临床外科医生心理健康调查分析

Investigation and Analysis of Mental Health of Clinical Surgeons

目的调查临床外科医生的心理健康状况,分析影响其心理健康的因素,提出科学的干预措施。方法选择随州市二级以上综合医院的临床外科医生98名作为研究组,同时选择同期在被调查医院体检中心体检的社会公众人员98名作为对照组,采用自行设计的人口学调查问卷登记基本信息,采用症状自评量表(SCL-90)检测2组对象的心理健康状况(包括躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性9个因子)。结果研究组躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、偏执、精神病性8个因子的评分均显著高于对照组(P<0.05或P<0.01);2组恐怖因子评分差异无统计学意义(P>0.05)。工作年限短、工资待遇不满意及发生过医疗纠纷的临床外科医生的躯体化、人际关系敏感、抑郁、焦虑、敌对等5个因子的阳性率较其他临床外科医生显著升高(P<0.05或P<0.01)。结论临床外科医生的心理健康状况较社会公众人员普遍偏差;外科医生的工作性质特点是导致其心理问题的主要因素,而工作年限短、工资待遇不满意及发生过医疗纠纷是影响临床外科医生心理健康的关键因素。

Objective To investigate the mental health status of clinical surgeons and the factors influencing mental health,and to put forward scientific interventions.Methods A total of 98 surgeons from local general hospitals of grade 2or above were selected as the experimental group,and 98 subjects coming for check-ups from physical examination centers of the investigated hospitals as the control group.A self-designed demographic questionnaire was used to record the basic information of participants.The SCL-90 was used to measure the mental health status of the subjects,including somatization,compulsion,interpersonal sensitivity,depression,anxiety,hostility,phobia,paranoia and psychoticism.Results Except for phobia,the scores of other eight factors in experimental group were higher than those in control group（P〈0.05 or P〈0.01）.The positive rates of somatization,interpersonal sensitivity,depression,anxiety and hostility in surgeons who had short occupational history,dissatisfactory salary or medical disputes were higher than those in other surgeons（P〈0.05 or P〈0.01）.Conclusion Clinical surgeons have poorer mental health than general public.The job characteristics are the main factors leading to psychological problems in clinical surgeons.The short occupational history,dissatisfactory salary and medical disputes are the key factors influencing mental health of clinical surgeons.