摘要
目的了解重大公共卫生事件后区级医务工作者的抑郁水平及影响因素,为开展心理干预和采取有针对性的健康促进策略提供参考依据。方法采取方便抽样方法,选取广州市番禺区医疗卫生机构全体工作人员进行在线问卷调查,调查内容包括基本情况及心理感受,使用量表测量心理弹性、自尊与抑郁水平,采用单因素分析和多因素logistic回归分析区级医务工作者抑郁的影响因素。结果共调查5321名区级医务工作者,女性3974人(74.7%);心理弹性总分为62(50,75)分;自尊总分30(28,34)分;抑郁总分33(27,42);抑郁情绪检出率43.1%(2291例);感觉比较有压力者占41.7%(2219人)。多因素logistic回归分析提示,自评一般幸福以及不幸福(OR=1.551、2.276),感觉非常有压力以及比较有压力(OR=3.570、2.444),心理弹性总分63~75、50~62、<50分(OR=1.992、3.687、6.856),以及低和中的自尊水平(OR=7.784、3.310)是区级医务工作者抑郁的危险因素;非院感岗位(OR=0.713),自评健康状况一般以及良好(OR=0.497、0.299),困境感觉一般以及不同意处于困境(OR=0.518、0.255)是区级医务工作者抑郁的保护因素。结论区级医务工作者压力感受较大、抑郁检出率较高,不幸福、压力大、低心理弹性、低自尊水平是产生抑郁情绪的危险因素,而非院感岗位、健康状况良好、困境感觉小是抑郁情绪的保护因素。建议针对区级医务工作者开展心理弹性训练等心理干预措施,提高其应对公共卫生事件的能力。
Objective To explore the depression level and influencing factors among district-level medical workers after major public health events,and to provide reference for psychological intervention and health promotion strategies.Methods A convenient sampling method was used to select all the staff members of medical and health institutions in Panyu District of Guangzhou to conduct an online questionnaire survey,which included basic information and psychological feelings.Psychological resilience,self-esteem,and depression were measured by scale,and the influencing factors of depression were analyzed by univariate analysis and multivariate logistic regression.Results A total of 5321 district-level medical workers were surveyed,with the majority being female(3974 individuals,74.7%).The total score for psychological resilience was 62(50,75),for self-esteem was 30(28,34),and for depression was 33(27,42).The depressive mood was detected in 43.1%(2291 cases),and 41.7%(2219 cases)felt under pressure.Multivariate logistic regression analysis indicated that self-rated happiness as average and unhappiness(OR=1.551,2.276),feeling very stressed or relatively stressed(OR=3.570,2.444),psychological resilience scores of 63-75,50-62,and<50(OR=1.992,3.687,6.856),as well as low and moderate levels of self-esteem(OR=7.784,3.310)were identified as risk factors for depression among district-level medical workers.Non-hospital-infection-control positions(OR=0.713),general and good health conditions(OR=0.497,0.299),and the feeling of distress was normal and did not agree to be in distress(OR=0.518,0.255)were identified as protective factors against depression among district-level medical workers.Conclusions District-level medical workers experience high levels of stress and have a relatively high detection rate of depression.Unhappiness,high stress,low psychological resilience,and low self-esteem are risk factors for the development of depressive.On the other hand,non-hospital-infection-control positions,good health conditions,lower perceived
作者
麦洁梅
钟小燕
肖凤珊
蔡雪莲
丘志坚
MAI Jiemei;ZHONG Xiaoyan;XIAO Fengshan;CAI Xuelian;QIU Zhijian(Guangzhou Panyu District Health Education Center,Guangzhou 511400,China;Panyu District Center for Disease Control and Prevention)
出处
《华南预防医学》
2023年第8期946-950,955,共6页
South China Journal of Preventive Medicine
基金
广州市番禺区科技计划一般引导项目(2020-Z04-088)。
关键词
公共卫生事件
医务工作者
抑郁
心理弹性
自尊
Public health event
Medical worker
Depression
Psychological resilience
Self-esteem
