青海省住院医师职业压力与心理健康的相关性研究  

Correlation between occupational stress and mental health among resident doctors in Qinghai Province

作　　者：达哇卓玛 李豪杰 陈洁[1] 罗玮[1] 马兴[1] 吉莉[1] Da Wazhuoma;Li Haojie;Chen Jie;Luo Wei;Ma Xing;Ji Li(Science and Education Department,Qinghai Provincial People's Hospital,Xining 810007,Qinghai,China)

机构地区：[1]青海省人民医院科教处,青海西宁810000

出　　处：《中国毕业后医学教育》2021年第3期236-240,共5页Chinese Journal of Graduate Medical Education

摘　　要：目的了解青海省住院医师心理健康状况,寻找其职业压力源,探索住院医师职业压力与心理健康内在联系,在未来培训工作中对该群体进行有针对性的心理辅导及干预提供依据。方法结合SCL-90和临床医师工作压力源表自行设计调查问卷,采用分层随机抽样方法对青海省3所综合医院住院医师进行调查。结果共回收有效问卷259份;青海省住院医师SCL-90量表心理健康问题检出率为22%;各因子阳性症状筛查检出率前三位分别为强迫、抑郁及人际关系敏感,高于全国正常人群。65%的住院医师职业压力较大,平均职业压力总分为(99.46±0.72)分,并且其职业压力源前3位分别为组织管理、职业兴趣及工作负荷。比较不同特征住院医师职业压力水平及压力源后,发现不同年级、不同专业、不同培训身份住院医师其职业压力水平及压力源均有所不同。多元逐步回归分析结果显示,组织管理、人际关系、医患关系、工作负荷等因素均对心理健康部分症状因子有正向预测作用。结论青海省住院医师心理健康水平低于正常人群,其职业压力同时处于较高水平,压力来源主要集中在组织管理、职业兴趣及工作负荷等三个方面,要求培训管理部门应采用措施对其进行心理辅导及干预,从而培养出医疗技术高、身心健康、积极向上的合格临床医师。Objective This article aims to study the mental health status of resident students in Qinghai Province and find out their occupational stress origin.It explores the internal relationship between occupational stress and mental health of resident doctors and provides data for the targeted psychological counseling and intervention in the training process.Methods Self-designed questionnaires combining SCL-90 and a work stressor table for clinicians were distributed for the study.Stratified random sampling method was used to investigate resident doctors from three general hospitals in Qinghai Province.Results There were 259 valid questionnaires collected.The detection rate of mental health problems of resident doctors in Qinghai Province based on SCL-90 was 22%.The top three detection rates of positive symptoms for each factor were obsessive-compulsive disorder,depression and interpersonal sensitivity.The rates were all higher than the national average.With the average score of occupational stress being(99.46±0.72),resident doctors accounted for 65%of the higher level of occupational stress.Organizational management,professional interest and workload were the top three sources of their occupational stress.The results by comparing different resident categories with occupational stress levels and sources of stress indicated that residents of different grades,professions and affiliations shared different occupational stress levels and different sources of stress.Stepwise linear regression analysis found that organizational management,interpersonal relationship,doctor-patient relationship,workload and other factors had positive predictive effect on some mental health symptom factors.Conclusion Resident doctors in Qinghai Province has a lower mental health level compared with national average.Their occupational stress in the meantime is at a higher level.Organizational management,professional interests and workload are three main stress origins and this requires related departments to take interventional measures and prov

关 键 词：住院医师规范化培训 住院医师 心理健康 职业压力 相关性 

分 类 号：G642.0[文化科学—高等教育学]