上海市浦东新区突发公共卫生事件期间社区卫生应急人员身心健康状况研究  

Physical and mental health status of community emergency personnel in Pudong New Area in public health emergencies

作　　者：杨来宝[1] 扶雪莲 李亚兰 林明珠 沈奕峰 刘丹[4] Yang Laibao;Fu Xuelian;Li Yalan;Lin Mingzhu;Shen Yifeng;Liu Dan(Department of Immunoprophylaxis,Shanghai Pudong New Area Center for Disease Control and Prevention,Shanghai 200136,China;不详)

机构地区：[1]上海市浦东新区疾病预防控制中心免疫预防科,200136 [2]上海市浦东新区疾病预防控制中心业务管理办公室,200136 [3]上海市浦东新区疾病预防控制中心质量管理办公室,200136 [4]上海市浦东新区疾病预防控制中心行政办公室,200136

出　　处：《山西医药杂志》2024年第14期1048-1054,共7页Shanxi Medical Journal

基　　金：上海市加强公共卫生体系建设三年行动计划(2023-2025年)重点学科(GWVI-11.1-02-传染病学);2021年浦东新区科技发展基金项目(RKJ2021-Y74)。

摘　　要：目的通过调查突发公共卫生事件期间浦东新区社区卫生应急人员生活质量和心理状况,分析其影响因素,为社区卫生人力生活质量研究提供参考。方法通过“问卷星”网络调查平台,运用自编调查问卷和健康状况调查问卷(SF-36)、抑郁自评量表(SDS)及焦虑自评量表(SAS)对浦东新区社区卫生应急人员进行横断面调查。结果177名浦东新区社区卫生应急人员SF-36总评分(66±20)分;抑郁、焦虑发生率分别为57.1%、56.5%。SF-36量表单因素分析得,性别、文化程度、专业、年收入变量在SF-36量表各个维度中差异无统计学意义;在年龄变量中,生理机能(PF)、生理职能(RP)维度得分在50岁及以上组低于其他组;在工龄变量中,PF维度得分在20年及以上组低于其他组;在职称变量中,精力(VT)维度得分在高级职称组高于其他组;在职务变量中,生理机能(PF)、精力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)、生理健康(PCS)、心理健康(MCS)维度中科长/科主任组得分低于其他组。经多重线性回归分析,以SF-36总分作为因变量,自变量SDS、SAS得分越低生命质量越高(标化偏回归系数分别为-0.606、-0.202)。结论突发公共卫生事件期间,浦东新区社区卫生应急人员生活质量不佳,健康状况受多方面因素影响,建议进一步合理排班,开展相关培训、宣传等,通过多方面干预方案提高身心健康。Objective To investigate the quality of life and psychological conditions of the community emergency personnel in Pudong New Area in public health emergencies,and analyze its influencing factors.Methods Through the"questionnaire star"network survey platform,a cross-sectional survey was conducted on the emergency personnel of Pudong New Area by using the self-designed questionnaire,the short-form-36 health survey(SF-36),the self-rating depression scale(SDS)and the self-rating anxiety scale(SAS).Results The total SF-36 score of 177 emergency personnel in the Pudong New Area was(66±20).The incidence of depression and anxiety was 57.1%and 56.5%,respectively.According to the factor analysis of SF-36,there was no statistically significant difference in gender,education,major,and annual income variables in each dimension of SF-36.Among the age variables,the scores of physical Functioning(PF)and role-physical(RP)dimensions in the group aged 50 and above were lower than those in other groups.Among the working age variables,the score of PF dimension in the group of 20 years and above was lower than that in other groups.Among the professional title variables,the VT dimension score in the senior professional title group was higher than that in different groups.Among the job variables,the score of the section head/section director group in PF,VT,social functioning(SF),role-emotional(RE),mental health(MH),physical component score(PCS),and mental component score(MCS)dimensions were lower than those of other groups.After multiple linearity analysis,using the total SF-36 score as the dependent variable,the lower the independent variables SDS and SAS scores,the higher the quality of life(the standardized partial regression coefficients are-0.606 and-0.202 respectively).Conclusion During the prevention and control of the public health emergencies,the quality of life in the community public health personnel in Pudong New Area was poor,and their health was affected by various factors.It is recommended to rationalize scheduling,condu

关 键 词：疾病流行 社区卫生工作者 生命质量 健康状况 

分 类 号：R192[医药卫生—卫生事业管理] R395.6[医药卫生—公共卫生与预防医学]