摘要
目的探讨职业紧张和医患关系对医务人员抑郁倾向的影响。方法选取某医院221名医务人员为研究对象,采用职业紧张量表修订版(OSI-R)和医患关系问卷(DDPRQ-10)评价调查对象的职业紧张和医患关系现状,抑郁自评量表(CES-D)筛查其抑郁倾向。单因素分析及logistic多元回归分析职业紧张、医患关系紧张与抑郁倾向的关系。结果221名医护人员中,OSI-R中个体紧张反应(PSQ)评分为(112.21±10.25)分,职业任务问卷(ORQ)评分为(168.96±15.21)分,个体应对资源(PRQ)评分为(120.02±13.74)分,DDPRQ-10评分为(46.39±4.05)分;CES-D量表总均分为(17.03±5.21)分,130名医务人员有抑郁倾向,发生率为58.82%。Pearson相关性分析显示,PSQ、ORQ与医患关系、抑郁倾向呈正相关,PRQ与医患关系、抑郁倾向呈负相关(P<0.05),医患关系与抑郁倾向呈正相关(P<0.05)。单因素及logistic多因素分析显示,年龄、工作年龄、慢性疾病、PSQ、ORQ及医患关系是独立危险因素,PRQ为保护因素(P<0.05)。结论医务人员有较高的抑郁发生风险,职业紧张、医患关系紧张与抑郁倾向的发生密切相关。
Objective To explore the influence of occupational stress and doctor-patient relationship on depression tendency of medical staff.Methods A total of 221medical personnel in a hospital were selected as the subjects for the study.The occupational stress scale revised(OSI-R)and the doctor-patient relationship questionnaire(DDPRQ-10)were used to evaluate the status of occupational stress and doctor-patient relationship of the subjects,and the self-rating depression scale(CES-D)was used to screen their depression tendency.Univariate analysis and logistic multiple regression analysis of the relationship among occupational stress,doctor-patient relationship stress and depression tendency.Results Among the 221medical workers,the individual stress response(PSQ)score of OSI-R was(112.21±10.25),the occupational task questionnaire(ORQ)score was(168.96±15.21),the individual coping resources(PRQ)score was(120.02±13.74),and the DDPRQ-10score was(46.39±4.05).The total score of CES-D scale was(17.03±5.21),and 130 medical staff had depression tendency,with an incidence of 58.82%.Pearson correlation analysis showed that PSQ and ORQ were positively correlated with doctor-patient relationship and depression tendency,PRQ was negatively correlated with doctor-patient relationship and depression tendency(P<0.05),and doctor-patient relationship was positively correlated with depression tendency(P<0.05).Univariate and logistic multivariate analysis showed that age,working age,chronic disease,PSQ,ORQ and doctor-patient relationship were independent risk factors,and PRQ was protective factor(P<0.05).Conclusions Medical personnel have a higher risk of depression,and occupational tension and doctor-patient tension are closely related to the occurrence of depression tendency.
作者
刘妍
祝想玲
王玲
LIU Yan;ZHU Xiang-ling;WANG Ling(Union Hospital Tongji Medical College Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《工业卫生与职业病》
CAS
2020年第4期268-270,273,共4页
Industrial Health and Occupational Diseases
关键词
医务人员
职业紧张
医患关系
抑郁倾向
Medical personnel
Occupational stress
Doctor-patient relationship
depression trend
