1.南方医科大学卫生管理学院,广东 广州 510515
2.广东省医师协会毕业后医学教育办公室,广东 广州 510050
3.南方医科大学珠江医院教务处,广东 广州 510260
蓝妍玲,硕士,研究方向:社会医学与卫生事业管理、医学教育,E-mail:lanyanling1997@163.com
纸质出版日期:2023-01-20,
收稿日期:2022-08-22,
扫 描 看 全 文
蓝妍玲,乡汝浩,冯宗选等.广州市儿科医师心理健康状况及影响因素[J].中山大学学报(医学科学版),2023,44(01):138-144.
LAN Yan-ling,XIANG Ru-hao,FENG Zong-xuan,et al.Mental Health Status and Influencing Factors of Pediatricians in Guangzhou[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(01):138-144.
蓝妍玲,乡汝浩,冯宗选等.广州市儿科医师心理健康状况及影响因素[J].中山大学学报(医学科学版),2023,44(01):138-144. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0119.
LAN Yan-ling,XIANG Ru-hao,FENG Zong-xuan,et al.Mental Health Status and Influencing Factors of Pediatricians in Guangzhou[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(01):138-144. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0119.
目的
2
了解广州市儿科医师心理健康状况及其影响因素,为改善儿科医师心理健康提供对策。
方法
2
采用分层随机抽样法,在广州市11个区内随机抽取400名儿科医师,利用症状自评量表SCL-90与工作压力源量表进行调查。采用多元线性回归法分析儿科医师心理健康的影响因素。
结果
2
广州市儿科医师工作压力源得分前三位为外部环境(3.23±0.59)、工作负荷(3.19±0.56)、组织管理(2.74±0.55);除职业兴趣外,各因子得分均高于临床医生群体,差异有统计学意义(
P
<0.01);SCL-90筛查结果为阳性的有109人(27.25%);除焦虑、偏执外,各因子得分均高于医生常模;工作压力源各因子与SCL-90各因子呈正相关关系,除工作负荷与恐怖、外部环境与恐怖两对因子外,其余各对因子之间的相关性均有统计学意义(
P
<0.05);单因素分析结果显示不同健康状况、工作年限、工作满意度、工作压力、职业前景的儿科医师心理健康得分差异有统计学意义(
P
<0.05);多元线性回归结果显示健康状况、工作年限、职业兴趣、人际关系、医患关系是儿科医师心理健康的影响因素(
P
<0.05)。
结论
2
广州市儿科医师心理健康状况不理想,其影响因素主要为工作、组织等外部客观因素。
Objective
2
To investigate the mental health of pediatricians in Guangzhou and its influencing factors, and to provide countermeasures for improving the mental health of pediatricians.
Methods
2
A stratified random sampling method was used to randomly select 400 pediatricians in 11 districts of Guangzhou, and they were surveyed using the Symptom Check List(SCL-90) and the Job Stressor Scale.
Results
2
The top three job stressors scored by pediatricians in Guangzhou were external environment (3.23±0.59), workload (3.19±0.56), and organizational management (2.74±0.55). All factor scores were higher than those of the clinician group except for career interest, and the difference was statistically significant (
P
<
0.01). The number of pediatricians with mental health problems was 109, accounting for 27.25%. All factor scores were higher than the physician norm except for anxiety and paranoia. The correlations between each factor of work stressors and each factor of SCL-90 were positive and statistically significant (
P
<
0.05), except for two pairs of factors, workload and terror as well as external environment and terror. The results of univariate analysis showed statistically significant differences in the mental health scores of pediatricians with different health status, years of work experience, job satisfaction, job stress, and career prospects (
P
<
0.05). The results of multiple linear regression showed that health status, years of work experience, professional interest, interpersonal relationship, and doctor-patient relationship were influential factors in the mental health of pediatricians (
P
<
0.05).
Conclusion
2
The mental health of pediatricians in Guangzhou is unsatisfactory, and the factors affecting them are mainly external objective factors such as workload and organizational management.
儿科医师心理健康工作压力影响因素
pediatricianmental healthwork stressinfluencing factors
李彤,杨伟锐,郑夏兵,等.突发事件中医疗救援队伍的全方位心理支持措施[J].中山大学学报(医学科学版),2020,41(2):174-179.
Li T,Yang WR,Zheng XB, et al. Psychological support for medical rescue teams in emergencies[J].J Sun Yat-Sen Univ Med Sci,2020,41(2):174-179.
