某三甲综合医院青年医务工作者心理健康状况研究  

Study on mental health status of young medical staff in a first-class grade-three general hospital

作　　者：邓磊[1] 向仕婷 沈颖[1] 张磊[1] 陈子华[1] 

机构地区：[1]中南大学湘雅医院,湖南长沙410008 [2]中南大学医院管理研究所,湖南长沙410008

出　　处：《中国现代医学杂志》2016年第19期128-131,共4页China Journal of Modern Medicine

摘　　要：目的调查长沙市某国家三级甲等医院医务人员心理健康状况,以期对医务人员有针对性的开展心理健康教育提供循证依据。方法采取整群随机抽样方法,根据纳入与排除标准,抽取长沙地区某国家三级甲等医院在职青年医务人员556例,填写自编的基本情况问卷和症状自评量表(SCL-90)。结果医务工作者阳性症状筛查率为30.58%,躯体化阳性筛查率为24.28%、强迫症状为28.06%、人际关系敏感为24.64%、抑郁为27.88%、焦虑为24.82%、敌对为26.80%、恐怖为17.99%、偏执为19.96%和精神病性为16.55%。除人际敏感、偏执因子外,医务人员SCL-90总分及其他各因子分高于全国常模(P<0.05)。对收入不满意的医务人员SCL-90总分较对收入满意的医务人员高,护士SCL-90总分较其他职业高,工作时长≥40 h/周的医务人员SCL-90总分较<40 h的医务人员高,差异有统计学意义(P<0.05)。结论青年医务工作者心理健康水平低于普通人群,社会及医院应该关注医务人员的心理健康,采取积极有效的措施,保障其心理健康。Objective To investigate the mental health status of medical staff in a first-class grade-three hospital in Changsha, in order to provide a basis and reference for relevant departments to carry out the education of mental health. Methods Using cluster random sampling method, a total of 556 cases of medical staff in Changsha city were selected according to the exclusion and inclusion standards, and evaluated using a designed questionnaire including symptom check list 90（SCL-90）. Results The detection rate of positive symptoms in the medical staff was 30.58%, the somatization positive rate was 24.28%, the force symptom rate was 28.06%, the rate of interpersonal sensitivity was 24.64%, the rate of depression was 27.88%, and the rates of anxiety, hostility, terror, paranoia and psychosis were 24.82%, 26.80%, 17.99%, 19.96% and 16.55%respectively. In addition to the interpersonal sensitivity and paranoid factor, total score of SCL-90 and other factor points in the medical staff were higher than those of the national norm（P〈0.05）. The total score of SCL-90 of the medical staff who were satisfied with the income was lower than the score of those who were unsatisfied with the income. The total score of SCL-90 in the nurses was higher than that of other medical workers. The total score of SCL-90 in the medical workers who worked more than 40 hours a week was higher than that of the medical workers working less than 40 hours a week. The differences were statistically significant（P〈0.05）. Conclusions The psychological health level of young medical staff is lower than that of the general population. The society and hospital should pay attention to the mental health of medical staff,take positive and effective measures to protect their psychological health.

关 键 词：医务人员 症状自评量表 心理健康 

分 类 号：R395.5[哲学宗教—心理学]