were higher than those of the national norm, the difference was significant（ P〈0.05）, after the intervention, The total average of SCL-90 and the scores of socialization,forced symptoms, phobia, paranoid symptoms were significantly lower than those in the control group and the scores of ones＇ in the control group were significantly higher than those of the national norm（ P 〈0. 05）, the scores of the intervention group were not different from those of the national norm（ P 〉0.05） ;Conclusion：There was particularity in the psychological status of clinical doctors and it was different from that of the general population, the professional psychological health of clinical doctors was improved by the intervention measures of psychological guidance,health education,implement of doctors＇health measures and so on.