CAJ | 학술논문

目的了解北京市三级综合医院医务人员的社会支持、应对方式及心理健康水平,发现可能存在的心理问题.方法运用社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)、症状自评量表(SCL-90)及人口学特征问卷,对北京市5所三级综合医院的2460名医务人员进行调查.结果不同人口学特征的医务人员,在积极应对和支持各维度上存在差异.相关分析表明,SCL总分、总症状指数、阳性症状痛苦水平、各因子均分与消极应对方式呈正相关,P<0.01;与主客观支持、支持利用度、支持总分呈负相关,P<0.01,结论医疗管理部门应对40岁以下、女性、丧偶或离异、大专及以下学历、初级及以下职称、无职务、急诊和重症监护室人员、医生和护士、经常夜班、自我评价过低、患有慢性病的医务人员进行重点干预,缓解其心理压力.
목적 료해북경시삼급종합의원의무인원적사회지지、응대방식급심리건강수평,발현가능존재적심리문제.방법 운용사회지지평정량표(SSRS)、간역응대방식문권(SCSQ)、증상자평량표(SCL-90)급인구학특정문권,대북경시5소삼급종합의원적2460명의무인원진행조사.결과 불동인구학특정적의무인원,재적겁응대화지지각유도상존재차이.상관분석표명,SCL총분、총증상지수、양성증상통고수평、각인자균분여소겁응대방식정정상관,P<0.01;여주객관지지、지지이용도、지지총분정부상관,P<0.01,결론 의료관리부문응대40세이하、녀성、상우혹리이、대전급이하학력、초급급이하직칭、무직무、급진화중증감호실인원、의생화호사、경상야반、자아평개과저、환유만성병적의무인원진행중점간예,완해기심리압력.
Objective To probe into the social support, coping styles, and mental health status of medical staff in a tertiary hospital in Beijing, for identifying potential mental problems. Methods Such means as the Social Support Rating Sheet (SSRS), Simple Coping Style Questionnaire (SCSQ), Symptom Checklist (SCL-90), and demographic characteristics questionnaire were called into play, to study 2460 medical staff in five tertiary hospitals in Beijing. Results Differences were identified among medical staff of different demographic characteristics, in terms of positive coping style and support dimensions. Analysis of the survey data indicates that the total SCL scores, total symptom problem index, positive symptom pain level, total average score of the factors, are positively related to passive coping style, as P<0. 01; and are negatively related to subjective/objective support, support utilization, and total support scores, as P<0. 01. Conclusions Hospital administration is expected to implement focused intervention to such medical staff as those under 40 years old, women, widows or divorcees, those with education lower than university degree, those with junior academic title or lower, those without titles, those in emergency departments and emergency intensive care units, doctors and nurses, frequent night-shift workers, those of excessively low self evaluation, and medical staff with chronic diseases. The purpose of this practice is to alleviate their mental stress.