突发公共卫生事件下医务人员抗逆力水平与应对方式研究  

A study on the resilience level and coping style of medical personnel in sudden public health incidents

作　　者：马晓婷 王萍 王志强 祝淋婴 吴浩[1] 赵江霞 MA Xiao-ting;WANG Ping;WANG Zhi-qiang;ZHU Lin-ying;WU Hao;ZHAO Jiang-xia(Department of nosocomial infection management,Shanghai Pudong New Area People's Hospital,Shanghai 201299,China;不详)

机构地区：[1]上海市浦东新区人民医院医院感染管理科,上海201299 [2]上海市浦东新区肺科医院 [3]上海交通大学医学院公共卫生学院 [4]上海市浦东新区人民医院院部

出　　处：《现代预防医学》2024年第2期378-384,共7页Modern Preventive Medicine

基　　金：上海市医院协会医院管理研究基金(X2022169);上海市浦东新区卫生系统优秀青年医学人才培养计划(PWRq2023-27);浦东新区卫生健康工作党委党建研究重点立项课题(2023PDWS01)。

摘　　要：目的分析突发公共卫生事件下2100例医务人员抗逆力水平、应对方式及影响因素,为制定提高医务人员健康管理策略提供科学依据。方法采用方便抽样法,从上海市浦东新区选取22家医疗机构,发放结合医务人员职业特点及医务人员抗逆力量表、应对方式量表的自行编制电子调查问卷进行调查。结果医务人员抗逆力总得分为71.246±11.442;医务人员应对方式总得分为58.614±11.493;多重线性回归分析结果显示:影响医务人员抗逆力水平的因素主要是医院类型(社务卫生服务中心t=1.966,P=0.049)、用工形式(合同制t=4.031,P<0.001)、职称(中级职称t=2.749,P=0.006)、婚姻状况(已婚t=3.471,P=0.001)、月收入(5000~10000元t=2,153,P=0.031、>10000元t=2.475,P=0.013)、接受过心理学培训(t=6.295,P<0.001);影响医务人员应对方式水平的因素主要是医院类型(社务卫生服务中心t=2.612,P=0.009)、从事医疗活动时间(11~20年社务卫生服务中心t=2.484,P=0.013、>20年t=2.594,P=0.010)、用工形式(合同制t=3.716,P<0.001)、职称(中级职称t=2.268,P=0.023)、接受过心理学培训(t=6.338,P<0.001)与职业类型(管理t=2.218,P=0.027)。结论医务人员的抗逆力水平及应对方式水平有待提升,同时,医院类型、用工形式、职称、婚姻状况、接受过心理学培训是医务人员抗逆力水平和应对方式的影响因素。Objective To provide scientific basis for formulating strategies to improve the health management of medical personnel,we analyze the resilience level,coping styles,and influencing factors of 2100 medical personnel under sudden public health emergencies.Methods Using the convenience sampling method,22 medical institutions were selected from Pudong New Area,Shanghai,and a self-designed electronic survey questionnaire was distributed based on the professional characteristics of medical personnel,the resilience scale of medical personnel,and the coping style scale.Results The total score of medical staffs'resilience was 71.246±11.442.The total score of medical staffs'coping style was 58.614±11.493.The results of multiple linear regression analysis showed that the main factors affecting the resilience level of medical staff were hospital type(social health service center t=1.966,P=0.049),employment form(contract system t=4.031,P<0.001),professional title(intermediate professional title t=2.749,P=0.006),marital status(married t=3.471,P=0.001),monthly income(5000-10000 t=2153,P=0.031,>10000 t=2.475,P=0.013),received psychological training(t=6.295,P<0.001).The main factors affecting the coping style level of medical personnel were hospital type(social health service center t=2.612,P=0.009),time of medical activity(11-20 years social health service center t=2.484,P=0.013,>20 years t=2.594,P=0.010),employment form(contract system t=3.716,P<0.001),professional title(intermediate professional title t=2.268,P=0.023),psychological training received(t=6.338,P<0.001)and occupational type(management t=2.218,P=0.027).Conclusion The level of resilience and coping style of medical personnel need to be improved.Meanwhile,hospital type,employment form,professional title,marital status and psychological training are the influencing factors of resilience and coping style of medical personnel.

关 键 词：医务人员 抗逆力 应对方式 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]