积极心理学视角下青年医师心理健康调查

发布时间：2018-04-28 04:10

本文选题：青年临床医生 + 心理健康　；参考：《中南大学》2012年硕士论文

【摘要】：目的了解湘雅系统大型综合医院青年临床医师的心理健康水平、积极心理状况及相关影响因素,探讨青年临床医师心理健康与积极心理之间的关系。方法对湘雅系统3家大型综合医院青年临床医师进行问卷调查,调查问卷包括：基本资料问卷、一般健康问卷、生活满意度量表、人生意义问卷、六项感恩问卷、宽恕倾向量表、心理资本问卷。结果共发放测试问卷535份,回收问卷501份,有效问卷493份,问卷的有效率为98.40%。结果显示：1、总体上,约25.15%的青年医师存在心理问题,青年医师在生活满意度、人生意义、感恩、宽恕、心理资本上的得分处于中等稍偏上的水平。2、不同性别、年龄、婚姻状况、学历、职称、工作时间、科室在各量表上的得分存在差异：(1)男女医师心理健康得分无显著差异；女医生生活满意度,宽恕他人及宽恕情境得分较男医生高(p0.05),男医生韧性得分较高(p0.05)；(2)已婚医师在心理健康、生活满意度、人生意义体验、宽恕、心理资本上得分高于未婚医生(p0.01)；(3)硕士研究生在心理健康及积极心理各问卷上得分较博士研究生低(p0.05)；(4)各科室心理健康得分无显著差异；内科医师在生活满意度、人生意义体验、宽恕、心理资本上得分较高,而外科医师较低(p0.05)；肿瘤科医师感恩得分较高,而韧性得分较低(p0.05)；(5)随着青年医师年龄的增长,工作时间的延长以及职称的晋升,在心理健康、生活满意度、人生意义体验、宽恕倾向及心理资本上得分呈现出逐渐增高的趋势,而在人生意义寻找、感恩倾向上得分则呈现出逐渐降低的趋势。3、心理健康得分与生活满意度、人生意义感、感恩、宽恕自己、宽恕、心理资本得分之间存在显著负相关关系(p0.01)；各积极心理因素之间存在正相关关系(绝大部加0.01)。4、对心理健康的多元逐步回归分析显示：青年医师心理健康与生活满意度、宽恕他人、人生意义体验、宽恕自己、自我效能、感恩之间存在线性回归关系,且均为负相关(p0.01)。结论 1、湖南省湘雅系统大型综合医院青年医师的心理健康水平较差,生活满意度、人生意义感、感恩、宽恕、心理资本总体上处于中等偏上水平； 2、青年医师的心理健康及积极心理状况在不同性别、年龄、婚姻状况、学历、职称、工作时间、科室上存在一定的差异。本调查主要显示出如下特点：(1)男女医师心理健康水平无明显差异；女医生生活满意度,宽恕他人及宽恕情境倾向较男医生高,男医生韧性较女医师强；(2)已婚青年医师心理健康及积极心理状况较未婚医师好；(3)硕士研究生的心理健康及积极心理状况较博士研究生差；(4)各科室青年临床医师心理健康水平无显著差异；内科医师积极心理状况较好,外科医师较差；肿瘤科医师感恩倾向较高,韧性较低；(5)随着青年医师年龄的增长,工作时间的延长以及职称的晋升,在心理健康、生活满意度、人生意义体验、宽恕倾向及心理资本上呈现出逐渐上升、增强的趋势,而在人生意义寻找、感恩倾向上则呈现出逐渐下降、减弱的趋势。 3、心理健康水平与生活满意度、人生意义感、感恩、宽恕、心理资本水平呈显著正相关,其中生活满意度、宽恕他人、人生意义体验、宽恕自己、自我效能、感恩是影响青年医师心理健康的主要因素,并可在一定程度上预测心理健康；各积极心理因素之间以及它们与心理健康之间相互影响、相互促进。
[Abstract]:Purpose

To understand the mental health level , positive psychological condition and relevant influencing factors of young clinician in large - scale comprehensive hospital in Xiangya system , and discuss the relationship between mental health and positive psychology of young clinician .

method

Questionnaire , general health questionnaire , life satisfaction scale , life meaning questionnaire , six Thanksgiving questionnaires , forgiveness tendency scale and psychological capital questionnaire were investigated .

Results

Results : 1 . Overall , about 25.15 % of young doctors had psychological problems .
The scores of life satisfaction , forgiveness and forgiveness of women doctors were higher than those of male doctors ( p < 0.05 ) , and the toughness of male doctors was higher ( p < 0.05 ) .
( 2 ) The married physicians scored higher scores in mental health , life satisfaction , life meaning experience , forgiveness and psychological capital than unmarried doctors ( p0.01 ) ;
( 3 ) The master ' s post - graduate student scored less than the doctor ' s post - graduate degree in mental health and positive psychological questionnaire ( p . 05 ) ;
( 4 ) There was no significant difference in mental health scores of the departments ;
The physician scored higher in life satisfaction , life experience , forgiveness , psychological capital , while the surgeon was low ( p . 05 ) ;
There was a higher Thanksgiving score in the oncologist , while the toughness score was lower ( p < 0.05 ) .
( 5 ) With the increase of the age of the young doctor , the extension of the working time and the promotion of the job title , the scores of mental health , life satisfaction , life meaning experience , forgiveness tendency and psychological capital have gradually increased , while in the search for the meaning of life , the scores of gratitude tend to decrease gradually . 3 . There is a significant negative correlation between mental health score and life satisfaction , life sense , gratitude , forgiveness , forgiveness and psychological capital score ( p0.01 ) ;
There is positive correlation between the positive psychological factors ( absolute addition 0.01 ) . 4 . The multiple stepwise regression analysis of mental health shows that the mental health and life satisfaction of the young physician , the forgiveness of others , the life meaning experience , the forgiveness of oneself , the self - efficacy , and the feeling of the linear regression relationship , and the negative correlation ( p0.01 ) .

Conclusion

1 . The mental health level of young doctors in large - scale comprehensive hospitals in Xiangya System of Hunan Province is poor , life satisfaction , life sense , gratitude , forgiveness and psychological capital are generally in the middle level ;

2 . The mental health and the positive mental state of the young doctor are different in different sex , age , marital status , educational background , professional title , working time and department . This investigation mainly shows the following characteristics : ( 1 ) There is no obvious difference between the mental health level of male and female physicians ;
The female doctors ' life satisfaction , forgiveness of others and forgiveness situations tend to be higher than those of the male doctors , and the toughness of the male doctors is stronger than that of the female doctors ;
( 2 ) The mental health and positive mental status of married young doctors are better than those of unmarried physicians ;
( 3 ) The mental health and the positive mental state of the master ' s graduate students are worse than those of the doctoral students ;
( 4 ) There was no significant difference in mental health level among young clinical doctors in each department ;
The physician ' s positive mental condition is good , and the surgeon is poor ;
The physicians of the oncology department have higher sensitivity and lower toughness ;
( 5 ) With the increase of the age of the young doctor , the extension of the working time and the promotion of the job title , in the psychological health , the life satisfaction , the life meaning experience , the forgiveness tendency and the psychological capital , the trend of gradual rise and enhancement is presented .

3 . Mental health level is positively correlated with life satisfaction , life sense , gratitude , forgiveness and psychological capital , among which life satisfaction , forgiveness of others , life meaning experience , forgiveness of oneself , self - efficacy , gratitude are the main factors influencing the mental health of young doctors , and mental health can be predicted to some extent ;
The interaction between positive psychological factors and their relationship with mental health promotes each other .

【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R395

【参考文献】