军队医院医务人员精神卫生与睡眠状况调查

发布时间：2018-01-13 02:08

本文关键词：军队医院医务人员精神卫生与睡眠状况调查　出处：《第四军医大学》2008年硕士论文　论文类型：学位论文

【摘要】： 目的: 分析影响军队医院医务人员精神健康的因素,研究其精神卫生状况,为建立有效的军队心理保健体系提供依据。方法: 利用精神卫生自评问卷(SCL-90)对西安某军队大型医院480名在职医务人员采取无记名方式进行现场测试,将测试结果汇总成9项因子指标:躯体化症状、强迫症状、人际关系敏感性、抑郁症状、焦虑症状、敌对、恐惧性焦虑症状、偏执、精神病性症状;定量描述各因子分,定性结果以单项因子评分值大于等于2为异常,按照性别、职业、职称、学历、婚姻等因素来划分不同人群,统计不同组人群中异常人群的百分比,与一般人群常模比较,探讨不同因素对一线医护人员人群精神卫生状况的影响;同时填写一般情况表,利用简单问卷方式探讨不同人群出现睡眠障碍的百分比以及睡眠时间不足人群的百分比。将数据录入专业SCL-90分析软件,采用SPSS10.0进行统计学分析。结果: 应答率88.9%,有19.17%的军队医院医务人员存在不同程度的精神卫生问题,其中以强迫(12.5%)、抑郁(12.29%)和敌对(11.04%)问题最常见;30%的从业人员存在睡眠障碍。女性从业人员出现精神卫生异常的百分比大于总体人群;护理人员、初级职称和大专学历人群精神健康状况最差;医务人员SCL-90总分为134.13±38.17,与全国人群常模比较存在显著性差异(P0.05)。结论: 军队医院医务人员的心理卫生状况不容乐观,他们较一般群体承受更大的压力,相关部门和全社会对此应给予理解和关注。
[Abstract]:Objective: The factors affecting the mental health of medical personnel in military hospitals were analyzed and the mental health status was studied to provide basis for the establishment of an effective military mental health care system. Methods: The mental health self-assessment questionnaire (SCL-90) was used to test 480 in-service medical personnel in a large military hospital in Xi'an. The test results were summarized into 9 factors: somatization symptoms, compulsive symptoms, interpersonal sensitivity, depression symptoms, anxiety symptoms, hostility, fear anxiety symptoms, paranoid symptoms, psychotic symptoms; Quantitative description of each factor score, qualitative results with a single factor score greater than equal to 2 as abnormal, according to gender, occupation, professional title, education, marriage and other factors to divide different groups of people. The percentage of abnormal population in different groups was counted and compared with the norm of general population to explore the influence of different factors on the mental health status of first-line medical staff. At the same time, fill out the general situation form, using a simple questionnaire to explore the percentage of sleep disorders in different groups and the percentage of people with insufficient sleep time. Input the data into the professional SCL-90 analysis software. SPSS10.0 was used for statistical analysis. Results: The response rate was 88. 9%, and 19.17% of the medical staff in military hospitals had mental health problems to varying degrees, among which 12. 5% of them were forced to do so. Depression (12.29) and hostility (11.04) were the most common. 30% of the employees had sleep disorders. The percentage of female employees with mental health disorders was higher than that of the general population. The mental health status of nursing staff, junior professional titles and junior college students was the worst. The total SCL-90 score of medical staff was 134.13 卤38.17, which was significantly different from that of the national norm (P 0.05). Conclusion: The mental health status of medical staff in military hospitals is not optimistic and they bear more pressure than the general group. The relevant departments and the whole society should understand and pay attention to this.
【学位授予单位】：第四军医大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R82

【引证文献】