某企業(yè)中青年醫(yī)生心理狀況及心理干預研究
發(fā)布時間：2018-12-18 04:16
【摘要】： 目的研究分析某企業(yè)醫(yī)院中青年醫(yī)生的心理狀況,探索心理干預對其心理健康的干預效果。 方法研究對象及分組:山西焦煤西山煤電集團公司職工總醫(yī)院中青年醫(yī)生60人,男23例、女37例,年齡40.07±3.89歲(30～45歲)。采用精神癥狀自評量表(SCL-90)對研究對象進行測評及分析后,將其隨機分為2組:實驗組(30人)、對照組(30人)。實驗組進行團體心理輔導干預,包括心理健康教育講座和團體心理輔導等心理干預。每月2次,每次2個半小時,共3個月,6次。每次活動均選定一個主題,依次為:心理健康及認識自我和他人、人際關系的協(xié)調、健全人格的培養(yǎng)、自我意識的發(fā)展、情緒的調節(jié)和控制、個體發(fā)展和成材等內容。對照組除不進行心理干預之外,其他日常活動同實驗組。心理干預結束后第二天,再次采用精神癥狀自評量表(SCL-90),對實驗組和對照組進行測評,并將所有數(shù)據均用SPSS13.0進行統(tǒng)計分析,P＜0.05有統(tǒng)計學意義。 結果中青年醫(yī)生抑郁、焦慮、偏執(zhí)和人際敏感性因子評分大于全國常模,有統(tǒng)計學差異(實驗組t值分別為5.307、3.046、4.852、3.741;對照組t值分別為2.988、3.245、3.124、4.235,P均小于0.05),其余5個因子評分與全國常模比較,無統(tǒng)計學差異(P＞0.05)。女醫(yī)生抑郁、焦慮和人際敏感性因子得分高于男性醫(yī)生(t值分別為2.235、2.533、2.545,P均小于0.05)、SCL-90各因子在不同職稱醫(yī)生間及各科室間均無統(tǒng)計學差異(P＞0.05)。心理干預前SCL-90結果:干預前實驗組與對照組抑郁、偏執(zhí)、焦慮和人際敏感因子評分均明顯大于全國常模,有統(tǒng)計學差異(實驗組t值分別為5.307、3.046、4.852、3.741;對照組t值分別為2.988、3.245、3.124、4.235,P均小于0.05),兩組間各因子評分比較,均無統(tǒng)計學差異(P＞0.05)。心理干預后的SCL-90結果:干預后實驗組偏執(zhí)因子得分仍高于全國常模,其余各因子評分與全國常模比較均無統(tǒng)計學差異(P＞0.05),對照組抑郁、焦慮、偏執(zhí)和人際敏感因子得分因子評分仍高于全國常模,有統(tǒng)計學差異(t值分別為3.222、3.141、3.584、3.015,P均小于0.05),其他5個因子評分與全國常模比較,均無統(tǒng)計學差異(P＞0.05)。兩組間各因子評分比較,對照組抑郁因子、焦慮因子和人際敏感性因子評分大于實驗組,有統(tǒng)計學差異(t值分別為-3.214、-3.489、-3.253,P均小于0.01),其余6個因子評分均無統(tǒng)計學差異(P＞0.05)。在可能影響干預后SCL-90各因子得分的因素,按大小依次為是否干預、性別、所在科室、從醫(yī)年限。從醫(yī)年限越長得分均分有降低的趨勢,偏執(zhí)和人際敏感性也緩解。內科醫(yī)生更容易產生抑郁、焦慮癥狀。進行心理干預可以緩解醫(yī)生抑郁、焦慮癥狀,人際敏感性也降低。 結論 1.某企業(yè)醫(yī)院中青年醫(yī)生存在明顯抑郁、焦慮、偏執(zhí)和人際敏感性心理,需要心理干預。 2.心理干預對維護中青年醫(yī)生心理健康是有效的。 3.進行心理健康教育和團體心理輔導是改善某企業(yè)醫(yī)院中青年醫(yī)生心理狀況的有效干預方式。
[Abstract]:Objective to study the psychological status of young and middle-aged doctors in an enterprise hospital and explore the effect of psychological intervention on their mental health. Methods Sixty young doctors (23 males and 37 females) aged 40.07 鹵3.89 years (30 ~ 45 years) in the General Hospital of Shanxi Coking Coal Xishan Coal Power Group Company were studied. After the mental symptom checklist (SCL-90) was used to evaluate and analyze the subjects, they were randomly divided into two groups: the experimental group (30 cases) and the control group (30 cases). Group psychological counseling intervention was carried out in the experimental group, including mental health education lectures and group psychological counseling. Two and a half hours a month, a total of 3 months, 6 times. A theme was selected for each activity, including mental health and understanding of self and others, coordination of interpersonal relationships, cultivation of sound personality, development of self-consciousness, regulation and control of emotion, individual development and success. The other daily activities of the control group were the same as that of the experimental group except for no psychological intervention. Mental symptom Checklist (SCL-90) was used again on the second day after psychological intervention. The experimental group and the control group were tested and all the data were statistically analyzed with SPSS13.0 (P < 0. 05). Results the scores of depression, anxiety, paranoid ideation and interpersonal sensitivity of young and middle-aged doctors were significantly higher than those of the national norm (t values of the experimental group were 5.307 / 3.046 / 4.852 / 3.741). The t value of the control group was 2.988t 3.245U 3.124U 4.235 (P < 0.05), and the other five factor scores had no statistical difference compared with the national norm (P > 0.05). The scores of depression, anxiety and interpersonal sensitivity of female doctors were higher than those of male doctors (t = 2.235, 2.533P < 0.05, respectively). There was no significant difference in SCL-90 between doctors with different professional titles and departments (P > 0. 05). SCL-90 results before psychological intervention: the scores of depression, paranoid ideation, anxiety and interpersonal sensitivity factors in the experimental group and the control group were significantly higher than those in the national norm before intervention (t values of the experimental group were 5.307 鹵3.046 and 4.852 鹵3.741, respectively). The t value of the control group was 2.9883.245v 3.124v 4.235 (P < 0.05), and there was no significant difference between the two groups in the scores of each factor (P > 0.05). Results of SCL-90 after psychological intervention: the score of paranoid ideation factor in the experimental group was still higher than that of the national norm after the intervention, and there was no significant difference between the other factors and the national norm (P > 0. 05), while the depression and anxiety in the control group were not significantly different (P > 0. 05). The scores of paranoid ideation and interpersonal sensitivity factor were still higher than that of the national norm (t = 3.2222.141 / 3.5843.015P < 0.05, respectively), and the other five factors were compared with the national norm. There was no statistical difference (P > 0.05). The scores of depression factor, anxiety factor and interpersonal sensitivity factor in the control group were higher than those in the experimental group (t = -3.214- 3.489- 3.253P < 0.01). There was no significant difference in the other six factor scores (P > 0.05). The factors that may affect the scores of SCL-90 factors after intervention were: intervention, sex, department and years of medical service. The longer the medical experience, the lower the score, the more paranoid and interpersonal sensitivity. Physicians are more likely to develop symptoms of depression and anxiety. Psychological intervention can relieve depression, anxiety and interpersonal sensitivity. Conclusion 1. Young and middle-aged doctors in an enterprise hospital have obvious depression, anxiety, paranoid ideation and interpersonal sensitivity and need psychological intervention. 2. Psychological intervention is effective in maintaining the mental health of young and middle-aged doctors. 3. Mental health education and group counseling are effective interventions to improve the psychological status of young and middle-aged doctors in an enterprise hospital.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2008
