【摘要】：目的：了解青年腫瘤醫(yī)生心理健康狀況和積極心理水平,提升青年腫瘤醫(yī)生幸福感,為促進(jìn)其身心健康及和諧醫(yī)患關(guān)系提供思路,并對(duì)形成完善的積極心理干預(yù)機(jī)制和更好的普及積極心理教育有一定的啟示。 方法：對(duì)湖南省大型綜合醫(yī)院72名青年腫瘤醫(yī)生進(jìn)行問(wèn)卷調(diào)查,對(duì)其心理健康狀況和積極心理水平進(jìn)行評(píng)價(jià)。問(wèn)卷調(diào)查內(nèi)容包括基本資料問(wèn)卷、一般健康問(wèn)卷(GHQ-12)、心理資本問(wèn)卷(溫磊修訂版)和總體幸福感量表(GWB1-18)。采用方便抽樣方法,42人參加了積極心理干預(yù),具體干預(yù)方法為積極認(rèn)知心理干預(yù)和放松訓(xùn)練。積極心理干預(yù)結(jié)束后再次進(jìn)行問(wèn)卷調(diào)查,以評(píng)價(jià)干預(yù)效果。 結(jié)果： 1.心理健康狀況和積極心理水平調(diào)查顯示：(1)約33%的青年腫瘤醫(yī)生存在著不同程度的心理問(wèn)題,高于湖南省青年醫(yī)生中比例；(2)心理資本問(wèn)卷中總得分為70.11±11.02分,總分與湖南省青年醫(yī)生的水平相平,其中希望維度得分樂(lè)觀維度得分韌性維度得分自信維度得分；(3)總體幸福感量表總分為79.42±12.54分,其中男性得分76.35±18.58分,女性得分80.36±10.04分；男性得分處于全國(guó)普通男性的平均水平,女性得分高于全國(guó)普通女性的平均水平；(4)博士研究生在心理資本的韌性維度上得分明顯高于大學(xué)本科生、碩士研究生；在總體幸福感的松弛與緊張分量表中,大學(xué)本科生得分明顯高于碩士研究生及博士研究生；除此之外性別、年齡、學(xué)歷在三個(gè)心理問(wèn)卷中的總分和其他項(xiàng)目中得分無(wú)明顯統(tǒng)計(jì)學(xué)差異(P0.05)。 2.積極心理干預(yù)效果評(píng)價(jià)顯示：(1)干預(yù)前后三個(gè)調(diào)查問(wèn)卷的總體得分無(wú)統(tǒng)計(jì)學(xué)差異；(2)心理資本問(wèn)卷中希望維度得分較干預(yù)前明顯提高；(3)總體幸福感量表中對(duì)于健康情況擔(dān)心得分較干預(yù)前明顯降低；(4)干預(yù)后女性的心理資本總分、希望維度得分較干預(yù)前明顯升高；(5)女性以及大學(xué)本科生對(duì)健康的擔(dān)心得分較干預(yù)前明顯下降；(6)30歲及以下和大學(xué)本科生、碩士研究生的希望維度得分較干預(yù)前明顯升高。 結(jié)論： 1.青年腫瘤醫(yī)生心理健康狀態(tài)和積極心理水平不甚理想,對(duì)其進(jìn)行積極心理干預(yù)有充分的必要性。 2.積極心理干預(yù)易操作,可行性好,可以解決實(shí)際問(wèn)題,建議廣泛推廣應(yīng)用。
[Abstract]:Objective: to understand the mental health status and positive psychological level of young oncologist, improve the well-being of young oncologist, and provide ideas for promoting their physical and mental health and harmonious doctor-patient relationship. And it has some enlightenment for forming perfect positive psychological intervention mechanism and popularizing positive psychological education. Methods: a questionnaire survey was conducted among 72 young oncologists in Hunan Provincial General Hospital to evaluate their mental health status and positive psychological level. The contents of the questionnaire included basic information questionnaire, general health questionnaire (GHQ-12), mental capital questionnaire (revised version of Wen Lei) and general well-being scale (GWB1-18). 42 people participated in active psychological intervention by convenient sampling method. The specific intervention methods were active cognitive psychological intervention and relaxation training. After the positive psychological intervention was finished, a questionnaire survey was conducted to evaluate the effect of the intervention. Results: 1. The investigation of mental health status and positive psychological level showed that: (1) about 33% of the young oncology doctors had different degree of psychological problems, which was higher than the proportion of the young doctors in Hunan Province, (2) the total score of mental capital questionnaire was 70.11 鹵11.02 points. The total score was equal to that of the young doctors in Hunan Province, and the score of hope dimension was optimistic dimension, the toughness dimension score was confidence dimension score, (3) the total score of total well-being scale was 79.42 鹵12.54, in which the male score 76.35 鹵18.58 points, the female score 80.36 鹵10.04 points; The scores of male and female are higher than that of ordinary female in China. (4) the scores of doctoral students in resilience dimension of psychological capital are obviously higher than that of undergraduates and master degree students. In the relaxation and tension component tables of overall well-being, the scores of undergraduate students were significantly higher than those of master's and doctoral students, in addition to gender, age, There was no significant difference between the total score of the three psychological questionnaires and the scores of other items (P0.05). The positive psychological intervention effect evaluation showed: (1) there was no statistical difference in the total scores of the three questionnaires before and after the intervention; (2) the score of the hope dimension in the psychological capital questionnaire was significantly higher than that before the intervention. (3) the scores of health anxiety in general well-being scale were significantly lower than those before intervention, (4) the total scores of psychological capital of women after intervention, the scores of hope dimension were significantly higher than those before intervention. (5) the scores of health anxiety among female and undergraduate students were significantly lower than those before intervention, and (6) the scores of hope dimension of postgraduates aged 30 and below were significantly higher than those before intervention. Conclusion: 1. The mental health state and positive psychological level of young oncologist are not ideal, it is necessary to carry on active psychological intervention to them. 2. Active psychological intervention is easy to operate and feasible, which can solve practical problems.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：B844.2

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