摘要
目的了解珠海市医务人员心理健康状况及其影响因素,为制定心理干预措施提供科学依据。方法通过方便抽样,使用症状自评量表(SCL-90)问卷于2020-07-28/08-14对5862名医务人员进行在线调查,运用方差分析和t检验比较总均分、因子均分与疫情响应期间普通居民、中国成人常模的差异,运用卡方检验和Logistic回归分析心理症状筛查阳性的相关影响因素。采用R 3.6.1软件进行统计分析,检验水准设为α=0.05。结果医务人员SCL-90总均分为(1.30±0.44)分,心理症状检出率为19.40%。总均分及躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性9个因子均分均低于中国常模人群(P均<0.05)。Logistic回归模型显示,女性(OR=1.53,95%CI:1.30~1.81)、年龄<50岁(OR=1.61,95%CI:1.19~2.22)以及新冠疫情工作经历(OR=1.64,95%CI:1.44~1.87)是医务人员出现心理症状的危险因素。变量重要性分析显示,新冠疫情工作经历、性别、年龄、婚姻状况的McFadden’s R^(2)分别为0.0091、0.0046、0.0022和0.0005。结论珠海市医务人员心理健康水平良好,疫情工作经历对医务人员心理症状发生起着主要的影响作用,不同人口学特征的医务人员心理症状易感性不同,应有针对性开展心理危机干预和疏导,促进医务人员心理健康素养水平提高。
Objective To understand the mental health status of medical personnel in Zhuhai and its influencing factors,so as to provide scientific basis for making targeted psychological interventions.Methods Totally,a convenience sample of 5862 medical personnel were surveyed online by using the Symptom Checklist 90(SCL-90)from July 28 to August 14,2020.The scores of Global Severity Index(GSI)and nine subscales were compared with the that of ordinary citizens during the period of response to COVID-19 and Chinese norms by using Independent sample t test and analysis of variance.Influencing factors of prevalence of psychological manifestations were analyzed by using Chisquare tests and logistic regression analysis.R 3.6.1 software was used to analyze the data,and P<0.05 was considered statistically significant.Results The GSI score of SCL-90 was(1.30±0.44),and the prevalence of psychological manifestations was 19.40%.Compared with Chinese norms,the scores of GSI and nine subscales were significantly lower(all P<0.05).Logistic regression analysis indicated that female(OR=1.53,95%CI:1.30-1.81),under 50 years(OR=1.61,95%CI:1.19-2.22),and work on the prevention and control of the COVID-19(OR=1.64,95%CI:1.44-1.87)were risk factors for mental health of medical personnel.The McFadden’s R^(2) of work on the prevention and control of the COVID-19,gender,age and marital status were 0.0091,0.0046,0.0022 and0.0005,respectively.Conclusions Medical personnel has a good mental health level during the normalization of COVID-19 epidemic in Zhuhai.Work experience on epidemic plays a great role in the occurrence of psychological manifestations in medical staff.There should be targeted psychological interventions to promote medical staff′s mental health based on different demographic characteristics.
作者
滕勇勇
孙亚军
王涛
陈伟
吴逸璇
陈美婷
黄弦
TENG Yong-yong;SUN Ya-jun;WANG Tao;CHEN Wei;WU Yi-xuan;CHEN Mei-ting;HUANG Xian(Zhuhai Center for Chronic Disease Control/the Third People′s Hospital of Zhuhai,Zhuhai 519000,Guangdong Province,China)
出处
《职业卫生与病伤》
CAS
2022年第1期29-34,共6页
Occupational Health and Damage
关键词
症状自评量表
医务人员
心理健康
横断面调查
Symptom Checklist-90
medical personnel
mental health
cross-sectional study
