摘要
目的了解海南三甲医院医护人员的心理健康状况,为促进其身心健康提供科学依据。方法采用横断面研究的方法,采用多级随机抽样的方法抽取3家三甲医院1 042名医护人员,运用心理症状自评量表(SCL-90)进行测评。结果有11.8%(123/1 042)的医护人员有心理疾病倾向。SCL-90总分为(132.69±45.60)分,与全国常模(129.90±38.78)分比较,差异有统计学意义(t=1.974,P<0.05)。SCL-90总均分为(1.47±0.51)分,阳性项目数为(30.33±24.57)项。不同医院间SCL-90总均分及各维度的比较,差异均无统计学意义(P>0.05)。不同性别间躯体化(t=3.13,P<0.01)、强迫症状(t=3.17,P<0.01)、抑郁(t=1.95,P<0.05)、焦虑(t=2.26,P<0.05)和人际关系敏感(t=2.47,P<0.01)差异均有统计学意义,女性均高于男性。多重线性回归分析结果显示,罹患某种疾病(β=0.164,P<0.01)、每周值夜班2次及以上(β=0.160,P<0.01)、从医工作年限(β=0.099,P<0.01)、经常不吃早餐(β=0.098,P<0.01)、性别(β=0.062,P<0.05)是心理健康的影响因素。结论海南3家三甲医院医护人员的心理健康水平较低,情势严峻,其原因是自身行为因素、医院管理制度和身体生理因素的综合结果。
[Objective]To understand the mental health among medical staff in third-level grade-A hospitals of Hainan Province,provide scientific evidence for improving their physical and mental health. [Methods]Using the cross-sectional study method,1 042 medical workers were collected from 3 third-level grade-A hospitals by multi-stage random sampling,and the Symptom Checklist-90(SCL-90) was applied in the evaluation.[Results]11.8%(123/1 042) medical workers were prone to mental illness.The total scores of SCL-90 were(132.69 ±45.60),which was higher than the national norm(129.90 ±38.78) significantly(t=1.974,P〈0.05). The average scores of SCL-90 were(1.47±0.51),and there were(30.33±24.57)positive items. There were no significant differences in average scores of SCL-90 and scores of all dimensions among different hospitals(P〉0.05). The female workers had higher scores than male workers on somatization(t=3.13,P〈0.01), obsessive-compulsive symptom(t=3.17,P〈0.01),depression(t=1.95,P〈0.05),anxiety(t=2.26,P〈0.05) and interpersonal sensitivity(t =2.47,P〈0.01),and the differences were statistically significant. The multiple linear regression analysis showed that suffering from a disease(β =0.164,P〈0.01),working on the night shift twice a week or more(β =0.160,P〈0.01),time engaging in medical work(β =0.099,P〈0.01),often did not eat breakfast(β=0.098,P〈0.01)and gender(β=0.062,P〈0.05) were the influencing factors of mental health. [Conclusion]The status of mental health is not satisfactory among medical staff in three third-level grade-A hospitals of Hainan Province,and the situation is grim,which is caused by their behavior factors, hospital management system and physiological factors.
出处
《职业与健康》
CAS
2015年第3期306-309,共4页
Occupation and Health
基金
海南省卫生厅科技项目(项目编号:琼卫2008-39号)
2014年海南省国际科技合作专项(项目编号:KJHZ2014-09)
关键词
心理健康
三甲医院
医护人员
Psychological health
Third-level grade-A hospital
Medical staff