111名急诊科医护人员遭受心理暴力后心理健康状况的调查

陈静; 方雅; 陈利玲; 叶森; 鲍玉波; 杜慧芬

doi:10.19428/j.cnki.sjpm.2018.18792

111名急诊科医护人员遭受心理暴力后心理健康状况的调查

Mental health investigation on 111 emergency medical workers after suffering psychological violence

摘要

摘要:
目的了解急诊科医护人员遭受心理暴力后的心理健康状况，为进行心理干预提供依据。
方法采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)对某县级市3所综合性医院1年内遭受过心理暴力的111名急诊科医护人员进行问卷调查，并对结果进行分析。
结果遭受工作场所心理暴力者占急诊科全体医护人员的45.5%。遭受工作场所心理暴力后急诊科医护人员的SAS、SDS评分均高于中国常模, 差异有统计学意义(P < 0.01)；SCL-90各因子中，躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、精神病性等因子评分、阳性项目数均高于中国常模，差异有统计学意义(P＜0.01或P＜0.05)。
结论工作场所心理暴力对急诊科医护人员的心理健康产生严重危害，医院管理者应重视急诊科医护人员的心理问题，加强心理疏导和咨询，并采取措施预防和控制工作场所暴力的发生。

Abstract:
ObjectiveTo investigate and analyze the mental health status of emergency medical workers after suffering psychological violence, and provide the basis for psychological intervention of emergency medical workers.
MethodsTotally 111 emergency medical workers from 3 general hospitals who suffered psychological violence in recent 1 year were surveyed using self-evaluation of the anxiety scale (SAS), depression self rating scale (SDS), symptom self-assessment scale (SCL-90) and the results analyzed.
ResultsIn recent 1 year, 45.5% emergency medical workers suffered psychological violence in emergency department. The grades of SAS and SDS for emergency medical workers after suffering psychological violence were significantly higher than Chinese norms, which was statistically significant (P < 0.01). The somatization, compulsive symptoms, depression, anxiety, hostility, terror, paranoia, psychosis, and the number of positive items in SCL-90 in emergency medical workers after suffering psychological violence were also remarkably higher as compared with Chinese norms, which were statistically significant (P < 0.01 or P < 0.05).
ConclusionPsychological violence in workplaces causes serious harm to the mental health of emergency medical workers. Hospital administrators should pay attention to the psychological problems of emergency medical workers, strengthen psychological counseling, and take measures to prevent psychological violence in emergency department.

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