精神科医护人员心理健康状态及职业认同感调查

Investigation on mental health status and professional identity of psychiatric medical staff

目的调查精神科医护人员的心理健康及职业认同感现状,为该群体职业健康提供参考。方法抽取某市6家医院精神科医护人员400名,采用自填式一般资料问卷、症状自评量表(SCL-90)、职业认同量表(OIS)进行调查。结果问卷有效回收率为94.75%,SCL-90量表中躯体化及恐怖评分明显高于常模水平(P<0.05);人际关系、抑郁、偏执维度评分低于常模水平(P<0.05);其余各维度评分及总均分比较,差异均无统计学意义(P>0.05)。精神科医护人员的OIS总均分为(3.32±0.61)分,挫折应对维度评分最高,为(3.63±0.69)分;社会支持维度评分最低,为(3.10±0.51)分。Pearson相关性分析显示,SCL-90与OIS各维度评分、总均分均呈明显负相关性(P<0.05)。进一步多元线性逐步回归分析显示,SCL-90评分对OIS评分具有负面影响(P<0.05)。结论精神科医护人员的心理健康水平及职业认同感尚可,且两者之间存在相互影响的关系。积极干预并改善心理健康水平有利于职业认同感的提高。

Objective To investigate the status quo of mental health and professional identity of psychiatric medical staff,so as to provide scientific evidence for their occupational health.Methods A total of 400 psychiatric staff were selected from 6 hospitals in a city and a self-administered general information questionnaire,a self-rating symptom scale(SCL-90)and a professional identity scale(OIS)were used in the investigation.Results The effective recovery rate of the questionnaire was 94.75%,and the somatization and terror scores in the SCL-90 scale were significantly higher than the norm level(P<0.05).The scores of interpersonal relationship,depression and paranoia were lower than the norm level(P<0.05).There was no statistically significant difference between the scores of other dimensions and the total mean score(P>0.05).The overall score of OIS for psychiatric medical staff was(3.32±0.61),with the highest score in the frustration coping dimension(3.63±0.69).The score of social support dimension was the lowest(3.10±0.51).Pearson correlation analysis showed that there was a significant negative correlation between SCL-90 and OIS scores in all dimensions and total mean score(P<0.05).Further multiple linear stepwise regression analysis showed that SCL-90 score had a negative effect on OIS score(P<0.05).Conclusions The mental health level and professional identity of psychiatric medical staff are acceptable,and there is a mutual influence between them.Positive intervention and improvement of mental health level is conducive to the improvement of professional identity.