苏北地区医护人员工作压力与心理健康关系  

Relatonship between work pressure and mental health in medical staff in hospitals of north area of Jiangsu province

作　　者：罗小虎[1] 吴丹[1] 滕莉 王培丽 娄伟 高洁[1] 施玲燕[1] 吴秀娟[1] 

机构地区：[1]徐州医学院公共卫生学院,江苏徐州221004 [2]徐州经济技术开发区疾病预防控制中心 [3]徐州矿务集团总医院新河医院 [4]徐州市铜山区中医院

出　　处：《中国公共卫生》2014年第3期339-342,共4页Chinese Journal of Public Health

基　　金：江苏省徐州市科技发展基金(XF10C087)

摘　　要：目的了解江苏省苏北地区三级医院医护人员的工作压力源和心理健康状况以及二者之间的关系。方法采取整群随机抽样方法，抽取江苏省苏北地区三级医院866名医护人员进行问卷调查。结果苏北地区医护人员症状自评量表（SCL-90）除人际关系敏感因子得分低于中国常模外，其他8个因子得分和总分均高于中国常模（均P=0．001）；居于前4位的压力源分别为外部环境、工作负荷、组织管理和医患关系，分别为（3．19±0．60）、（3．02±0．56）、（2．79±0．51）和（2．76±0．64）分；医护群体工作压力源各维度得分与心理健康水平各因子分均呈正相关（r=0．001—0．251，P〈0．05）；多因素非条件logistic回归分析结果显示，人际压力（OR=1．755，95％CI=1．261～2．442）是江苏省苏北地区医护人员心理健康的危险因素。结论江苏省苏北地区三级医院医护人员心理健康状况较差，人际压力是心理健康水平重要影响因素。Objective To examine pressure sources and status of mental health and to investigate the relationship be- tween work stress and mental health among medical staff in the north area of Jiangsu province. Methods With stratified cluster sampling, totally 866 medical staff from tertiary hospitals in the north area of Jiangsu province were selected for a questionnaire survey. Results In the medical staff, the scores of all the factors of Symptom Checldist-90 （ SCL-90）, ex- cept for interpersonal sensitivity,were higher than those of the national norm（ P 〈 0. 001 for all）. The external environ- ment, work burden and the management of the organization, and physician-patient relationship were the top four stressors with the scores of 3.19 ±0. 60,3.02 ±0. 56,2. 79 ±0. 51, and 2. 76 ±0. 64, respectively. There were significant corela- tions between work pressure and each factor of SCL-90 （r = 0. 001 -0. 251, P 〈 0. 05 or P 〈 0. 01 ）. Binary logistic re- gression analysis showed that interpersonal pressure （ odds ratio [ OR ] = 1. 755,95 % confidence interval 195 % C1 ] = 1.261 - 2. 442 ） was a risk factor for mental health. Conclusion The psychological health status of medicall staff in north area of Jiangsu province is worse than that of normal population and interpersonal pressure is one of significant factors af- fecting the mental health of the medical staff.

关 键 词：医护人员 心理健康 工作压力 

分 类 号：R395.6[哲学宗教—心理学]