云南省医务人员身心健康状况的调查与分析

The Investigation and Analysis of the Physical and Mental Health of Medical Staff in Yunnan

目的了解并分析云南省医务人员的身心健康状况.方法采用自制的健康量表和症状自评量表(SCL-90)的10个因子分别对云南省综合医院医务人员进行调查,以评价医务人员的生理和心理健康水平.结果发放问卷480份,收回合格问卷430份,有效率89.58%.医务人员的身心健康状况不佳,睡眠及饮食状况较差,健身意识不强,运动习惯不良.医务人员的症状自评量表总均分及各项因子分与国内常模比较,其中躯体化因子、抑郁、焦虑外均显著高于常模(P<0.05)均有统计意义.不同岗位医务人员强迫、人际关系、抑郁、焦虑、精神病性因子分差异均有统计意义(P<0.05).结论医务人员身心健康状况欠佳,不同岗位医务人员心理健康状况有明显不同,其中护士医务工作人员心理健康状况表现较差.

Objective To explore and analyze the physical and mental health status of medical staffs inYunnan province. Method Self-made health scale and symptom self-assessment scale （SCL - 90） including 10factors were respectively used to investigate the physical and mental health of medical staffs in general hospitals inYunnan province. Results 480 questionnaires were distributed, 430 qualified questionnaires were taken back,and effective rate was 89.58%. The physical and mental health status of medical staffs were poor, they had very poorsleep and diet, weak fitness consciousness and bad exercise habits. Compared with domestic norm, the averagetotal score of self rating scale and the various symptoms factors, the somatization factors, depression and anxietyscores of medical staffs were significantly higher （ 〈 0.05）. The force,interpersonal relationship, depression,anxiety, and psychotic factors scores of medical staffs at different posts had statistically significant difference （ 〈0.05） . Conclusion Medical staffs have poor physical and mental health status, and medical staffs at differentposts had significantly different physical and mental health status, the mental health status of nurse is especiallyworse.