乡镇卫生院医护人员职业应激与压力及其影响因素的研究
发布时间：2018-09-19 19:49
【摘要】： 研究背景:以前对PTSD(创伤后应激障碍)的研究主要集中在战争、地震、洪灾等特定的灾难性事故,对特殊人群研究较少。对医务人员特别是乡镇卫生院医护人员的PTSD研究更少见报道。乡镇医院医护在医疗条件简陋的大背景下,同样承担着救死扶伤的神圣使命,职业特殊性决定了他们工作具有更高的应激危险性。对乡镇医护人员的PTSD研究,具有更大的紧迫性和现实意义。 PTSD起源于战争创伤后,其原因通常为异乎寻常的战斗事件,后来战争创伤的概念扩展到其它事件,如大的灾难,躯体的攻击等。DSM-IV对应激重新定义后增加了体验到的应激事件的数目,许多医学事件如生孩子、流产、癌症或住院等也可导致PTSD,还有一些人经历了长时间的精神痛苦,在没有特殊事件发生时也会出现PTSD。近年来,个体的主观反应及其经历的事件也可作为出现PTSD的应激源。并且,由自然灾害引起的心理创伤逐渐为我国精神医学界和心理医学界所重视,其中有关地震和洪灾后PTSD的流行病学研究报告最多。 研究目的:通过调查乡镇卫生院医护人员职业应激与压力水平的现状,分析其PTSD的诱发因素,提出相应的预防措施和建议,从而提高乡镇医护人员的整体健康水平,使他们能更好地为广大的人民群众服务。 研究对象与方法:以大连金州地区的医护人员为研究对象,采取分层随机抽样方法进行了调查。对11个乡镇89例(平均每乡8例,开发区1例)医护人员发放问卷89份,收回89份,其中有效问卷84份。 研究工具:采用访谈和问卷调查的心理测量工具5个,包括自设的基本情况问卷,创伤后应激障碍检查量表平时版(PCL-C),明尼苏达人格问卷(MMPI),症状自评量表(SCL-90),特质应对方式量表
[Abstract]:Background: previous studies on PTSD (post-traumatic stress disorder) focused on specific catastrophic accidents such as war, earthquake, flood, etc. PTSD studies on medical personnel, especially in township hospitals, are rare. Under the background of poor medical conditions, township hospitals also undertake the sacred mission of rescuing the dead and helping the wounded. The occupational particularity determines that their work has a higher risk of stress. The study of PTSD for township health care workers is of greater urgency and practical significance. The PTSD originated from war trauma and usually resulted from unusual combat events. Later the concept of war trauma expanded to other events, such as catastrophe, physical aggression, and so on. DSM-IV redefined stress and increased the number of stress events experienced, many medical events such as having children, miscarriages, Cancer or hospitalization can also cause PTSD, and some people experience prolonged mental pain, and PTSD. occurs when no particular event occurs. In recent years, individual subjective reactions and events can also be used as stressors for the emergence of PTSD. In addition, psychological trauma caused by natural disasters has been paid more and more attention in the field of mental medicine and psychological medicine in China, among which the epidemiological studies on PTSD after earthquake and flood are the most. Objective: to investigate the status quo of occupational stress and stress level of medical staff in township health centers, analyze the inducing factors of PTSD, and put forward corresponding preventive measures and suggestions, so as to improve the overall health level of medical staff in township hospitals. To enable them to better serve the broad masses of the people. Methods: a stratified random sampling method was used to investigate the medical staff in Jinzhou area of Dalian. 89 cases (8 cases per township, 1 case in development zone) of 11 townships were given out 89 questionnaires, 89 of which were recovered, 84 of which were valid. Research tools: 5 psychological measurement tools using interviews and questionnaires, including self-designed basic situation questionnaire, posttraumatic stress disorder scale (PCL-C), Minnesota Personality questionnaire (MMPI), symptom Checklist (SCL-90), trait coping style scale (TCSL).
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R395
本文编号：2251153
[Abstract]:Background: previous studies on PTSD (post-traumatic stress disorder) focused on specific catastrophic accidents such as war, earthquake, flood, etc. PTSD studies on medical personnel, especially in township hospitals, are rare. Under the background of poor medical conditions, township hospitals also undertake the sacred mission of rescuing the dead and helping the wounded. The occupational particularity determines that their work has a higher risk of stress. The study of PTSD for township health care workers is of greater urgency and practical significance. The PTSD originated from war trauma and usually resulted from unusual combat events. Later the concept of war trauma expanded to other events, such as catastrophe, physical aggression, and so on. DSM-IV redefined stress and increased the number of stress events experienced, many medical events such as having children, miscarriages, Cancer or hospitalization can also cause PTSD, and some people experience prolonged mental pain, and PTSD. occurs when no particular event occurs. In recent years, individual subjective reactions and events can also be used as stressors for the emergence of PTSD. In addition, psychological trauma caused by natural disasters has been paid more and more attention in the field of mental medicine and psychological medicine in China, among which the epidemiological studies on PTSD after earthquake and flood are the most. Objective: to investigate the status quo of occupational stress and stress level of medical staff in township health centers, analyze the inducing factors of PTSD, and put forward corresponding preventive measures and suggestions, so as to improve the overall health level of medical staff in township hospitals. To enable them to better serve the broad masses of the people. Methods: a stratified random sampling method was used to investigate the medical staff in Jinzhou area of Dalian. 89 cases (8 cases per township, 1 case in development zone) of 11 townships were given out 89 questionnaires, 89 of which were recovered, 84 of which were valid. Research tools: 5 psychological measurement tools using interviews and questionnaires, including self-designed basic situation questionnaire, posttraumatic stress disorder scale (PCL-C), Minnesota Personality questionnaire (MMPI), symptom Checklist (SCL-90), trait coping style scale (TCSL).
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R395
【引证文献】
相关硕士学位论文 前4条
1 黄婧;手术室护士创伤后应激障碍症状及相关因素[D];山东大学;2011年
2 林琳;长沙市三级综合性医院急诊科护士创伤后应激障碍研究[D];中南大学;2008年
3 邢月梅;临沂市院前急救护士创伤后应激障碍症状及其与生存质量的关系[D];山东大学;2010年
4 王令花;院前急救护士PTSD发生现状及相关因素分析[D];山东大学;2012年
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