积极心理学干预对医师心理的影响

Value of positive psychological intervention on clinicians′ psychology

目的探讨积极心理学干预对医师心理影响的价值,为临床医师心理素质提升方法的选择提供参考。方法选取邵阳市中心医院临床医师47名为研究对象,将其随机分为试验组(n=24)和对照组(n=23)两组。按照分组分别采用成人压力测试量表、心理资本评估测试、Ryff心理幸福感量表、90项症状自评量表(SCL-90)等心理状态评价量表进行心理评价。试验组采用积极心理学团体干预,对照组采用PEM心理健康管理系统进行自助干预。干预后再次用上述量表对研究对象的心理状态进行评价。对两组的心理状态评分进行比较,并进行统计学分析。结果干预前,试验组和对照组的心理压力、心理资本、心理幸福感和心理状态评分差异无统计学意义(P>0.05)。干预后,试验组心理压力管理良好率高于对照组(66.7%vs13.0%,χ^2=14.021,P=0.002);心理资本总分(4.5±0.2)分高于对照组的(3.7±0.3)分(P<0.01);心理幸福感量表总分(436.6±12.5)分高于对照组的(328.5±18.6)分(P<0.01);心理状态总分(4.7±0.3)分低于对照组的(6.5±0.4)分(P<0.01)。结论积极心理学干预能够降低医师心理压力、提高心理幸福感、增加心理资本、改善心理状态,用于临床医师心理干预具有临床应用价值。

Objective To analyze the value of positive psychological intervention on clinicians' psychological quality and provide reference for the selection of methods to improve the psychological quality of clinicians.Methods Forty-seven clinicians in the Central Hospital of Shaoyang were selected as study subjects and randomly divided into experiment group (n = 24) and control group(n = 23).The mental states were assessed respectively by adult stress test scale,psychological capital assessment test,Ryff psychological well-being scale and 90 item symptom checklist (SCL-90 ) in two groups. Positive psychological group intervention was performed in experiment group,and PEM mental health management system of self-help intervention was used in control group.After intervention,the mental state of the subjects was evaluated again with the above scales.The scores of psychological states were compared before and after intervention between two groups.Results There were no significant differences in the scores of psychological stress,psychological capital,psychological well-being and psychological state between two groups before intervention (P > 0.05 ).After intervention,the good rate of psychological stress management in the experiment group was higher than that in the control group (66.7% vs 13.0%,χ2 = 14.021,P = 0.002);and there were statistical differences between experiment group and control group in the score of psychological capital (4.5 ± 0.2 vs 3.7 ± 0.3,P < 0.01 ),total score of psychological well-being (436.6 ± 12.5 vs 328.5 ± 18.6,P < 0.01) and total score of psychological state (4.7 ± 0.3 vs 6.5 ± 0.4,P < 0.01).Conclusion Positive psychological intervention can reduce clinicians' psychological pressure,improve their psychological well-being and their mental state,increase their psychological capital and has clinical application value for physicians.