重庆市合川区医护人员心理健康状况分析  

Analysis of Mental Health of Medical Staff in Hechuan District of Chongqing

作　　者：李海华[1] 胡振龙[1] 尹欢[1] 陈甜[1] 梁洪涛[1] 张燕[1] 

机构地区：[1]重庆市合川区人民医院,重庆401520

出　　处：《中国医学创新》2015年第3期7-9,共3页Medical Innovation of China

基　　金：重庆市卫生局医学科研计划项目(2013-2-230);合川区科委科技项目(2013-5-05)

摘　　要：目的:调查重庆市合川区医护人员的心理健康状况。方法:以重庆市合川区570名医护人员为研究对象,应用症状自评量表(SCL-90)调查,以SCL-90总分>160分为心理症状阳性,并在躯体化、强迫、人际关系、抑郁、焦虑、敌对性、恐怖、偏执、精神病性9项因子及总均分等方面进行统计分析。结果:心理症状阳性的比例:医护人员18.95%(108/570);临床护士23.20%(58/250),临床医生15.63%(50/320);区级卫生单位医护人员25.60%(75/293),卫生院医护人员11.91%(33/277)。该地区医护人员SCL-90多项因子分与中国人常模比较有明显差异;区级单位医护人员各项因子得分及总均分均明显高于卫生院医护人员,差异有统计学意义(P<0.01);护士在强迫、抑郁、焦虑、敌对性及总均分方面明显高于医生,差异均有统计学意义(P<0.01),在精神病性方面差异有统计学意义(P<0.05),而在躯体化、人际关系、恐怖及偏执等方面两者无明显差异(P>0.05)。结论:该地区医护人员的心理健康状况较差。区级医疗卫生单位医护人员的心理健康状况明显比卫生院工作人员差,临床护士心理健康状况较临床医生差。Objective：To investigate the mental health states of medical staff in Hechuan district of Chongqing.Method：Totally 570 medical staff were enrolled for Symptom Checklist 90（SCL-90） test. The subjects with SCL-90 score 〉160 were considered as under abnormal psychological health. The total score of SCL-90, as well as the scores of somatization, obsession,sensitivity to personal relationship, depression, anxiety, hostility, dread, paranoid-ideation and psychotics, was computed and compared with statistic methods.Result：The results showed that the rate of medical staff was 18.95%（108/570）, while for the clinical nurses, clinicians, medical staff in the district units and in town units, the rates of abnormal health were estimated to be 23.20%（58/250）, 15.63%（50/320）, 25.60%（75/293） and 11.91%（33/277） respectively. The scores of multiple factors were obviously different between the medical staff in this district and the national norm. The SCL-90 scores of the medical staff in the district units showed a marked higher than those in town units（P〈0.01）. The obsession, depression, anxiety, hostility and the total scores of clinical nurses were obviously higher than those of clinicians（P〈0.01）,and psychotics scores showed a difference between the two groups（P〉0.05）, while there were no significant differences in somatization, sensitivity to personal relationship,dread and paranoidideation scores（P〈0.05）.Conclusion：The mental health status of the medical staff were in a poor state in the district. The medical staff in the district units had more psychological problems than those in the town units; clinical nurses were in worse mental health states compared to clinicians.

关 键 词：医生 护士 心理健康 症状自评量表 

分 类 号：R192[医药卫生—卫生事业管理] B844.3[医药卫生—公共卫生与预防医学]