郑州大学学报(医学版)
鄭州大學學報(醫學版)
정주대학학보(의학판)
JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES)
2013年
5期
674-677
,共4页
高允锁%王小丹%李巧%郭敏%李广阅
高允鎖%王小丹%李巧%郭敏%李廣閱
고윤쇄%왕소단%리교%곽민%리엄열
慢性疲劳%心理因素%医护人员%三甲医院%海南省
慢性疲勞%心理因素%醫護人員%三甲醫院%海南省
만성피로%심리인소%의호인원%삼갑의원%해남성
chronic fatigue%psychological factor%medical staff%3A-hospital%Hainan Province
目的:了解海南省三甲医院医护人员慢性疲劳现况及其与心理健康状况的关系。方法:采用多阶段随机抽样的方法抽取海南省三甲医院医护人员1042人,采用横断面研究的方法,运用疲劳量表14( FS-14)和心理症状自评量表(SCL-90)进行测评。结果:①疲劳总平均得分为(7.43±3.04)分,躯体疲劳得分(4.79±2.31)分,脑力疲劳得分(2.63±1.40)分,慢性疲劳的发生率为38.77%(404/1042),有心理疾病倾向者占11.80%(123/1042)。②躯体疲劳、脑力疲劳、疲劳总平均得分与SCL-90各因子分均有线性正相关关系( r=0.220~0.422, P<0.001)。③疲劳的心理因素混合线性模型分析结果显示,躯体化、强迫症状、抑郁、恐怖、偏执、精神病性为医护人员慢性疲劳的影响因素(β=1.551、1.534、0.888、1.102、0.772、1.311,P均<0.05)。结论:医护人员慢性疲劳与心理健康水平有关。
目的:瞭解海南省三甲醫院醫護人員慢性疲勞現況及其與心理健康狀況的關繫。方法:採用多階段隨機抽樣的方法抽取海南省三甲醫院醫護人員1042人,採用橫斷麵研究的方法,運用疲勞量錶14( FS-14)和心理癥狀自評量錶(SCL-90)進行測評。結果:①疲勞總平均得分為(7.43±3.04)分,軀體疲勞得分(4.79±2.31)分,腦力疲勞得分(2.63±1.40)分,慢性疲勞的髮生率為38.77%(404/1042),有心理疾病傾嚮者佔11.80%(123/1042)。②軀體疲勞、腦力疲勞、疲勞總平均得分與SCL-90各因子分均有線性正相關關繫( r=0.220~0.422, P<0.001)。③疲勞的心理因素混閤線性模型分析結果顯示,軀體化、彊迫癥狀、抑鬱、恐怖、偏執、精神病性為醫護人員慢性疲勞的影響因素(β=1.551、1.534、0.888、1.102、0.772、1.311,P均<0.05)。結論:醫護人員慢性疲勞與心理健康水平有關。
목적:료해해남성삼갑의원의호인원만성피로현황급기여심리건강상황적관계。방법:채용다계단수궤추양적방법추취해남성삼갑의원의호인원1042인,채용횡단면연구적방법,운용피로량표14( FS-14)화심리증상자평량표(SCL-90)진행측평。결과:①피로총평균득분위(7.43±3.04)분,구체피로득분(4.79±2.31)분,뇌력피로득분(2.63±1.40)분,만성피로적발생솔위38.77%(404/1042),유심리질병경향자점11.80%(123/1042)。②구체피로、뇌력피로、피로총평균득분여SCL-90각인자분균유선성정상관관계( r=0.220~0.422, P<0.001)。③피로적심리인소혼합선성모형분석결과현시,구체화、강박증상、억욱、공포、편집、정신병성위의호인원만성피로적영향인소(β=1.551、1.534、0.888、1.102、0.772、1.311,P균<0.05)。결론:의호인원만성피로여심리건강수평유관。
Aim:To study the prevalence of chronic fatigue of medical staff from 3A-hospitals in Hainan Province and its relationship with mental health conditions .Methods:By multi-stage random sampling , a total of 1 042 doctors and nur-ses from three 3A-hospitals in Hainan were selected for the cross-section study.All subjects were assessed by Fatigue Scale 14(FS-14)and Mental Symptom Checklist 90(SCL-90).Results:The mean total score of FS-14 was (7.43 ±3.04), the score of physical fatigue was (4.79 ±2.31),and that of mental fatigue was (2.63 ±1.40).The prevalence of chronic fa-tigue was 38.77%(404/1 042),and 11.80%(123/1 042) were in psychological disorder station .Physical fatigue, mental fatigue, and the mean total score were positively correlated with the scores of every factor of SCL-90(r=0.220-0.422, P<0.001).The result of mixed linear model showed that somatization symptoms , obsessive-compulsive symptoms,depres-sion, terror, paranoia, and psychosis would impact fatigue significantly (β=1.551,1.534,0.888,1.102,0.772,1.311, P<0.05).Conclusion:Chronic fatigue status of medical staff is related with the psychological health level .