专题:科技工作者心理健康

医疗卫生工作者心理健康水平现状

  • 朱靖 ,
  • 陈祉妍
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  • 1. 中国科学院心理研究所心理健康重点实验室, 北京 100101;
    2. 中国科学院大学, 北京 100049
朱靖,硕士研究生,研究方向为心理咨询与治疗,电子邮箱:76073602@qq.com

收稿日期: 2019-05-10

  修回日期: 2019-05-17

  网络出版日期: 2019-06-20

基金资助

中国科学技术协会科技工作者心理干预机制研究项目(2016DCYJ05)

Status quo of mental health status of medical staff

  • ZHU Jing ,
  • CHEN Zhiyan
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  • 1. CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing 100101, China;
    2. University of Chinese Academy of Sciences, Beijing 100049, China

Received date: 2019-05-10

  Revised date: 2019-05-17

  Online published: 2019-06-20

摘要

为了解医疗卫生工作者心理健康水平的现状,从2017年科技工作者心理状况调查的数据中选取医疗卫生工作者样本1463人,同时抽取其他科技工作者1441人作为对照组。调查结果发现:医疗卫生工作者抑郁风险低于对照组,焦虑和自杀意念与对照组无显著差异,工作倦怠及情感衰竭度显著高于对照组;医疗卫生工作者心理健康群体差异明显,50岁后抑郁和焦虑水平均降低,正高级职称人群的抑郁和焦虑水平均较低。情绪调控方式上,压制组表现出更多的抑郁和焦虑风险;同时,医疗卫生工作者存在睡眠时间不足、运动次数和运动时长不足、工作时长过长的问题;在心理健康服务方面,医疗卫生工作者整体优于对照组。建议改善医疗卫生工作者工作时长和工作压力,倡导健康生活方式,并提高情绪调节能力。

本文引用格式

朱靖 , 陈祉妍 . 医疗卫生工作者心理健康水平现状[J]. 科技导报, 2019 , 37(11) : 53 -63 . DOI: 10.3981/j.issn.1000-7857.2019.11.007

Abstract

In order to study the status quo of mental health of medical and health workers, 1463 medical and health worker samples are selected from the data of mental health survey of science and technology workers in 2017, and 1441 other scientific and technological workers are selected as the control group. The results of the survey show that the risk of depression among medical workers is lower than that of the control group. The anxiety and the suicidal ideation are not significantly different from the control group. The job burnout and the emotional exhaustion are significantly higher than those of the control group. The mental health of the health workers is significantly different for different age groups and position groups, for more than 50 years old, the depression and anxiety levels are lower, and the depression and anxiety levels are lower for the senior professional title group. In the way of the emotional regulation, the suppression group shows more risk of depression and anxiety. At the same time, health care workers have problems with insufficient sleep time, insufficient number and duration of exercises, and long working hours. In mental health services, health care workers are better than the control group. It is recommended to reduce the working hours and work stress of health care workers, advocate healthy life styles, and improve emotional adjustment.

