本文選題：醫(yī)務(wù)人員/心理學(xué) + 心身醫(yī)學(xué)�。� 參考：《中國(guó)臨床康復(fù)》2005年28期

【摘要】：目的:從心理、社會(huì)因素與健康、疾病關(guān)系的角度,調(diào)查醫(yī)護(hù)人員的健康和心理狀況,為改善醫(yī)護(hù)人員生活質(zhì)量提供依據(jù)。方法:對(duì)2004-01/2004-12沈陽(yáng)軍區(qū)總醫(yī)院醫(yī)護(hù)人員1100人進(jìn)行體檢,常規(guī)檢測(cè)內(nèi)科、外科、五官科、婦科,輔助檢查項(xiàng)目為生化、X光、心電圖、B超等。并采用ZUNG焦慮自評(píng)量表和ZUNG抑郁自評(píng)量表分析體檢者的主觀感受,衡量抑郁狀態(tài)的輕重程度,評(píng)定時(shí)間跨度為最近1周內(nèi),均為20題,均采用1～4制計(jì)分,總分乘以1.25,四舍五入取整數(shù),即得標(biāo)準(zhǔn)分。ZUNG焦慮自評(píng)量表50分以上,為有焦慮傾向,分值越高,焦慮傾向越明顯;ZUNG抑郁自評(píng)量表得分,無(wú)抑郁(≤49分),輕度抑郁(50～59分),中度(60～69分)和重度(≥70分)。采用百分率和卡方檢驗(yàn)對(duì)體檢醫(yī)護(hù)人員1100人的焦慮自評(píng)量表、抑郁自評(píng)量表得分進(jìn)行評(píng)價(jià),觀察常見(jiàn)患病種類及患病率,性別和年齡差異。結(jié)果:按意向處理分析,受檢者1100人全部進(jìn)入結(jié)果分析。①焦慮和抑郁發(fā)生與社會(huì)因素和對(duì)疾病的了解顯著相關(guān)(社會(huì)環(huán)境好,231/24.71%,225/24.06%;差,126/76.36%,52/31.52%;χ2=1.10,1.77,P0.05;對(duì)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),且抑郁的發(fā)生尚與性別和文化程度高低有關(guān)(男女比較,371/43.5%,113/56.3%,χ2=3.48,P0.05;大專以下與本科及以上文化程度者比較,69/75.0%,651/81.25%,χ2=2.33,P0.05)。②1100人受檢者中1078人(98%)存在不同程度的健康問(wèn)題,729例(占66.27%)有較嚴(yán)重的健康問(wèn)題,前3位常見(jiàn)疾病分別為高血壓(28.18%),高脂血癥(24.55%),脂肪肝(20%),發(fā)現(xiàn)早期惡性腫瘤3例(肝癌1例,腎癌2例)。③男女總患病率基本一致(98.24%,97.17%),但男性高脂血癥和脂肪肝患病率明顯高于女性(25.67%,23.09%;16.6%,9.31%;t=1.921,2.036,P0.05),女性痔患病率明顯高于男性(14.17%,3.52%,t=2.029,P0.05)。④55歲以前困擾醫(yī)護(hù)人員健康的突出問(wèn)題是高脂血癥、脂肪肝和高血壓(135/21.67%,116/18.62%,114/18.30%),55歲后發(fā)病前3位的疾病變化為高血壓、白內(nèi)障和高脂血癥(195/40.88%,155/32.49%,135/28.30%)。結(jié)論:參加體檢的醫(yī)護(hù)人員經(jīng)濟(jì)條件好、家庭和睦、社會(huì)關(guān)系良好者,焦慮及抑郁的程度明顯下降,反之則上升,另外對(duì)自己疾病了解,焦慮的程度減輕,反之則明顯增加。疾病的發(fā)生率和發(fā)病種類與年齡有關(guān),醫(yī)護(hù)人員總體心身健康狀況欠佳,應(yīng)緩解工作和生活壓力,改善飲食結(jié)構(gòu),加強(qiáng)身體鍛煉和健康保健。
[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，

本文編號(hào)：1933536