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目的了解海南三甲医院医护人员的心理健康状况,为促进其身心健康提供科学依据。方法采用横断面研究的方法,采用多级随机抽样的方法抽取3家三甲医院1 042名医护人员,运用心理症状自评量表(SCL-90)进行测评。结果有11.8%(123/1 042)的医护人员有心理疾病倾向。SCL-90总分为(132.69±45.60)分,与全国常模(129.90±38.78)分比较,差异有统计学意义(t=1.974,P<0.05)。SCL-90总均分为(1.47±0.51)分,阳性项目数为(30.33±24.57)项。不同医院间SCL-90总均分及各维度的比较,差异均无统计学意义(P>0.05)。不同性别间躯体化(t=3.13,P<0.01)、强迫症状(t=3.17,P<0.01)、抑郁(t=1.95,P<0.05)、焦虑(t=2.26,P<0.05)和人际关系敏感(t=2.47,P<0.01)差异均有统计学意义,女性均高于男性。多重线性回归分析结果显示,罹患某种疾病(β=0.164,P<0.01)、每周值夜班2次及以上(β=0.160,P<0.01)、从医工作年限(β=0.099,P<0.01)、经常不吃早餐(β=0.098,P<0.01)、性别(β=0.062,P<0.05)是心理健康的影响因素。结论海南3家三甲医院医护人员的心理健康水平较低,情势严峻,其原因是自身行为因素、医院管理制度和身体生理因素的综合结果。
Objective To understand the mental health status of medical staff in Hainan Anesthesia Hospital and provide a scientific basis for their physical and mental health. Methods A total of 1,042 medical staff from 3 top-level hospitals were recruited by the method of cross-sectional study using multistage random sampling method. The psychological symptoms self-rating scale (SCL-90) was used for evaluation. As a result, 11.8% (123/1 042) of health care workers tended to have mental illness. The total score of SCL-90 was (132.69 ± 45.60) points, which was significantly different from the national norm of 129.90 ± 38.78 (t = 1.974, P <0.05). The total score of SCL-90 was (1.47 ± 0.51) points, the number of positive items was (30.33 ± 24.57) items. There was no significant difference in the total score and the dimensions of SCL-90 between different hospitals (P> 0.05). (T = 3.13, P <0.05), anxiety (t = 2.26, P <0.05) and interpersonal (t = The relationship was sensitive (t = 2.47, P <0.01), and the difference was statistically significant, while the female was higher than the male. Multivariate linear regression analysis showed that there was a certain disease (β = 0.164, P <0.01), twice or more nights per week (β = 0.160, P <0.01) 0.01), and often did not eat breakfast (β = 0.098, P <0.01). Sex (β = 0.062, P <0.05) was the influencing factor of mental health. Conclusion The mental health status of the three top-three hospital in Hainan is relatively low and the situation is grim. The reasons are the self-behavior factors, the hospital management system and the physical and physiological factors.