针刺伤对医护人员心理健康的影响:以新疆某三甲医院为例

发布时间：2018-11-18 17:46

【摘要】：[目的]了解医务人员针刺伤发生率及其对医务人员的心理影响。[方法]采用分层整群抽样方法,以新疆某三甲医院医护人员共432人(医生243人,护士189人)作为研究对象。对近一年内人口学信息、针刺伤情况和心理健康状态进行问卷调查。[结果]医生针刺伤发生率为44.4%(108/243),护士为52.4%(99/189),两类人群在有无针刺伤发生和发生次数上均存在差异(P0.05)。医生工龄越短(χ~2_(趋势)=10.357)、职称越低(χ~2_(趋势)=13.749),针刺伤发生次数越多(均P0.05)。与相应未发生针刺伤组相比,暴露组医生心理健康自评中躯体化、强迫症状、抑郁及焦虑因子得分均升高(P0.05),暴露组护士躯体化、强迫症状因子得分亦升高(P0.05)。多元线性回归分析显示:医生心理健康状况保护因素为高工龄和职称,危险因素为发生针刺伤;护士心理健康状况保护因素为高工龄,而危险因素为发生针刺伤。[结论]针刺伤可能会影响医护人员心理健康,建议加强个体心理健康教育。
[Abstract]:Objective: to understand the incidence of acupuncture injury and its psychological impact on medical staff. [methods] A stratified cluster sampling method was used to study 432 medical staff (243 doctors and 189 nurses) in a third Class A Hospital in Xinjiang. A questionnaire survey was conducted on demographic information, needling injury and mental health status in the past year. [results] the incidence of acupuncture injury was 44.4% (108 / 243) in doctors and 52.4% (99 / 189) in nurses. The shorter the length of service (蠂 ~ 2 _ (trend) = 10.357) and the lower the professional title (蠂 ~ (2 _ (trend) = 13.749), the more times of needling injury occurred (P0.05). The scores of somatization, obsessive-compulsive symptoms, depression and anxiety in the self-assessment of mental health of the doctors in the exposure group were higher than those in the corresponding non-acupuncture group (P0.05), and the nurses in the exposure group were somatization. The score of obsessive-compulsive symptom factor was also increased (P0.05). Multiple linear regression analysis showed that the protective factors of mental health status of doctors were high working age and professional title, the risk factors were needle puncture injury, and the protective factors of nurses' mental health status were high service years, and the risk factors were needle stab injuries. Conclusion Acupuncture injury may affect the mental health of medical staff, and it is suggested to strengthen individual mental health education.
【作者单位】：新疆医科大学公共卫生学院;新疆医科大学第五附属医院;
【基金】：新疆医科大学科研创新基金项目(编号:XJC2011107)
【分类号】：R47

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