【分類號】：R395
本文編號：2385322
[Abstract]:Objective to study the psychological status of young and middle-aged doctors in an enterprise hospital and explore the effect of psychological intervention on their mental health. Methods Sixty young doctors (23 males and 37 females) aged 40.07 鹵3.89 years (30 ~ 45 years) in the General Hospital of Shanxi Coking Coal Xishan Coal Power Group Company were studied. After the mental symptom checklist (SCL-90) was used to evaluate and analyze the subjects, they were randomly divided into two groups: the experimental group (30 cases) and the control group (30 cases). Group psychological counseling intervention was carried out in the experimental group, including mental health education lectures and group psychological counseling. Two and a half hours a month, a total of 3 months, 6 times. A theme was selected for each activity, including mental health and understanding of self and others, coordination of interpersonal relationships, cultivation of sound personality, development of self-consciousness, regulation and control of emotion, individual development and success. The other daily activities of the control group were the same as that of the experimental group except for no psychological intervention. Mental symptom Checklist (SCL-90) was used again on the second day after psychological intervention. The experimental group and the control group were tested and all the data were statistically analyzed with SPSS13.0 (P < 0. 05). Results the scores of depression, anxiety, paranoid ideation and interpersonal sensitivity of young and middle-aged doctors were significantly higher than those of the national norm (t values of the experimental group were 5.307 / 3.046 / 4.852 / 3.741). The t value of the control group was 2.988t 3.245U 3.124U 4.235 (P < 0.05), and the other five factor scores had no statistical difference compared with the national norm (P > 0.05). The scores of depression, anxiety and interpersonal sensitivity of female doctors were higher than those of male doctors (t = 2.235, 2.533P < 0.05, respectively). There was no significant difference in SCL-90 between doctors with different professional titles and departments (P > 0. 05). SCL-90 results before psychological intervention: the scores of depression, paranoid ideation, anxiety and interpersonal sensitivity factors in the experimental group and the control group were significantly higher than those in the national norm before intervention (t values of the experimental group were 5.307 鹵3.046 and 4.852 鹵3.741, respectively). The t value of the control group was 2.9883.245v 3.124v 4.235 (P < 0.05), and there was no significant difference between the two groups in the scores of each factor (P > 0.05). Results of SCL-90 after psychological intervention: the score of paranoid ideation factor in the experimental group was still higher than that of the national norm after the intervention, and there was no significant difference between the other factors and the national norm (P > 0. 05), while the depression and anxiety in the control group were not significantly different (P > 0. 05). The scores of paranoid ideation and interpersonal sensitivity factor were still higher than that of the national norm (t = 3.2222.141 / 3.5843.015P < 0.05, respectively), and the other five factors were compared with the national norm. There was no statistical difference (P > 0.05). The scores of depression factor, anxiety factor and interpersonal sensitivity factor in the control group were higher than those in the experimental group (t = -3.214- 3.489- 3.253P < 0.01). There was no significant difference in the other six factor scores (P > 0.05). The factors that may affect the scores of SCL-90 factors after intervention were: intervention, sex, department and years of medical service. The longer the medical experience, the lower the score, the more paranoid and interpersonal sensitivity. Physicians are more likely to develop symptoms of depression and anxiety. Psychological intervention can relieve depression, anxiety and interpersonal sensitivity. Conclusion 1. Young and middle-aged doctors in an enterprise hospital have obvious depression, anxiety, paranoid ideation and interpersonal sensitivity and need psychological intervention. 2. Psychological intervention is effective in maintaining the mental health of young and middle-aged doctors. 3. Mental health education and group counseling are effective interventions to improve the psychological status of young and middle-aged doctors in an enterprise hospital.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2008
【分類號】：R395
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