海南省儿科医务人员心理健康状况调查  

Investigation of the Mental Health of Hainan Province's Pediatric Medical Staff

作　　者：胡祥英[1] 何永平[2] 黄善文[1] 王开梅[1] 郑光强[1] 石霖[1] 

机构地区：[1]海南省海口市妇幼保健院,海南海口570102 [2]海南省安宁医院,海南海口570102

出　　处：《儿科药学杂志》2012年第9期1-5,共5页Journal of Pediatric Pharmacy

基　　金：海南省卫生厅科研项目;编号:琼卫2010-87

摘　　要：目的:了解海南省儿科医务人员心理健康状况,并对发现的心理健康问题提出相应的对策。方法:2011年3月至2011年6月采用整群抽样方法对海南省14家医院正常在岗、无精神疾病的405名儿科医务人员进行问卷调查,问卷调查表包括一般状况调查表和症状自评量表(SCL-90)。结果:海南省儿科医务人员SCL-90的评分在总分、总均分、阴性项目数、阳性项目数、躯体化、强迫、人际关系、抑郁、焦虑、恐怖及精神病性与中国常模比较差异有统计学意义(P<0.05)。405名儿科医务人员有119人(29.38%)有不同程度心理健康问题。在各因子分≥2分中,检出率最高为强迫,112人(27.65%);其次是抑郁,84人(20.74%);第三位为躯体化,81人(20.00%);第四位为焦虑,79人(19.51%)。在职称比较中,各级职称在各因子比较中差异都有统计学意义(P<0.05);在夜班每月≥6 d与每月≤5 d和常白班的比较中,在躯体化、人际关系、焦虑方面比较差异有统计学意义(P<0.05);在工龄的比较中,15～20年组与其他工龄组之间在躯体化、强迫、抑郁、恐怖、偏执方面差异有统计学意义(P<0.05);不同级别工作单位比较中,三级医院与一、二级医院各因子比较差异有统计学意义(P<0.05);在工作表现及身体健康自评上,表现良好、身体健康的与差或很差的各因子比较差异都有统计学意义(P<0.05)。结论:海南省儿科医务人员各因子分普遍高于中国常模,心理健康状况不容乐观,尤其是在强迫、抑郁、躯体化和焦虑等方面较为突出,有必要给予适当的心理训练和辅导。To understand the state of mental health of pediatrics medical staff of Hainan province,and corresponding counter-measure.Methods： A total of 423 questionnaires were handed out to hospital pediatrics medical staff members with no history of mental disease from March 2011 to June 2011.The 405 questionnaires were recovered by adopting cluster sampling methods.Two questionnaires were adopted in the study： general condition questionnaires and the self-report symptom check list 90（SCL-90）.Results： The pediatrics medical staff of Hainan province produced SCL-90 total score,total average score,positive scores,somatization,obsessive-compulsive,interpersonal sensitivity,depression,anxiety,terror,schizophrenia,which were higher than the Chinese national average.There were statistics difference between them（P〈0.05）.The 119（29.38%） medical staffs were regarded as having mental health problems.The symptoms that scored more than 2 points： obsessive-compulsive was first,112（27.65%）.Depression was second,84（20.74%）;somatization was third,81（20.00%）.Anxiety was fourth,79（19.51%）.Comparing the SCL-90 scores in difference factors.There were significant differences in the all factor scores of SCL-90 between difference title（P〈0.05）.There were significant differences in somatization,interpersonal sensitivity,anxiety between night shift ≥6 days/month and night shift ≤5 days/month,day shift（P〈0.05）.There were significant differences in somatization,obsessive-compulsive,depression,terror,paranoid between 15~20 years and other four groups in work history（P〈0.05）.There were significant differences in all factor scores of SCL-90 between third grade hospitals and other two grade hospitals（P〈0.05）.There were significant differences in factor score of obsessive-compulsive,interpersonal sensitivity,depression between head nurses and director of pediatric,general doctors（P〈0.05）.There were significant differences in all factor score of SCL-90 between work states health very

关 键 词：儿科 医务人员 症状自评量表 心理健康 职业压力 

分 类 号：R471[医药卫生—护理学]