驻沈某部队医院医护人员心身健康状况1100名体检者资料分析

发布时间：2018-05-25 14:38

  本文选题：医务人员/心理学 + 心身医学　； 参考：《中国临床康复》2005年28期

【摘要】：目的:从心理、社会因素与健康、疾病关系的角度,调查医护人员的健康和心理状况,为改善医护人员生活质量提供依据。方法:对2004-01/2004-12沈阳军区总医院医护人员1100人进行体检,常规检测内科、外科、五官科、妇科,辅助检查项目为生化、X光、心电图、B超等。并采用ZUNG焦虑自评量表和ZUNG抑郁自评量表分析体检者的主观感受,衡量抑郁状态的轻重程度,评定时间跨度为最近1周内,均为20题,均采用1～4制计分,总分乘以1.25,四舍五入取整数,即得标准分。ZUNG焦虑自评量表50分以上,为有焦虑倾向,分值越高,焦虑倾向越明显;ZUNG抑郁自评量表得分,无抑郁(≤49分),轻度抑郁(50～59分),中度(60～69分)和重度(≥70分)。采用百分率和卡方检验对体检医护人员1100人的焦虑自评量表、抑郁自评量表得分进行评价,观察常见患病种类及患病率,性别和年龄差异。结果:按意向处理分析,受检者1100人全部进入结果分析。①焦虑和抑郁发生与社会因素和对疾病的了解显著相关(社会环境好,231/24.71%,225/24.06%;差,126/76.36%,52/31.52%;χ2=1.10,1.77,P0.05;对疾病了解,142/13.73%,162/15.7%;不了解,45/68.2%,54/46.7%;χ2=0.13,3.81,P0.05),且抑郁的发生尚与性别和文化程度高低有关(男女比较,371/43.5%,113/56.3%,χ2=3.48,P0.05;大专以下与本科及以上文化程度者比较,69/75.0%,651/81.25%,χ2=2.33,P0.05)。②1100人受检者中1078人(98%)存在不同程度的健康问题,729例(占66.27%)有较严重的健康问题,前3位常见疾病分别为高血压(28.18%),高脂血症(24.55%),脂肪肝(20%),发现早期恶性肿瘤3例(肝癌1例,肾癌2例)。③男女总患病率基本一致(98.24%,97.17%),但男性高脂血症和脂肪肝患病率明显高于女性(25.67%,23.09%;16.6%,9.31%;t=1.921,2.036,P0.05),女性痔患病率明显高于男性(14.17%,3.52%,t=2.029,P0.05)。④55岁以前困扰医护人员健康的突出问题是高脂血症、脂肪肝和高血压(135/21.67%,116/18.62%,114/18.30%),55岁后发病前3位的疾病变化为高血压、白内障和高脂血症(195/40.88%,155/32.49%,135/28.30%)。结论:参加体检的医护人员经济条件好、家庭和睦、社会关系良好者,焦虑及抑郁的程度明显下降,反之则上升,另外对自己疾病了解,焦虑的程度减轻,反之则明显增加。疾病的发生率和发病种类与年龄有关,医护人员总体心身健康状况欠佳,应缓解工作和生活压力,改善饮食结构,加强身体锻炼和健康保健。
[Abstract]:Objective: to investigate the health and psychological status of medical staff from the point of view of the relationship between psychological, social factors, health and disease, and to provide basis for improving the quality of life of medical staff. Methods: 1100 medical staff of Shenyang military region General Hospital from January 2004 to December 2004 were examined by physical examination, routine examination of internal medicine, surgery, faculties, gynecology, auxiliary examination items such as biochemical X ray, electrocardiogram, B ultrasound and so on. ZUNG anxiety scale and ZUNG depression self-rating scale were used to analyze the subjective feelings of the subjects, and the degree of depression was measured. The time span was 20 items in the last one week, all of them were scored according to 1 / 4 system. When the total score was multiplied by 1.25, rounded to an integer, the standard score. Zung anxiety self-rating scale was more than 50 points. The higher the score was, the more obvious the anxiety tendency was, and the higher the score was, the more obvious the anxiety tendency was. There were no depression (鈮，

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