摘要
目的调查急诊医护人员的心理健康状况,深入分析其对专业心理求助的态度及相关影响因素,为构建有效的临床一线医护人员心理健康管理体系提供科学依据。方法于2024年1—6月采用心理健康症状自评量表(symptom checklist90,SCL-90)与自行设计的调查问卷对福建省内4家三甲医院的196名急诊医护人员的心理健康状况及其对心理求助的态度和原因进行问卷调查。结果急诊医护人员SCL-90量表中的躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子得分分别为(2.01±0.71)分、(1.76±0.58)分、(1.98±0.63)分、(1.75±0.68)分、(2.00±0.70)分、(2.03±0.81)分、(1.38±0.57)分、(1.76±0.45)分、(1.51±0.66)分,高于全国常模的(1.37±0.48)分、(1.62±0.58)分、(1.65±0.51)分、(1.50±0.59)分、(1.39±0.43)分、(1.48±0.56)分、(1.23±0.41)分、(1.43±0.57)分、(1.29±0.42)分,差异均有统计学意义(P<0.05)。急诊医护人员SCL-90量表中的睡眠和饮食因子得分为(3.12±0.60)分。10个因子中均值最高的3个因子分别是睡眠和饮食、敌对和躯体化。仅42名(21.4%)认为当出现心理问题时有必要进行专业的心理求助,促使其进行心理求助的特质因素以“对个人信息的隐私性好”占比最高,为29.27%,阻碍因素中以“不了解都有哪些方式以及如何进行”占比最高,为28.04%。结论急诊医护人员心理健康状态不佳,心理求助行为受多种因素的影响。针对心理健康评估和问卷调查结果,相关部门应综合评估相关影响因素,并围绕可干预的因素制订相应的具体措施。
Objective To investigate the mental health status of emergency medical staff,analyze their attitude towards professional psychological help and related influencing factors,and provide scientific basis for building an effective mental health management system for clinical front-line medical staff.Methods From January to June 2024,the symptom checklist 90(SCL-90)and self-designed questionnaire were used to investigate the mental health status,attitude towards psychological help and reasons of 196 emergency medical staff in four grade A tertiary hospitals in Fujian province.Results The scores of somatization,obsessive-compulsive,interpersonal sensitivity,depression,anxiety,anger-hostility,phobic-anxiety,paranoid ideation,and psychoticism in the SCL-90 scale for emergency medical staff were(2.01±0.71)points,(1.76±0.58)points,(1.98±0.63)points,(1.75±0.68)points,(2.00±0.70)points,(2.03±0.81)points,(1.38±0.57)points,(1.76±0.45)points,and(1.51±0.66)points,respectively,which were higher than the national norm of(1.37±0.48)points,(1.62±0.58)points,(1.65±0.51)points,(1.50±0.59)points,(1.39±0.43)points,(1.48±0.56)points,(1.23±0.41)points,(1.43±0.57)points,and(1.29±0.42)points,and the differences were statistically significant(P<0.05).The sleep and diet factors in the SCL-90 scale for emergency medical staff scored(3.12±0.60)points.The three factors with the highest mean among the 10 factors were sleep and diet,anger-hostility and somatization.Only 42 students(21.4%)believed it was necessary to seek professional psychological help when experiencing mental health issues.The trait factor that most strongly encouraged them to seek help was"strong privacy protection of personal information,"accounting for 29.27%.The most common barrier was"not knowing what options exist or how to access them,"which accounted for 28.04%.Conclusion The mental health status of emergency medical staff is not good,and psychological help-seeking behavior is affected by many factors.According to the results of mental health assessment and questionnaire survey,relevant departments should comprehensively evaluate the relevant influencing factors,and formulate corresponding specific measures around the intervenable factors.
作者
汪艺玲
郑菲菲
WANG Yiling;ZHENG Feifei(Department of Emergency,the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2025年第14期43-46,共4页
China Health Standard Management
关键词
心理健康
急诊
医护人员
心理求助行为
态度
应对偏好
mental health
emergency
medical staff
psychological help-seeking behavior
attitude
coping preference
