暴力伤医对医护人员创伤后应激障碍及职业倦怠的研究

Investigation and Analysis of the Medical Staff's Post Traumatic Stress Disorder and Occupational Burnout After the Medical Incidents of Violence

目的了解暴力伤医事件对医护人员创伤后应激障碍及职业倦怠两者相关影响情况。方法采用创伤后应激障碍自评量表(PCL-C)及职业倦怠量表MBI-GS对310名医护人员进行问卷调查。结果 (1)医护人员通过多种途径知晓暴力伤医事件,91.9%医护人员经历受到辱骂、威胁等心理暴力。(2)警觉性增高会对情绪衰竭、情感疏远产生显著的正向影响关系,而对个人成就感不会产生影响关系。(3)30～39岁医护人员对PCL-C量表中的回避/麻木分量表症状表现较明显,而30岁以上、已婚、学历越高、工作年限较高的医护人员有着明显更高的职业成就感。结论医护人员大部分有受到心理暴力。降低警觉性增高的创伤后应激障碍症状能有效地预防职业倦怠。在预防职业倦怠看,也应多关注年轻、未婚、低学历、低年资的医护人员。

] Objective To understand the impact of violence on the medicalstaff in the post traumatic stress disorder and job burnout. Methods Thepost-traumatic stress disorder self-rating scale （PCL-C） and occupationburnout scale MBI-GS of 310 medical staff questionnaire. Results （1）Healthcare workers through a variety of ways to know the medical incidentsof violence, 91.9% health care workers experienced abuse, threats andother psychological violence.（2）Increased vigilance will have significantpositive influence on emotional exhaustion, depersonalization and personalaccomplishment, the relationship will not. （3）30-39 years of medical staff in PCL-C scale avoidance / numbness symptoms subscale is obvious, andover 30 years old, married, higher education, work experience of highermedical staff had a significantly higher occupation accomplishment.Conclusion From the perspective of this study, most of the medical staffhave been subjected to psychological violence. PTSD symptoms scale inhigher vigilance subscales have different influences on the three dimensionsof occupation burnout, namely the hyperarousal symptoms more obvious,the more serious the degree of occupation burnout, so reducing PTSDsymptoms can effectively prevent the occupation burnout increasedvigilance after trauma.