摘要
目的 对中国援外医生的躯体症状、焦虑和抑郁症状进行调查并分析其影响因素,为促进援外医生身心健康提供科学依据。方法 以2024年正在受援国执行援外医疗任务的援外医疗队员作为调查对象。采用一般情况调查表和躯体症状量表(SSS-8)和焦虑症(GAD-7)和抑郁症筛查量表(PHQ-9)进行调查,采用描述性分析方法对援外医生的躯体症状、焦虑和抑郁症状进行分析,并采用多因素Logistic回归分析援外医生躯体症状、焦虑和抑郁症状的影响因素。对上述数据的描述性分析采用SPSS 26.0软件,检验水准α=0.05。结果 本次调查共收回有效问卷268份。73名援外医生存在躯体症状,占27.2%;98名存在焦虑症状,占36.6%;105名存在抑郁症状,占39.2%。多因素Logistic回归分析结果显示高社会支持(躯体症状:OR=0.954;焦虑:OR=0.926;抑郁:OR=0.926)、积极的应对方式(躯体症状:OR=0.898;焦虑:OR=0.904;抑郁:OR=0.880)以及消极的应对方式(躯体症状:OR=1.119;焦虑:OR=1.149;抑郁:OR=1.191)是与援外医生躯体症状、焦虑和抑郁症状有关的重要影响因素。受援国对中国医疗队员的一般重视或不重视(焦虑:OR=2.154;抑郁:OR=2.032)是与援外医生焦虑和抑郁症状有关的重要影响因素。结论 援外医疗队员的躯体症状、焦虑和抑郁症状检出率较高,应对他们的身心健康状况加强重视。通过加强宣传和交流等方式来提高受援国对中国医疗队的重视,同时给予援外医生充分的社会支持,鼓励其采取积极的应对方式,以改善其身心健康状况。
Objective To investigate the somatic symptoms,anxiety and depression symptoms of Chinese Medical Team in Africa and analyze the influencing factors,and to provide scientific basis for promoting the physical and mental health of foreign medical aid doctors.Methods The survey targets medical aid team members who were then currently carrying out medical aid missions in recipient countries in 2024.A general information questionnaire,Somatic Symptom Scale(SSS-8),Anxiety Disorder(GAD-7),and Depression Screening Scale(PHQ-9)were used to investigate the Somatic symptoms,anxiety and depression symptoms of the Chinese doctors in Africa.Multivariate logistic regression was used to analyze the influencing factors of physical symptoms,anxiety and depression symptoms of the Chinese doctors in Africa.Statistical analyses in this study was performed by using SPSS 26.0 software,and the significance level was set at α=0.05.Results A total of 268 valid questionnaires were collected in this survey.73 Chinese doctors had physical symptoms,accounting for 27.2%;98 had symptoms of anxiety,accounting for 36.6%;105 had depressive symptoms,accounting for 39.2%.Multivariate logistic regression analysis showed that high social support(somatic symptoms:OR=0.954;Anxiety:OR=0.926;Depression:OR=0.926),positive coping style(somatic symptoms:OR=0.898;Anxiety:OR=0.904;Depression:OR=0.880),and negative coping styles(somatic symptoms:OR=1.119;Anxiety:OR=1.149;Depression:OR=1.191)were important factors related to the somatic symptoms,anxiety and depression symptoms of Chinese doctors in Africa.The general importance OR lack of importance attached to the Chinese medical team members by the recipient countries(anxiety:OR=2.154;depression:OR=2.032)was a significant influencing factor related to the anxiety and depressive symptoms of the Chinese doctors in Africa.Conclusions The incidence of somatic symptoms,anxiety and depression among the Chinese doctors in Africa is high,and more attention should be paid to their physical and mental health.By strengthening publicity and communication,the recipient countries should pay more attention to the Chinese medical team,and at the same time,they should provide adequate social support to Chinese doctors and encourage them to take positive coping styles to improve their physical and mental health.
作者
谢双聪
蔡海霞
周贵阳
陈嘉泳
XIE Shuangcong;CAI Haixia;ZHOU Guiyang;CHEN Jiayong(The affiliated Guangdong second provincial general hospital of Jinan University,Guangzhou 510403,Guangdong Province,China;Shenzhen Bao'an Authentic TCM Therapy Hospital,Shenzhen 518101,Guangdong Province,China;Affairs Centre of Guangdong Provincial Health Commssion,Guangzhou 510060,Guangdong Province,China)
出处
《预防医学情报杂志》
2025年第5期646-653,680,共9页
Journal of Preventive Medicine Information
基金
广东省科学计划项目(项目编号:2024B1212070015)
广东省医学科研基金(项目编号:C2023012、C2024050)
广东省中医药科研基金(项目编号:20253013)。
关键词
援外医疗队员
躯体症状
焦虑症状
抑郁症状
社会支持
应对方式
Foreign Medical Aid Teams
somatic symptoms
anxiety symptoms
depressive symptoms
social support
coping styles
