儿科医务人员工作压力、应对方式与心理健康状况相关性调查分析
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摘要
目的:探讨儿科医务人员工作压力、应对方式与心理健康状况的相关性。方法:2016年6月-2017年6月对我院150名儿科在职医务人员进行调查研究。运用医务人员职业压力源量表,简易应对方式问卷,症状自评量表(SCL-90)对所选对象进行调查研究并运用相关性分析工作压力、应对方式与心理健康状况的相关性。结果:儿科医务人员职业压力总分(51.68±22.54)分,积极应对评分(17.98±4.25)分,消极应对评分(14.22±2.17)分;所调查的150名医务人员中,SCL-90评分为阳性的有39例,占26.00%;其中护士的SCL-90躯体化评分明显高于医生,医生的敌对评分明显高于护士(P<0.05),其余各项无明显差异(P>0.05);儿科医务人员职业压力、消极应对与心理健康评分呈正相关(r=0.742,0.742;P<0.001);积极应对与心理健康评分呈负相关(r=-0.686,P<0.001)。结论:造成儿科医务人员心理健康问题的原因有很多。医务人员应在繁重的工作之余学会放松自己,尽量采用积极的应对方式去面对来自各方的压力才可进一步的改善和预防医务人员的心理健康问题。
Objective:To investigate relevance between stress,coping style and mental health of pediatric medical staff.Methods:A total of 150 cases of pediatric medical staff in our hospital from June 2016 to June 2017 were selected and investigated by the Scale for Occupational Stress on Clinicians,Simplified Coping Style Questionnaire and symptom checklist 90(SCL-90).Then the correlation of stress,coping style and mental health was analyzed.Results:The total score of occupational stress of pediatric medical staff was(51.68±22.54)points,the scores of positive coping style and negative coping style were(17.98±4.25)and(14.22±2.17),respectively.The positive rate of SCL-90 was 26.00%(39/150).The nurses had higher score of the physical factor and lower score of the hostile than those of doctors(t=-2.125,3.402;P<0.05),and no difference was found in the scores of other items(P>0.05).The occupational stress and negative coping style were positively correlated with mental health score(r=0.742,0.742;P<0.001);While the positive coping style was negatively correlated with mental health score(r=-0.686,P<0.001).Conclusion:The psychological health problems of pediatric medical staff are caused by many reasons,so adequate relax and positive coping style are necessary for the amelioration and prevention of the mental disorders.
Objective:To investigate relevance between stress,coping style and mental health of pediatric medical staff.Methods:A total of 150 cases of pediatric medical staff in our hospital from June 2016 to June 2017 were selected and investigated by the Scale for Occupational Stress on Clinicians,Simplified Coping Style Questionnaire and symptom checklist 90(SCL-90).Then the correlation of stress,coping style and mental health was analyzed.Results:The total score of occupational stress of pediatric medical staff was(51.68±22.54)points,the scores of positive coping style and negative coping style were(17.98±4.25)and(14.22±2.17),respectively.The positive rate of SCL-90 was 26.00%(39/150).The nurses had higher score of the physical factor and lower score of the hostile than those of doctors(t=-2.125,3.402;P<0.05),and no difference was found in the scores of other items(P>0.05).The occupational stress and negative coping style were positively correlated with mental health score(r=0.742,0.742;P<0.001);While the positive coping style was negatively correlated with mental health score(r=-0.686,P<0.001).Conclusion:The psychological health problems of pediatric medical staff are caused by many reasons,so adequate relax and positive coping style are necessary for the amelioration and prevention of the mental disorders.
引文
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[13]谷珊珊,宫海燕,何梅.医护人员血源性职业暴露心理健康状况及应对方式的相关性研究[J].第三军医大学学报,2013,35(21):2371-2374
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[16]高华,王成贤,王玉玲.我院临床医生心理健康与应对方式和社会支持的相关性研究[J].中国医药导报,2017,14(12):73-76
[17]胡淑芳,刘芳娥,梅梓.社会支持和应对方式与医学生心理健康[J].中国健康心理学杂志,2013,21(2):291-292
[18]陈婷婷,张利,周爱萍.儿科护士职业压力、应对方式及社会支持与心理健康相关性分析[J].蚌埠医学院学报,2015,40(2):221-224
[2]Wu S,Li H,Zhu W,et al.Effect of work stressors,personal strain,and coping resources on burnout in Chinese medical professionals:A structural equation model[J].Industrial Health,2012,50(4):279-287
[3]张晓丽,李新征,崔保华,等.涉日护生心理健康状况与压力、应对方式及领悟社会支持相关性研究[J].中华医学教育探索杂志,2017,16(6):633-640
[4]苏希,王旭,苏虹.临床医生职业压力应对方式与心理健康的关联[J].安徽医学,2013,34(7):993-996
[5]张晶,郎红娟,朱以芳,等.肺癌患者心理健康状况与应对方式的相关性研究[J].中国妇幼健康研究,2016,26(2):212-213
[6]苏希,王旭,苏虹.临床医生职业压力应对方式与心理健康的关联[J].安徽医学,2013,34(7):993-996
[7]马晓欢,关红,刘伟达.大连市三级甲等综合医院ICU护士工作压力源调查[J].现代消化及介入诊疗,2017,22(1):75-77
[8]解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,5(2):114-115
[9]孙志高,吕静,王发渭,等.抑郁患者中医证候与SCL-90心理因子相关性研究[J].中华中医药杂志,2017,31(7):3250-3252
[10]闫育敏.助产士心理健康状况与工作压力源及应对方式的相关性分析[J].护理研究,2010,24(18):1627-1629
[11]包满珍,吴丹,柳燕,等.488名护士心理健康状况及与压力源、应对方式的相关性调查研究[J].全科护理,2014,12(9):843-845
[12]Dalia C,Abbas K,Colville G,et al.G49 resilience,post-traumatic stress,burnout and coping in medical staff on the paediatric and neonatal intensive care unit(P/NICU)-A survey[J].Archives of Disease in Childhood,2013,98(1):A26-A27
[13]谷珊珊,宫海燕,何梅.医护人员血源性职业暴露心理健康状况及应对方式的相关性研究[J].第三军医大学学报,2013,35(21):2371-2374
[14]曹雪军.研究临床医生的职业压力应对方式和心理健康的相关性[J].临床心身疾病杂志,2016,22(z1):1-2
[15]冯辉,陈玉明,庄晓伟,等.精神分裂症患者家属心理健康状况与应对方式的相关性[J].中国康复理论与实践,2016,22(8):968-972
[16]高华,王成贤,王玉玲.我院临床医生心理健康与应对方式和社会支持的相关性研究[J].中国医药导报,2017,14(12):73-76
[17]胡淑芳,刘芳娥,梅梓.社会支持和应对方式与医学生心理健康[J].中国健康心理学杂志,2013,21(2):291-292
[18]陈婷婷,张利,周爱萍.儿科护士职业压力、应对方式及社会支持与心理健康相关性分析[J].蚌埠医学院学报,2015,40(2):221-224