佛山市医务人员二级创伤及其相关因素分析

Secondary traumatic stress among medical staff of Foshan and its related factors

目的了解佛山市医务人员二级创伤状况及其相关因素,为促进医务人员心理健康提供依据。方法选取医务人员1423例,采用职业生活质量量表中的二级创伤分量表评估二级创伤状况,采用中国大五人格问卷简式版、一般自我效能感量表、Rosenberg自尊量表、心理弹性量表、朗格专念量表、多维幽默感量表评估人格特质,分析医务人员的二级创伤与人格特质等因素的关系。结果医务人员的二级创伤分值与职称、医院等级、学历、工作时间、年收入以及中国大五人格问卷中的神经质、尽责性因子和多维幽默感量表中的幽默应对因子分值正相关(r=0.06~0.40,均P<0.05),与多维社会支持感知量表中的其他社会支持、朗格专念量表中的专注、Rosenberg自尊量表分值负相关(r=-0.24、-0.19、-0.29,均P<0.01)。结论医务人员的二级创伤与年龄、收入、医院等级、职称、工作时间、学历、神经质、尽责性、幽默应对正相关,与其他社会支持、专注、自尊负相关。

Objective To understand the secondary traumatic stress(STS)among medical staff of Foshan and its related factors,and providing evidence for promoting the mental health of medical staff.Methods 1423 medical staffs in public hospitals were selected,and evaluated STS by Professional Quality of Occupational Life Scale(ProQOL),evaluated personality trait by Chinese Big Five Personality Inventory brief version(CBF–PI–B),General Self-Efficacy Scale(GSES),Rosenberg Self-Esteem Scale(RSES),Connor-Davidson Resilience Scale(CDRS),Langer Mindfulness Scale(LMS),and Multidimensional Sense of Humor Scale(MSHS),and analysed the relationship between STS and personality trait.Results The STS score of medical staff was positively associated with the scores of positional title,hospital rank,qualification,working hours,annual income,Neuroticism and Conscientiousness in CBF–PI–B,Humor Coping in MSHS(r=0.06-0.40,P<0.05),and negative associated with the scores of Other Social Support in MSPSS,Engagement in LMS and RSES(r=-0.24,-0.19,-0.29,P<0.01).Conclusion The STS of medical staff is positively associated with age,income,hospital rank,positional title,working hours,qualification,Neuroticism,Conscientiousness,Humor Coping,and negatively associated with Other Social Support,Engagement and Selfesteem.