宜昌市三甲医院内科医务人员心理健康状况分析  

Analysis of mental health status of medical staff in grade A hospitals in Yichang City

作　　者：张爱萍[1] 陈琴[1] 帅博 曹艳 ZHANG Aiping;CHEN Qin;SHUAI Bo;CAO Yan(Department of Psychiatry,The Second People's Hospital of Yichang,China Three Gorges University,Yichang,Hubei,443000,China)

机构地区：[1]三峡大学第二人民医院(宜昌市第二人民医院),湖北宜昌443000

出　　处：《当代医学》2021年第10期29-32,共4页Contemporary Medicine

摘　　要：目的全面了解宜昌市三甲医院内科医务人员的心理状况,为制定心理健康相关政策提供科学依据,从而切实提高医务人员的心理健康状况水平。方法本研究采用90项症状清单(SCL-90)作为测查工具,2019年10月开始对宜昌市三甲医院304名内科医务人员进行普测,深入了解医务人员的心理健康状况。结果内科医务人员得分高于常模,且差异有统计学意义(P<0.01);女性医务人员在人际关系敏感、抑郁、敌对、偏执和精神病性的健康状况优于男性医务人员;未婚医务员的得分显著低于已婚和离异状态的医务人员,且差异有统计学意义(P<0.05);医院差异体现在躯体化、人际关系敏感、恐怖和精神病性四个因子上;工龄差异体现在人际关系敏感和抑郁2个因子;不倒班医务人员的焦虑得分显著高于倒班人员,差异有统计学意义(P<0.05);心内科和消化内科抑郁因子高于其他科室;工龄6~10年在人际关系敏感得分显著高于其他组,工龄11~20年抑郁因子得分高于其他组,差异有统计学意义(P<0.05)。结论内科医务人员的总体心理健康状态情况低于普通人群;不同性别、婚姻、工龄、医院、科室、倒班与否的医务人员心理健康状况均存在一定差异。Objective To comprehensively understand the psychological status of medical staff inYichang gradeAhospital,and to provide a scientific basis for the formulation of mental health related policies,so as to effectively improve the mental health status of medical staff.Methods This study used the item symptom checklist 90(SCL-90)as a survey tool to Yichang 3A hospital,304 medical staff,insight into the mental health status of medical personnel starting from October 2019.Results The scores of medical staff in internal medicine were higher than normal,and the difference was significant(P<0.01).Women were better than men in interpersonal sensitivity,depression,hostility,paranoia and psychosis.The score of unmarried medical staff was significantly lower than that of married and divorced medical staff,and the difference was statistically significant(P<0.05).Hospital difference are reflected in four factors:somatization,interpersonal sensitivity,terror and psychosis.The difference of working age is reflected in two factors:interpersonal sensitivity and depression.The anxiety score of non-shift medical workers was significantly higher than that of shift workers,and the difference was statistically significant(P<0.05).The depression factors in department Cardiology and Gastroenterology were higher than other departments.The scores of interpersonal relationship sensitivity with working age of 6-10 years were significantly higher than other groups,and the scores of depression factor with working age of 11-20 years were higher than other groups,and the difference was statistically significant(P<0.05).Conclusion The general mental health status of medical personnel in internal medicine is lower than that of the general population.The mental health status of medical staff with different gender,marriage,working age,hospital,department,shift or not is different.

关 键 词：内科医务人员 心理健康 SCL-90 

分 类 号：R395.1[哲学宗教—心理学]