摘要
目的探讨军队医院医务人员心理健康与应付方式的关系。方法随机抽取2012年3—4月某军队医院1000名医务人员,采用心理健康测查表(PHI)、应付方式问卷(CSQ)进行调查,观察其心理健康水平、应付方式以及二者的关系。结果本调查回收有效问卷918份。军队医院医务人员抑郁、躯体化、兴奋状态3个因子症状出现率较高。不同性别医务人员抑郁和女性兴奋状态评分均显著高于全国常模(P<0.01);不同性别医务人员焦虑、精神病性、疑心、脱离现实评分均低于全国常模(P<0.01)。军队医院医务人员更倾向于选择解决问题与求助的应付方式,女性医务人员较男性更多选择自责与幻想的应付方式。除与兴奋状态呈显著正相关外(P<0.01)外,解决问题、求助与PHI其他各因子呈显著负相关(P<0.01);自责、幻想、退避、合理化与PHI各因子均呈显著正相关(P<0.01)。除兴奋状态外,解决问题对PHI其他因子均有显著负向预测作用(P<0.01),自责对PHI其他因子有显著正向预测作用(P<0.01)。结论应付方式是影响军队医院医务人员心理健康的重要因素,在心理健康教育中要引导医务人员采用成熟型应付方式,以减少不良心理的产生。
Objective To explore the relationship between mental health and coping style of medical staff in mili- tary hospitals. Methods A total of 1000 medical staff members from 2012 March to April in military hospitals were ran- domly chosen and investigated with the psychological health inventory （PHI） and coping style questionnaire （CSQ） , and the relationship between mental health and coping style was also compared. Results There were 918 copies of effective questionnaires. Frequencies of depression, somatization and hypomania were high for medical staff members in military hos- pitals. Scores of depression in different gender and female hypomania were higher than those of national norms （ P 〈 0. 01 ） ; scores of anxiety, psychopathic deviate, hypochondria and unrealistic in different genders were lower than those of national norms （P 〈 0.01 ）. The coping styles of medical staff in military hospitals tended to be problem-solving and help-seeking, and female medical staff scored highly in self-blame and fantasy; except that emotional state was a obviously positive corre- lation （ P 〈 0.01 ）, problem-solving and help-seeking were obviously negatively correlated with the scores of PHI, and self- blame, fantasy, withdrawal and rationalization were positively correlated with the scores of PHI （P 〈 0. 01 ）. Except for emotional state, problem-solving could negatively predict the scores of PHI obviously （P 〈 O. 01 ）, and self-blame could positively predict the scores of PHI obviously excepted for hypomania （P 〈 0.01 ）. Conclusion Coping style may be an important factor to affect mental health of medical staff in military hospitals, so medical staff should be guided to choose proven coping styles in order to reduce the incidence rate of mental health problems.
出处
《解放军医药杂志》
CAS
2014年第2期100-103,106,共5页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
西北战区心理卫生资源普查(CLZ13JA03)
关键词
医院
军队
医务人员
精神卫生
适应
心理学
数据收集
Hospital, military
Medical staff
Mental health
Adaptation, psychological
Data collection