参考文献

[1] 董霏, 罗园园. 医生心理健康状况与应对方式的初步研究[J]. 职业与健康, 2006, 22(6):161-165. Dong Fei, LuoYuanyuan. Preliminary research on the psychological health of the doctors and relevant countermeasures[J]. Occupation and Health, 2006, 22(6):161-165.
[2] 斯琴, 陈青萍. 医务人员工作压力与身心健康研究:压力源、心理弹性、职业倦怠、身心健康的关系[D]. 西安:陕西师范大学, 2014. Si Qin, Chen Qingping. Medical staff's work stress and physical and mental health research-stress source, psychological flexibility, burnout, physical and mental health[D]. Xi'an:Shaanxi Normal University, 2014.
[3] Mora G. Book Reviews[J]. Journal of Nervous and Mental Disease, 1970, 151(4):290-292.
[4] Tait D, Shanafelt M D, Charles M. et al. Suicidal ideation among American surgeons[J]. Arch Surg, 2011, 146(1):54-62.
[5] Yang X M, Ma B J. Effects of workload on burnout and turnover intention of medical staff:A Study[J]. Studies on EthnoMedicine, 2014, 8(3):229-237.
[6] Natasha K, Karl P, Dragan I, et al. Effect of personal and work stress on burnout, job satisfaction and general health of hospital nursesin South Africa[J]. Health SA Gesondheid, 2017, 22:252-258.
[7] Li P. Job stress and burnout in hospital employees:Comparisons of different medical professions in a regional hospital in Taiwan[EB/OL].[2019-04-03]. BMJ Open, doi:10.1136/bmjopen-2013-004185
[8] Ariunsanaa B, Sugarmaa M, Khuderchuluun N, et al. Burnout and job stress among Mongolian doctors and nurses[J]. Industrial Health, 2011, 49:582-588.
[9] Escribà-Agüir D V, Martín-Baena D, Pérez-Hoyoes S. Psychosocial work environment and burnout among emergency medical and nursing staff[J]. International Archives of Occupational and Environmental Health, 2006, 80:127-133.
[10] 李超平, 时勘, 罗正学, 等. 医护人员工作倦怠的调查[J]. 中国临床心理学, 2003, 11(3):170-172. Li Chaoping, Shi Kan, Luo Zhengxue, et al. An investigation on job burnout of doctor and nurse[J]. Chinese Journal of Clinical Psychology, 2003, 11(3):170-172.
[11] Demerouti E, Mostert K, Bakker A, et al. Burnout and work engagement:A thorough investigation of thein dependency of both constructs[J]. Journal of Occupational Health Psychology, 2010, 15(3):209-222.
[12] Angelina O M,Huak C Y. Influence of work environment on emotional health in a health care setting[J]. Occupational Medicine, 2004, 54(3):207-212.
[13] Grau-Alberola E, Gil-Monte, P R, Garcia-Juesas J A, et al. Incidence of burnout in Spanish nursing professionals:A longitudinal study[J]. International Journal of Nursing Studies, 2010, 47:1013-1020.
[14] Yang S Y, Pamela Meredith, et al. Stress and burnout among healthcare professionals working in a mental health setting in Singapore[EB/OL].[2019-04-04]. www.elsevier.com/locate/ajp.
[15] 赵玉芳, 张庆林. 医生职业倦怠研究[J]. 心理科学, 2004, 27(5):1137-1138. Zhao Yufang, Zhang Qinglin. A study on doctors' job burnout[J]. Psychological Science, 2004, 27(5):1137-1138.
[16] 邱泽奇. 中国医患关系调查研究[M]. 北京:中国协和医科大学出版社, 2010:240-241. Qiu Zeqi, Research on relationship between doctors and patient[M]. Beijing:Peking union medical college press, 2010:240-241.
[17] 黄敏儿, 郭德俊. 大学生情绪调控方式与抑郁的研究[J]. 中国心理卫生杂志, 2001, 15(5):438-441. Huang miner, Guo Dejun. Emotion regulation and depression of college students[J]. Chinese Mental Health Journal, 2001, 15(5):438-441.
[18] 李娜. Gross情绪调控模型及对心理健康的影响[J]. 社会心理科学, 2010, 25(3):352-358. Li Na, Revelation of gross emotion regulation process and strategy to psychologically healthy education[J]. Science of Social Psychology, 2010, 25(3):352-358.
[19] 李德明. 睡眠与心理健康关系初探[J]. 心理学报, 1987, 1:92-99. Li Deming. A Study on the relationship between sleep and mind health[J]. Acta Psychologica Sinica, 1987, 1:92-99.
[20] 李德明, 陈素坤. 不同年龄倒班与正常班医疗卫生工作者睡眠质量和睡眠规律性的比较[J]. 心理学报, 1989, 3:315-320. Li Deming, Chen Sukun. A Comparative study on sleep quality and sleep regularity between shift-work and day-work nurse in different ages[J]. Acta Psychologica Sinica, 1989, 3:315-320.
[21] 徐妙哲, 张丹丹, 张红坡, 等.大学生睡眠质量与心理健康状况的相关性[J]. 中国健康心理学杂志, 2016, 24(2):311-314. Xu Miaozhe, Zhang Dandan, Zhang Hongpo, et al. The relationship between sleep quality and mental health in undergraduates[J]. China Journal of Health Psychology, 2016, 24(2):311-314.
