杜学礼, 陈璐, 陈芸. 上海市三级医院医务人员心理健康状况及其影响因素分析[J]. 上海预防医学, 2021, 33(12): 1181-1186. DOI: 10.19428/j.cnki.sjpm.2021.20691
引用本文: 杜学礼, 陈璐, 陈芸. 上海市三级医院医务人员心理健康状况及其影响因素分析[J]. 上海预防医学, 2021, 33(12): 1181-1186. DOI: 10.19428/j.cnki.sjpm.2021.20691
DU Xue-li, CHEN Lu, CHEN Yun. Mental health status of medical staff in tertiary hospitals in Shanghai and the influencing factors[J]. Shanghai Journal of Preventive Medicine, 2021, 33(12): 1181-1186. DOI: 10.19428/j.cnki.sjpm.2021.20691
Citation: DU Xue-li, CHEN Lu, CHEN Yun. Mental health status of medical staff in tertiary hospitals in Shanghai and the influencing factors[J]. Shanghai Journal of Preventive Medicine, 2021, 33(12): 1181-1186. DOI: 10.19428/j.cnki.sjpm.2021.20691

上海市三级医院医务人员心理健康状况及其影响因素分析

Mental health status of medical staff in tertiary hospitals in Shanghai and the influencing factors

  • 摘要:
    目的了解上海市部分三级医院医务人员的心理健康状况及其影响因素,为改善医务人员心理健康状况提供依据。
    方法采用分层随机抽样的方法,抽取上海市部分三级综合医院和三级专科医院的医务人员,采用《90项症状自译量表》(SCL-90,中国修订版)中的3个分量表(焦虑、抑郁、强迫)和抗逆力量表进行心理健康状况及其影响因素调查。
    结果实际回收有效问卷3 437份。三级医院医务人员的抑郁、焦虑、强迫因子得分明显高于一般人群。使三级医院医务人员产生焦虑的前3位因素分别为医院考核、职称晋升、学术科研;排在前3位的压力源因素为工作量大、工作时间不稳定、晋升压力;而在缓解压力的方式中,排在前3位的是旅游、与家人或朋友交谈或倾诉、参加文娱活动放松。男性医务人员与女性医务人员相比,抗逆力水平更低。
    结论要加快构建科学的绩效考核与薪酬分配制度,并引导社会形成关爱医务人员的良好氛围。要大力推进健康医院建设,加强健康档案建设。个人要形成健康生活方式,积极参加体检和改善心理健康的培训。

     

    Abstract:
    ObjectiveTo provides suggestions to improve the mental health of the medical staff by investigation and effect analysis of mental health status of the medical staff in the public medical institutions in Shanghai.
    MethodsTo conducted a survey of medical staff in public medical institutions including tertiary general hospitals and tertiary specialized hospitals in Shanghai, using random stratified sampling method. The stratified standard includes hospital classification, title, and practice type.
    ResultsTotally 3 437 valid questionnaires were collected. Depression, anxiety and compulsion in medical staff were significantly higher than that in the general population. The top three factors that make medical staff anxious were examination, professional promotion, and academic research. The top three stressors were heavy workload, unstable working hours, and promotion pressure. Among the ways to relieve the pressure, the top three were taking a tour, talking with family or friends, and participating in recreational activities. Comparing with female medical staff, male medical staff had a lower level of resilience.
    ConclusionGovernment should speed up to establish the scientific performance appraisal and salary distribution system, and to guide the society to form a good atmosphere in caring for medical staff. Hospitals should promote the construction of health hospitals, and strengthen the construction of health archives. Individuals should have a healthy lifestyle and actively participate in physical examination and training that can improve mental health.

     

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