院前急救医务人员心理状况调查分析
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摘要
目的对院前急救医务人员的心理健康状况进行调查,了解问题所在,分析原因,提出对策。方法选取2017年1～7月在海南省各个市县"120"急救中心参与院前急救工作的225名医务人员作为调查对象,采用一般情况调查表和医务人员症状自评量表(SCL-90)进行调查,并与国内常模进行对比。结果医护人员的SCL-90中躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执8个因子评分均明显高于常模组,差异均有统计学意义(P<0.05),而精神病性评分比较,差异无统计学意义(P>0.05);医务人员认为引起心理健康出现问题的主要原因包括单位的管理体制(65.3%)、薪酬分配不合理(65.3%)、医患关系(62.2%)、业务水平提高(61.3%)和个人安全(55.1%)。结论院前急救医务人员心理健康不容乐观,建议从领导重视、加强心理健康教育、提高业务水平、提高薪酬、加强个人安全措施等方面来维护。
Objective To investigate the mental health status of pre-hospital emergency medical staff, and to understand the problems and analyze the reasons, in order to find corresponding countermeasures. Methods A total of225 medical staff who participated in pre-hospital emergency work in 120 emergency centers in Hainan Province from January 2017 to July 2017 were selected as survey respondents. The mental health status of the respondents was investigated by general symptom questionnaire and the Symptom Checklis-90(SCL-90), and then compared with that of the national norm. Results The scores of somatic, compulsive, interpersonal sensitivity, depression, anxiety, hostility, terror, and paranoia in SCL-90 of medical staff were significantly higher than those of national norm(P<0.05), while the psychotic scores was not statistically significant(P>0.05). Medical staff believed that the main causes of mental health problems included the management system of the unit(65.3%), unreasonable salary distribution(65.3%), doctor-patient relationship(62.2%), increased business level(61.3%) and personal safety(55.1%). Conclusion The mental health of pre-hospital emergency medical staff is not optimistic. It is suggested to strengthen mental health education, improve professional skill, raise salary, and strengthen personal safety measures.
Objective To investigate the mental health status of pre-hospital emergency medical staff, and to understand the problems and analyze the reasons, in order to find corresponding countermeasures. Methods A total of225 medical staff who participated in pre-hospital emergency work in 120 emergency centers in Hainan Province from January 2017 to July 2017 were selected as survey respondents. The mental health status of the respondents was investigated by general symptom questionnaire and the Symptom Checklis-90(SCL-90), and then compared with that of the national norm. Results The scores of somatic, compulsive, interpersonal sensitivity, depression, anxiety, hostility, terror, and paranoia in SCL-90 of medical staff were significantly higher than those of national norm(P<0.05), while the psychotic scores was not statistically significant(P>0.05). Medical staff believed that the main causes of mental health problems included the management system of the unit(65.3%), unreasonable salary distribution(65.3%), doctor-patient relationship(62.2%), increased business level(61.3%) and personal safety(55.1%). Conclusion The mental health of pre-hospital emergency medical staff is not optimistic. It is suggested to strengthen mental health education, improve professional skill, raise salary, and strengthen personal safety measures.
引文
[1]顾淑芳,孙娜.院前急救与院内救治衔接的研究进展[J].中华护理杂志, 2017, 52(4):474-476.
[2]周秀华.急救护理学[M].北京:人民卫生出版社, 2001:5-6.
[3]陈开红,呼冬鸣,朱庆生,等.北京市朝阳区急救社区化建设与实践分析[J].中国全科医学, 2014, 17(35):4227-4229.
[4]金华,吴文源,张明园.中国正常人SCL-90评定结果的初步分析[J].中国神经精神疾病杂志, 1986, 12(5):260-263.
[5]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社, 2013:13-19.
[6]刘劲松,张勇燕,何迪辉,等.院前急救中的隐患分析及对策探讨[J].中国当代医药, 2018, 25(2):163-165.
[7]胡云婕.院前急救护士工作压力与离职倾向的相关研究[J].中华灾难救援医学, 2016, 4(2):74-77.
[8]刘林修,刘端海.遭受工作场所暴力的院前急救医护人员心理状况调查[J].现代预防医学, 2015, 42(1):26-28.
[9]刘鑫,王梦娟.我国院前急救立法存在问题与对策[J].中国医院管理, 2016, 36(6):57-59.
[10]髙卫益,陈玮,戚倩,等.临床医生工作幸福感现状调查及影响因素分析[J].中国医院管理, 2017, 37(3):55-57.
[11]吴晓英,蒋瑞琼.医务人员心理健康的影响因素与维护措施分析[J].中国当代医药, 2015, 22(33):140-143.
[12]花瑞红.医务人员心理健康状况及应对研究[J].预防医学论坛,2016, 22(10):791-794.
[13]郑立冬,李春霞,贾王彦,等.医务人员幸福指数影响因素分析及对策研究[J].中国卫生质量管理, 2017, 24(2):56-59.
[14]谢咏湘,胡彦磊,粟枫,等.急诊患者家属急救知识水平的现况及影响因素分析[J].中国现代医学杂志, 2014, 24(11):94-97.
[15]陶品月,黄惠桥,黄霜霞,等.初级创伤救治模式在提高社区居民创伤急救能力中的应用[J].广东医学, 2017, 38(2):288-290.
[2]周秀华.急救护理学[M].北京:人民卫生出版社, 2001:5-6.
[3]陈开红,呼冬鸣,朱庆生,等.北京市朝阳区急救社区化建设与实践分析[J].中国全科医学, 2014, 17(35):4227-4229.
[4]金华,吴文源,张明园.中国正常人SCL-90评定结果的初步分析[J].中国神经精神疾病杂志, 1986, 12(5):260-263.
[5]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社, 2013:13-19.
[6]刘劲松,张勇燕,何迪辉,等.院前急救中的隐患分析及对策探讨[J].中国当代医药, 2018, 25(2):163-165.
[7]胡云婕.院前急救护士工作压力与离职倾向的相关研究[J].中华灾难救援医学, 2016, 4(2):74-77.
[8]刘林修,刘端海.遭受工作场所暴力的院前急救医护人员心理状况调查[J].现代预防医学, 2015, 42(1):26-28.
[9]刘鑫,王梦娟.我国院前急救立法存在问题与对策[J].中国医院管理, 2016, 36(6):57-59.
[10]髙卫益,陈玮,戚倩,等.临床医生工作幸福感现状调查及影响因素分析[J].中国医院管理, 2017, 37(3):55-57.
[11]吴晓英,蒋瑞琼.医务人员心理健康的影响因素与维护措施分析[J].中国当代医药, 2015, 22(33):140-143.
[12]花瑞红.医务人员心理健康状况及应对研究[J].预防医学论坛,2016, 22(10):791-794.
[13]郑立冬,李春霞,贾王彦,等.医务人员幸福指数影响因素分析及对策研究[J].中国卫生质量管理, 2017, 24(2):56-59.
[14]谢咏湘,胡彦磊,粟枫,等.急诊患者家属急救知识水平的现况及影响因素分析[J].中国现代医学杂志, 2014, 24(11):94-97.
[15]陶品月,黄惠桥,黄霜霞,等.初级创伤救治模式在提高社区居民创伤急救能力中的应用[J].广东医学, 2017, 38(2):288-290.