医疗纠纷对医务工作者的心理影响研究

The psychological impact of medical disputes on medical workers

目的探讨医疗纠纷对医务工作者心理的影响,并提出合理的应对措施。方法随机选取2018年3月~2019年7月期间发生医疗纠纷的医务工作者100名为观察组,同时选取同期内未涉及医疗纠纷的医务工作者100名为对照组。对比两组医务工作者HAMA、HAMD评分的差异,对焦虑抑郁的危险因素进行多因素回归分析。结果①观察组的HAMD总分高于对照组(t=11.907,P=0.000),在焦虑/躯体化、睡眠障碍、体重减轻、绝望感及激越等方面,观察组明显高于对照组(P<0.05)。②观察组的HAMA总分高于对照组(t=14.271,P=0.000),在各因子中,观察组的精神性焦虑和躯体性焦虑评分均明显高于对照组(P<0.05)。③回归分析发现:女性、文化程度较低者、职称较低者、工作年限较低者及发生过医疗纠纷者均是产生焦虑/抑郁情绪的影响因素。结论医疗纠纷后,医务工作者会出现焦虑、抑郁等情绪,应该采用合理的应对措施以改善不良的心理状态。

Objective To explore the psychological impact of medical disputes on medical workers and put forward reasonable countermeasures.Methods 100 medical workers in public hospitals with medical disputes from March 2018 to December 2019 were selected as observation group,and 100 medical workers without medical disputes during the same period were selected as control group.The differences of HAMA and HAMD scores between the two groups were compared,and the risk factors of anxiety and depression were analyzed by multivariate regression analysis.Results①The total scores of HAMD in observation group were significantly higher than those in the control group(t=11.907,P=0.000).Among the factors,anxiety/somatization,sleep disorder,weight loss,despair and agitation in the observation group were significantly higher than those in the control group(P<0.05).②The total scores of HAMA in observation group were significantly higher than those in the control group(t=14.271,P=0.000).Among the factors,the scores of mental anxiety and somatic anxiety in the observation group were significantly higher than those in the control group(P<0.05).③The results of multiple linear regression analysis showed that women,those with lower education,those with lower professional titles,those with lower working years and those with medical disputes were the influencing factors of anxiety/depression.Conclusion After medical disputes,medical staff will have anxiety,depression and other emotions.It is suggested to adopt reasonable coping measures to improve the bad psychological state.