内蒙古中西部地区基层医护人员心理健康状况调查  

Investigation on mental health status of primary healthcare staffs in midwest areas of Inner Mongolia

作　　者：刘灿 李颖洁 刘梦 唐思源[5] 韩珂 程景民 LIU Can;LI Yingjie;LIU Meng;TANG Siyuan;HAN Ke;CHENG Jingmin(School of Public Health,Shanxi Medical University,Taiyuan 030001,China;School of Management,Shanxi Medical University,Taiyuan 030001,China;Department of Quality and Control,Qingdao Central Hospital,University of Health and Rehabilitation Sciences,Qingdao 266000,Shandong Province,China;Department of Medical Administration,Qingdao Central Hospital,University of Health and Rehabilitation Sciences,Qingdao 266000,Shandong Province,China;Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014040,Inner Mongolia,China;Department of Epidemiology,Ordos Disease Prevention and Control Center,Ordos 017000,Inner Mongolia,China)

机构地区：[1]山西医科大学公共卫生学院,太原030001 [2]山西医科大学管理学院,太原030001 [3]康复大学青岛中心医院(青岛市中心医疗集团)质控部,山东青岛266000 [4]康复大学青岛中心医院(青岛市中心医疗集团)医务部,山东青岛266000 [5]内蒙古科技大学包头医学院,内蒙古包头014040 [6]鄂尔多斯市疾病预防控制中心流行病科,内蒙古鄂尔多斯017000

出　　处：《数理医药学杂志》2024年第3期164-170,共7页Journal of Mathematical Medicine

基　　金：山西省哲学社会科学规划项目(2022YD056)。

摘　　要：目的了解内蒙古中西部地区基层医护人员的心理健康状况及其影响因素,为有效开展基层医护人员的心理干预提供参考。方法采用分层整群抽样方法,抽取内蒙古中西部地区1409名基层医护人员,采用症状自评量表(SCL-90)对其进行问卷调查。结果内蒙古中西部地区基层医护人员心理异常阳性率为17.38%;抑郁、躯体化和敌对阳性率分别为26.11%、24.89%和19.31%;护士在躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐惧7个因子得分上高于医生(P<0.05);单因素分析结果显示,女性、护士、月工资收入<5000元、每月夜班频次>3次的基层医护人员心理健康状况较差(P<0.05);多重线性回归分析结果显示,月工资收入和夜班频次是影响基层医护人员心理健康状况的重要因素。结论内蒙古中西部地区基层医护人员总体心理健康水平不容乐观,需要加强心理健康教育,给予心理支持和疏导,切实提高其心理健康水平。Objective To explore the mental health status and its influencing factors of primary healthcare staffs in midwest areas of Inner Mongolia,and to provide reference for effective psychological intervention for primary healthcare staffs.Methods The method of stratified cluster sampling was used to select 1409 primary healthcare staffs in midwest areas of Inner Mongolia.Symptoms self-evaluation scale(SCL-90)was used to conduct a questionnaire survey on them.Results The positive rate of psychological abnormality detection among primary healthcare staffs in Midwest areas of Inner Mongolia was 17.38%.The positive rate of depression,somatization and hostility were 26.11%,24.89%and 19.31%,respectively.Nurses scored higher than doctors in 7 factors:somatization,compulsion,interpersonal relationships,depression,anxiety,hostility,and fear(P<0.05).The univariate results showed that the mental health status of primary healthcare staffs who were female,nurses,monthly salary less than 5000 yuan,and night shift frequency greater than 3 times per month was poor(P<0.05).The results of multiple stepwise regression analysis showed that monthly salary and night shift frequency were the main factors affecting the mental health status of primary healthcare staffs.Conclusion The overall mental health level of primary healthcare staffs in midwest areas of Inner Mongolia was not optimistic.It is suggested that mental health education should be strengthened for them,and psychological support and counseling should be provided to effectively improve their mental health level.

关 键 词：基层医护人员 心理健康 影响因素 内蒙古 中西部地区 

分 类 号：R395.6[哲学宗教—心理学]