苏北地区基层医护人员心理健康状况调查

Investigation on mental health status of primary healthcare staffs in northern areas of Jiangsu province

目的了解苏北地区基层医护人员心理健康状况及影响因素。方法采取整群随机抽样方法,抽取苏北地区9所基层医院222名医护人员,采用症状自评量表SCL-90对其进行心理健康状况问卷调查。结果 222名医护人员中,24.32%存在心理健康问题。SCL-90量表各因子得分均高于1986年和2006年全国常模,差异均有统计学意义(P值均<0.05);与2009年江苏省常模相比,在躯体化、焦虑和恐怖3个因子得分较高,差异均有统计学意义(P值均<0.05)。女性躯体化和恐怖因子得分均高于男性(P值均<0.05);护士躯体化因子上得分高于医生(P<0.05);与初级和高级职称的医护人员比较,中级职称医护人员心理状况较差(P<0.05)。多因素logistic回归结果显示,中级职称、对职业状况不满意和感受到很大压力是影响医护人员心理健康的危险因素。结论苏北地区基层医院医护人员心理健康状况不容乐观,应加强心理卫生三级预防保健工作。

Objective To explore mental health status and its influential factors of primary healthcare staffs in northern areas of Jiangsu province. Methods A total of 222 primary healthcare staffs in northern areas of Jiangsu province were selected by stratified cluster random sampling method, whose mental health status were investigated by questionnaire survey using Symptom Self-evaluation Scale SLC-90. Results Among 222 primary healthcare staffs, 24.32% were suffered with mental health problems. The scores of all the factors in SCL-90 were higher than those in national Norm conducted in 1986 and 2006, all with statistical difference（all P 〈0.05）. Compared with scores in Jiangsu provincial Norm conducted in 2009, scores of somatization, anxiety and terror were higher, the differences were statistically significant（all P 〈0.05）. The scores of somatization and phobic anxiety factors of female were higher than those of male（all P 〈0.05）. The score of nurses＇ somatization factor was higher than that of doctors （ P 〈0.05）. Compared with staffs with the junior and senior professional titles, the mental condition of those with intermediate professional title were poorer （ P 〈0.05）. Multivariate logistic regression analysis showed that intermediate professional titles, dissatisfaction with occupational status and heavy pressure were risk factors for mental health status of healthcare staffs. Conclusion The mental health status of primary healthcare staffs in northern areas of Jiangsu province is not optimistic. Three level prevention and health care of mental health should be strengthened.