射线污染高风险医务人员心理弹性与负性情绪的相关分析  

Correlation analysis on psychological resilience and negative emotions of medical staff at high risk of radiation pollution

作　　者：傅丽桑[1] 庄耀宁 陈佳佳 FU Lisang;ZHUANG Yaoning;CHEN Jiajia(Departnaent of Nursing,Putian Fujian,351100,China;RICU,Affiliated Hospital of Putian University,Putian Fujian,351100,China;Department of Spinal Surgery,the Seconol People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian,350003,China)

机构地区：[1]莆田学院附属医院护理部,福建莆田351100 [2]莆田学院附属医院RICU,福建莆田351100 [3]福建中医药大学附属第二人民医院脊柱外科,福建福州350003

出　　处：《职业与健康》2023年第21期2881-2885,共5页Occupation and Health

基　　金：福建省自然科学基金资助项目(2022J011442)。

摘　　要：目的分析射线污染高风险医务人员心理弹性与负性情绪之间的相关性,为了解这类人员的情绪状态提供参考依据。方法采取便利抽样的方法,选取2020年10月—2021年3月莆田市内4家三级综合性医院及3家基层医院,采用自行设计的一般情况问卷、心理弹性量表(connor-davidson rresilience scale,CD-RISC)、焦虑自评量表(self-rrating anxiety scale,SAS)以及抑郁自评量表(self-rating depression scale,SDS)对128名射线污染高风险医务人员的心理弹性与负性情绪进行问卷调查,并对数据进行分析。结果心理弹性、焦虑和抑郁的得分分别为(78.17±27.20)、(45.75±11.23)、(51.45±11.98)分。焦虑和抑郁发生率普遍较高,分别高达33.59%和52.34%。不同职称、等级医院与工作年限射线污染高风险医务人员心理弹性、负性情绪评分比较,差异均有统计学意义(均P<0.05);焦虑症状和抑郁症状与心理弹性呈显著负相关(r=-0.374、-0.647,均P<0.05)。以心理弹性得分为检测变量分别对焦虑和抑郁两个指标进行ROC曲线分析。焦虑ROC曲线下面积为0.701,P<0.05,敏感度为0.706,特异性为0.209,约登指数0.497,最佳截距为75.5;抑郁ROC曲线下面积为0.845,P<0.05,敏感度为0.904,特异性为0.289,约登指数0.615,最佳截距75.5。心理弹性评分对射线污染高风险医务人员预测是否出现负性情绪具有较好的预测价值,二者弹性评分≤75.5分时患者更容易发生负性情绪。结论射线污染高风险医务人员心理弹性与负性情绪密切相关。因此,应提高射线污染高风险医务人员心理弹性,缓解焦虑和抑郁,从而提高射线污染高风险医务人员的工作效率及生活水平。Objective To explore the correlation between the psychological resilience and negative emotions of medical staff at high risk of radiation pollution,provide a scientific basis for understanding the emotional state of the population.Methods From October 2020 to March 2021,the convenience sampling was used to select 4 tertiary comprehensive hospitals and 3 grassroots hospitals in the city.The self-designed general situation questionnaire,Connor-Davidson rresilience scale(CD-RISC),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to conduct a questionnaire survey on the psychological resilience and negative emotions of 128 medical workers at high risk of radiation pollution,and the data were analyzed.Results The scores of resilience,anxiety and depression were(78.17±27.20),(45.75±11.23)and(51.45±11.98)points,respectively.The incidence of anxiety and depression were generally high,as high as 33.59%and 52.34%,respectively.There were statistically significant differences in the scores of psychological resilience and negative emotion among medical staff at high risk of radiation pollution with different professional titles,grade of hospitals,and years of service(all P<0.05).Pearson correlation analysis of anxiety symptoms,depression symptoms and psychological resilience showed that there was a significant negative correlation(r=-0.374,-0.647,both P<0.05).ROC curve analysis was performed on the two indicators of anxiety and depression with the resilience score as the detection variable.The area under the ROC curve for anxiety was 0.701,P<0.05,the sensitivity was 0.706,the specificity was 0.209,the Youden index was 0.497,and the optimal cutoff value was 75.5.The area under the ROC curve for depression was 0.845,P<0.05,the sensitivity was 0.904,the specificity was 0.289,the Youden index was 0.615,and the optimal cutoff value was 75.50.The psychological resilience score has a good predictive value for predicting whether the medical staff at high risk of radiation pollution will have negative em

关 键 词：医务人员 射线污染 心理弹性 负性情绪 

分 类 号：R395.6[哲学宗教—心理学]