[22] 彭发胜, 梁健. 体育运动对大学生心理健康影响的初探[J]. 当代体育科技, 2014, 4(12):189-190. Peng Fasheng, Liang Jian. The influence of sports on college students' mental health[J]. Contemporary Sports Technology, 2014, 4(12):189-190.
[23] Radloff L S. The CES-D Scale:A self-report depression scale for research in the general population[J]. Psychological Measurement, 1977, 1(3):385-401.
[24] Robert L S, Kurt K, Williams J B W, et al. A brief measure for assessing generalized anxiety disorder the GAD-7[J]. Archives of Internal Medicine, 2006, 166:1092-1097.
[25] Judith R, Olaf G A. Changes in the lifetime prevalence of suicidal feelings and thoughts among Norwegian doctors from 2000 to 2010:A longitudinal study based on national samples[J]. Rosta and Ashland BMC Psychiatry, 2013, 13:322
[26] Paykel E S, Myers J K, Lindenthal J J. Suicidal feelings in the general population:A prevalence study[J]. The Asylum Journal of Mental Science, 1974, 124:460-469.
[27] Prosser D, Johnson S, Kuipers E. Mental health, "burnout" and job satisfaction among hospital and community-based mental health staff[J]. British Journal of Psychiatry, 1996, 169:334-337.
[28] 侯紫燕. 我国城市人均医生数的统计建模与分析[J]. 系统工程理论与实践, 1999, 2(2):128-134. Hou Ziyan. Modelling and analyzing the data set of the number of doctors for per capita in chinese cities[J]. System Engineering Theory and Practice, 1999, 2(2):128-134.
[29] 宋华. 医护人员心理卫生问题及防护[J]. 中华医院管理杂志, 1999, 15(3):190-192. Song Hua. Mental health problems and protection of medical staff[J]. Chinese Journal of Hospital Administration, 1999, 15(3):190-192.
[30] William S M. Reducing work related psychological ill health and sickness absence:A systematic literature review[J]. Occupational and Environmental Medicine, 2003, 60:3-9.
[31] Haines V Y, Marchand A. A balanced view of long work hours[J]. International Journal of Workplace Health Management, 2012, 5(2):104-119.
[32] Virtanen M, Stansfeld S A. Overtime work as a predictor of major depressive episode:A 5-year follow-up of the Whitehall Ⅱ study[J]. Plos One, 2012, 7(1):e30719.
[33] Mattila A K, Ahola K, Honkonen T, et al. Alexithymia and occupational burnout are strongly associated in working population[J]. Journal of Psychosomatic Research, 2007, 62:657-665.
[34] Dionisios B, Athanasios T. Alexithymia and its association with burnout, depression and family support among Greek nursing staff[J]. Human Resources for Health, 2009, 7:72.
[35] deVente W, Kamphuis J H. Risk factor or consequence of work-related stress?[J]. Psychotherapy and Psychosomatics, 2006, 75:304-311.
[36] 李树雯, 姚桂英, 贵艳玲, 等. 护理人员述情障碍及应对方式与消极心理的关系研究[J]. 中国全科医学, 2012, 15(7B):2365-2367. Li Shuwen, Yao Guiying, Gui yanling, et al. Relationship between alexithymia, coping styles and passive psychology in nurses[J]. Chinese General Practice, 2012, 15(7B):2365-2367.
[37] Mark G, Smith, A P. Occupational stress, job characteristics, coping, and the mental health of nurses[EB/OL].[2019-04-09]. www.wileyonlinelibrary.com.
[38] Strine T W, Chapman D P. Associations of frequent sleep insufficiency with health-related quality of life and health behaviors[J]. Sleep Medicine, 2005, 6:23-27.
[39] Ford D E, Kamerow D B. Epidemiologic study of sleep disturbances and psychiatric disorders[J]. JAMA, 1989, 262(11):1479-1484.
[40] Stein M B, Belik S, Jocobi F. Impairment associated with sleep problems in the community:Relationship to physical and mental health comorbidity[J]. Psychosomatic Medicine, 2008, 70:913-919.
[41] 钱学艳, 金佰明, 吕鑫. 医学生睡眠质量及其与心理健康关系的研究[J]. 医学信息, 2010, 23(7):2083. Qian Xueyan, Jin Baiming, Lü Xin. Study on the relationship between medical students' sleep quality and mental health[J]. Medical Information, 2010, 23(7):2083.
[42] Raglin J S. Beneficial, detrimental effects. exercise and mental health[J]. Sports Medicine, 1990, 9(6):323-329.
[43] Current Concepts. Physical activity and mental health[J]. Sports Medicine, 2000, 29(3):167-180.
[44] Morgan A J, Parker A G. Exercise and mental health:An exercise and sports science australia commissioned review[J]. Journal of Exercise Physiology, 2013, 16(4):64-70.
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