湖南省乡镇卫生院精神疾病防治人员压力、抑郁状态与其烟酒使用相关性分析

Analysis of Stress,Depression and Tobacco and Alcohol Use of Mental Health Workers in Township Health Centers of Hunan Province

【目的】探讨湖南省乡镇卫生院精神疾病防治人员的压力、抑郁与其烟酒使用的相关性。【方法】选择2013年12月28日至2014年1月13日参加湖南省乡镇卫生院精神疾病防治人员培训班的1700名学员为研究对象进行量表调查,共有1546名学员完成完整量表并回收。采用自制烟酒使用问卷、生活事件量表(LES)、贝克抑郁量表(BDI)进行评估。【结果】男性饮酒种类、周饮酒次数、次饮酒量、日吸烟支数显著高于女性,差异具有统计学意义(P<0.00l);男性压力、抑郁情绪评分显著高于女性,差异具有统计学意义(P<0.05)。日吸烟量与年龄、周饮酒次数、次饮酒量呈显著正相关(P<0.05);压力与年龄呈负相关(P<0.05),与次饮酒量和曰吸烟量呈显著正相关(P<0.05);抑郁与年龄呈负相关(P<0.05),与周饮酒次数、次饮酒量、日吸烟量及压力呈显著正相关(P<0.05)。周饮酒次数、次饮酒量与压力、抑郁均具有显著相关性(P<0.05)。【结论】湖南省乡镇卫生院精神疾病防治人员压力、抑郁评分均较高,烟酒使用普遍,需改善从业人员的工作环境,提高其工作待遇,促进基层精防人员的工作身心健康。

[Objective]To explore the relationship between stress,depression and tobacco and alcohol use of men- tal health workers in township health centers of Hunan province.[Methods]From December 28,2013to January 13, 2014,1700trainees who attended the training course of mental disease prevention and control in Hunan township health center were investigated.A total of 1546students completed the scale and recovered it.The self-made tobacco and alcohol use questionnaire and life event scale (LES)and Beck Depression scale (BDI)were used to evaluate.[Results]The types of drinking,the frequency of weekly drinking,the amount of alcohol consumed and the number of smoking per day in males were significantly higher than those in females (P <0.001),and the scores of male stress and depression were significantly higher than those of females (P <0.001).There was a significant positive correla- tion between daily smoking and age,weekly drinking times,and alcohol consumption (P <0.05).Stress was nega- tively correlated with age (P <0.05),positively correlated with alcohol consumption and daily smoking (P < 0.05),depression was negatively correlated with age (P <0.05),and positively correlated with the number of times of drinking per week,the amount of alcohol consumed once a week, the amount of daily smoking and the pressure (P <0.05).The frequency of drinking alcohol per week,the amount of alcohol consumed once were correlated with the stress and depression (P <0.05).[Conclusion]The stress and depression scores of mental health workers in township health centers of Hunan Province are all high,and the use of alcohol and tobacco is common.It is necessary to improve the working environment of employees,improve their working treatment,and promote the physical and mental health of grass-roots workers.