CAJ | 학술논문

目的：调查重庆市某地区卫生系统工作人员的心理卫生状况。方法以重庆市某地区卫生系统773名工作人员为研究对象，应用症状自评量表（SCL-90）调查，以 SCL-90总分大于160分为心理症状阳性，并在躯体化、强迫、人际关系、抑郁、焦虑、敌对性、恐怖、偏执、精神病性9项因子及总均分等方面进行统计分析。结果773名卫生系统工作人员心理症状阳性率为17．46％（135／773），其中临床护士为23．20％（58／250），临床医生为15．63％（50／320），非临床工作人员为13．30％（27／203）。与中国人常模比较，该地区卫生系统工作人员在躯体化症状及强迫症状方面得分明显偏高（P ＜0．05），而在人际关系和偏执方面得分明显偏低（P ＜0．01）；区级卫生单位工作人员在偏执方面得分高于卫生院工作人员（P ＜0．05），而在其他8项因子及总均分方面明显高于卫生院工作人员（P ＜0．01）；临床护士在强迫、抑郁、焦虑、敌对性及总均分方面明显高于临床医生（P ＜0．01），而在躯体化、人际关系、恐怖、偏执及精神病性等方面二者差异无统计学意义（P ＞0．05）；临床护士在总均分及各项因子得分均高于非临床工作人员（P ＜0．05）。结论该地区卫生系统工作人员多项因子得分与中国常模比较有明显差异，临床工作人员心理卫生状况较非临床工作人员差，尤其临床护士的心理卫生状况更差。
목적：조사중경시모지구위생계통공작인원적심리위생상황。방법이중경시모지구위생계통773명공작인원위연구대상，응용증상자평량표（SCL-90）조사，이 SCL-90총분대우160분위심리증상양성，병재구체화、강박、인제관계、억욱、초필、활대성、공포、편집、정신병성9항인자급총균분등방면진행통계분석。결과773명위생계통공작인원심리증상양성솔위17．46％（135／773），기중림상호사위23．20％（58／250），림상의생위15．63％（50／320），비림상공작인원위13．30％（27／203）。여중국인상모비교，해지구위생계통공작인원재구체화증상급강박증상방면득분명현편고（P ＜0．05），이재인제관계화편집방면득분명현편저（P ＜0．01）；구급위생단위공작인원재편집방면득분고우위생원공작인원（P ＜0．05），이재기타8항인자급총균분방면명현고우위생원공작인원（P ＜0．01）；림상호사재강박、억욱、초필、활대성급총균분방면명현고우림상의생（P ＜0．01），이재구체화、인제관계、공포、편집급정신병성등방면이자차이무통계학의의（P ＞0．05）；림상호사재총균분급각항인자득분균고우비림상공작인원（P ＜0．05）。결론해지구위생계통공작인원다항인자득분여중국상모비교유명현차이，림상공작인원심리위생상황교비림상공작인원차，우기림상호사적심리위생상황경차。
Objective To investigate the mental health states of health system staffs in a district of Chongqing municipality. Methods Seven hundred and seventy-three health system staffs were taken as the research subjects for conducting the investigation by the Symptoms Checklist-90 (SCL-90).With the total SCL-90 score >160 as the positive psychological symptom,the total mean scores of SCL-90 and the 9 items of factor score of somatization,obsession,personal relations,depression,anxiety,hostility,dread, paranoid and psychotics were performed the statistical analysis.Results The positive rate of psychological symptoms in 773 health system staffs was 17.46% (135/773),among them which in the clinical nurses,clinicians and nonclinical staffs were 23.20%(58/250),15.63%(50/320)and 13.30%(27/203)respectively.The somatization and obsession scores of the health system staffs in this district were obviously higher than those of the national norm (P <0.05),while their personal relations and paranoid scores were obviously lower than those of the national norm(P <0.01).The paranoid scores of the staffs in the district health units were higher than those of the staffs worked in town health units(P <0.05),and other 8 items of factor score and the total mean scores were significantly higher than those in the town health unit staffs (P <0.01).The scores of obsession,depression,anxiety,hostility and the total mean scores of the clinical nurses were significantly higher than those of the clinicians (P <0.01),while scores of so-matization,personal relations,paranoid and psychotics had no significant differences between them(P > 0.05).The total mean scores of the clinical nurses were higher than those of the non-clinical staffs(P <0.05).Conclusion The scores of multiple factors had significant differences between the health system staffs in this district and the national norm.The psychological health status in the clinicians was poorer than that in the non-clinical staffs,especially the psychological health status in the clinical nurses were much poorer.