神经外科医务人员心理压力的调查与分析  

Investigation and analysis of psychological stress of neurosurgery medical staff

作　　者：陈皞[1] 张诚楷 薛湛[2] 贾旺[2] Chen Hao;Zhang Chengkai;Xue Zhan;Jia Wang(Beijing Tiantan Hospital,Capital Medical University.,Beijing 100070,China;Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院,100070 [2]首都医科大学附属北京天坛医院神经外科,100070

出　　处：《中华神经外科杂志》2021年第6期623-628,共6页Chinese Journal of Neurosurgery

摘　　要：目的探讨神经外科医务人员的心理压力现状,为改善神经外科医务人员心理健康水平提供数据支持。方法本研究为横断面研究。2019年9月至2020年6月,采用整群抽样方法,应用中文版知觉压力量表对首都医科大学附属北京天坛医院神经外科医务人员(共391人)进行问卷调查。根据量表得分将其分为低心理压力组和高心理压力组。通过单因素分析和多因素logistie回归分析探讨受试者心理压力水平的影响因素;同时分析心理压力的来源及应对方式。结果共获得有效问卷385份.其中来自高心理压力组117人,低心理压力组268人。385人的知觉压力评分为(21.1±8.6)分。单因素分析结果表明,不同工作年限(U=3.465,P=0.001)和年龄(U=2.007,P=0.045)的神经外科医务人员其心理压力水平的差异具有统计学意义。而不同性别、婚姻状况、岗位、学历、职称、编制状况的医务人员其心理压力水平的差异并无统计学意义(均P>0.05)。多因素logistic回归分析结果显示,更低的职称和更久的工作年限可能为神经外科医务人员处于高心理压力状态的独立危险因素(均P<0.05)。工作压力(57.9%,223/385)为神经外科医务人员主要的心理压力来源。神经外科医生与护士的心理压力来源及类型之间的差异均有统计学意义(均P<0.05)。转移注意力(64.7%,249/385)为最常见的神经外科医务人员的缓解心理压力方式。结论神经外科医务人员的工作年限和职称对高心理压力状态的发生有一定影响.其心理压力主要来源于工作压力。Objectives To discuss the current psychological pressures of neurosurgen-medical staff,and to provide data support for improving the mental health of neurosurgery medical staff.Methods This study was a cross-sectional study.From September 2019 to June 2020,we conducted a cluster-sampling questionnaire survey among staff at Neurosurgery Department of Beijing Tiantan Hospital,Capital Medical University by using the Chinese perceived stress scale.Participants were divided into the low psychological stress group and the high psychological stress group according to the scale score.We explored the influencing factors of participants;psychological stress by using univariate analysis and multivariate logistic regression analysis.Meanwhile,the source of stress and corresponding remedies were analyzed.Results A total of 385 valid questionnaires were obtained,whic h were from 117 subjects in high stress group and 268 subjects in low stress group.The mean perceived stress scale score was 21.1±8.6 points.Univariate analysis showed that there were significant differences in the level of psychological stress among medical staff with different working years(length of employment)(U=3.465,P=0.001)and ages(U=2.007,P=0.045).There was no significant difference in the level of psychological stress among those with different genders,marital statuses,professional ranks,positions,academic degrees or professional titles(all P>0.05).Multivariate logistic regression analysis showed that lower professional titles and longer working years might he independent risk factors for high psychological stress state(both P<0.05).Work stress(57.9%,223/385)was the main source of psychological stress.There was significant difference in the sources and types of psychological stress between neurosurgeons and nurses(both P<0.05).Attention diversion(64.7%,249/385)was the most common way to relieve psychological stress for neurosurgery medical staff.Conclusions The working;years and professional titles of neurosurgery medical personnel have some influence on

关 键 词：神经外科(学) 医务人员 医院 心理压力 知觉压力量表 干预 

分 类 号：R192[医药卫生—卫生事业管理]