韶关市医务人员抑郁和复原力影响因素分析

Analysis on influencing factors of depression and psychological resilience of medical workers in Shaoguan City

目的了解韶关市医务人员抑郁和复原力状况并分析其影响因素。方法 2018年6—11月,采用便利抽样法选取韶关市医务人员为调查对象,采用抑郁自评量表(SDS)和心理弹性量表(CD-RISC)调查其抑郁和复原力水平,并分析其影响因素。结果共调查397名医务人员,其CD-RISC得分为54.94±15.21,SDS得分为33.51±7.27。CD-RISC得分低于国内常模(65.40±13.90),差异有统计学意义(t=11.03,P<0.05)。多重线性逐步回归分析显示,职称、工种是医务人员复原力水平的影响因素,平均每天工作时间是医务人员抑郁情况的影响因素(均P<0.05);医务人员复原力水平与抑郁情况之间呈负相关(β=-0.31,P<0.05)。结论韶关市医务人员复原力较低,职称、工种可对医务人员复原力造成影响。平均每天工作时间可对医务人员抑郁程度造成影响。医务人员复原力越强,抑郁程度越低。

Objective To study the status of the depression and psychological resilience of medical workers in Shaoguan City and analyze the influencing factors. Methods A total of 397 medical workers in Shaoguan City were collected by convenient sampling from June to November in 2018. Their depression and psychological resilience were investigated by the Self-rating Depression Scale(SDS) and the Conner-Davidson Resilience Scale(CD-RISC),and the influencing factors were analyzed. Results Totally397 medical workers were investigated,the score of CD-RISC and SDS was 54.94±15.21 and 33.51±7.27 respectively. The score of CD-RISC was lower than the domestic norm(65.40±13.90),and the difference was statistically significant(t=11.03,P<0.05). The results of multiple linear stepwise regression analysis showed that professional title and type of work were the influencing factors of psychological resilience in medical workers,and the average working hours per day was the influencing factor of depression in medical staff workers(both P<0.05). There was a negative correlation between the level of psychological resilience and depression of medical workers(β=-0.31,P<0.05). Conclusion The psychological resilience of medical workers in Shaoguan City is low,and the professional title and work type can affect the resiliency of medical staff. The average working time per day can affect the degree of depression of medical workers. The stronger the psychological resilience of medical workers,the lower the degree of depression.