政策工具视角下医护心理健康促进政策分析  

Analysis of mental health policy for medical staff from the perspective of policy tools

作　　者：刘欢 叶旭春 唐思齐 郗小玲 刘亚芳 吴菁 LIU Huan;YE Xuchun;TANG Siqi;XI Xiaoling;LIU Yafang;WU Jing(Nursing Department,Nanjing You’an Hospital,Nanjing 211122,Jiangsu,China;Department of Nursing,Naval Medical University,Shanghai 200433,China;School of Basic Medicine,Naval Medical University,Shanghai 200433,China)

机构地区：[1]南京市佑安医院护理部,江苏南京211122 [2]海军军医大学护理系,上海200433 [3]海军军医大学基础医学院,上海200433

出　　处：《中国现代医生》2025年第8期75-78,共4页China Modern Doctor

基　　金：国家自然科学基金面上项目(71974196);国家心理健康和精神卫生防治中心项目(2024-03-12(三)号);校社科培育基金项目(2022SK021)。

摘　　要：目的对中国医护人员心理健康促进政策进行文本分析,为后续政策的优化和改进提供指导。方法建立政策工具与双因素理论构成的二维分析框架,对中央层面发布的19份医护人员心理健康促进政策进行外部属性分析和内容分析。结果政策文本类型中,通知类型最多,其次是意见,工作方案最少。纳入的政策文本共筛选出368条政策编码。在政策工具维度的180条编码中,权威、激励、能力建设、劝告引导、组织变革政策工具占比分别为19.44%、15.56%、28.89%、31.11%、5.00%。在双因素理论维度的188条编码中,保健因素和激励因素各占63.83%和36.17%。结论中国医护人员心理健康促进工作政策工具类型丰富,但呈现不平衡状态,对医护人员的激励关注较少。Objective To take text analysis of the mental health promotion policies for Chinese medical staff,and provide guidance for the optimization and improvement of subsequent policies.Methods Two-dimensional analysis framework composed of policy tools and two-factor theory were established,and external attribute analysis and content analysis of 19 mental health promotion policies issued by the central level were conducted.Among the policy text types,the most notifications,followed by opinions and the least work plan.A total of 368 policy codes were selected in the included policy texts.Among the 180 codes in the dimension of policy tool,authority,incentive,capacity building,guidance and organizational change accounted for 19.44%,15.56%,28.89%,31.11%and 5.00%respectively.Among the 188 codes in the two-factor theoretical dimension,health care factors and incentives accounted for 63.83%and 36.17%,respectively.There are rich types of policy tools for mental health promotion of Chinese staff workers,but they show an unbalanced state and pay less attention to the motivation of medical staff.

关 键 词：医护人员 心理健康 政策工具 内容分析 

分 类 号：R[医药卫生]