胡开红,齐秀丽.儿科医务人员工作压力、应对方式与心理健康状况相关性调查分析[J].中国健康心理学杂志,2019,27(7):1063-1066.
Hu KH, Qi XL. The relevance between stress, coping style and mental health of pediatric medical staff[J]. Chin J Health Psychol, 2019, 27(7):1063-1066.
苏思贞,宫艺邈,赵逸苗,等. 后疫情时代精神心理问题的挑战与应对[J/OL].四川大学学报(医学版):1-6
Su SZ , Gong YM, Zhao YM, et al. The challenges and prospects of mental health of the COVID-19 pandemic[J/OL]. J Sichuan Univ ( Med Sci ):1-6.
梁茜,谭丽琴,赵春菱,等.广西急诊儿科医生心理健康状况调查分析[J].蛇志,2015,27(1):37-39.
Liang Q, Tan LQ, Zhao XL, et al. Investigation and analysis on mental health status of Guangxi emergency pediatrician [J]. J Snake, 2015, 27(1):37-39.
陈建萍. 临床医生工作压力源量表的编制与应用[D].上海师范大学, 2009.
Chen JP. Compilation and application of the scale for occupational stressors on clinician [D]. Shanghai Norm Univ, 2009.
Derogatis LR, Lipman R S, Covi L. SCL-90: an outpatient psychiatric rating scale —— preliminary report[J]. Psychopharmacol Bull, 1973, 9(1):13-28.
汪向东,王希林,马弘,等. 心理卫生评定量表手册:增订版[M].北京:中国心理卫生杂志出版社,1999: 73-82.
Wang XD, Wang XL, Ma H, et al. Mental health rating scale manual: updated edition
M]. Beijing: Chin J Ment Health, 1999: 73-82.
刘泽瑶,邢倩,赵明烨,等.新冠肺炎疫情下医生职业压力、职业创伤影响因素的调查分析[J].中国医院管理, 2022, 42(7):34-38.
Liu ZY, Xing Q, Zhao MY, et al. Investigation of the effect elements doctors’occupational stress and occupational trauma after the COVID-19[J]. Chin Hosp Manag, 2022, 42(7):34-38.
方必基,谢云天,刘彩霞.近十一年医生症状自评量表(SCL-90)调查结果的Meta分析及常模确定[J].现代预防医学,2017,44(9):1642-1646.
Fang BJ, Xie YT, Liu CX. Reports on self-reporting inventory (SCL-90) for doctors in recent eleven years and construction of norm: a meta-analysis [J]. Mod Prev Med, 2017, 44(9):1642-1646
罗小虎,吴丹,滕莉,等. 苏北地区医护人员工作压力与心理健康关系[J].中国公共卫生,2014,30(3):339-342.
Luo XH, Wu D, Teng L, et al. Relatonship between work pressure and mental health in medical staff in hospitals of north area of Jiangsu province[J]. Chin J Public Health, 2014, 30(3):339-342.
刘斌,刘利,王奕然,等.重庆儿科医生工作满意度及影响因素分析[J].中国医院管理,2020,40(10):45-48.
Liu B, Liu L, Wang YR, et al. Job satisfaction and its impact factors among pediatricians in Chongqing[J]. Chin Hosp Manag, 2020, 40(10):45-48.
钱亚芳,陈威,方亚新. 医疗侵权诉讼举证倒置规则之完善[J].中国卫生事业管理,2008,25(12):829-831.
Qian YF, Chen W, Fang YX. Improvement of the rule of reversal of evidence in medical tort litigation[J]. Chin Health Serv Manag 2008, 25(12):829-831.
张进,马星,杨立斌,等.我国临床医生职业压力源结构及消解策略[J].医学与社会,2020,33(2):93-96;111.
Zhang J, Ma X, Yang LB, et al. Structure of occupational stressors and coping strategies of clinicians in China[J]. Med & Soc, 2020, 33(2):93-96; 111.
姚新颖,杨婷婷,邓婉君,等.中国儿科医生工作满意度及影响因素分析[J].中国公共卫生, 2020, 36(4):560-565.
Yao XY, Yang TT, Deng WJ, et al. Job satisfaction and its impact factors among pediatricians in China: a cross-sectional survey[J]. Chin J Public Health, 2020, 36(4):560-565.
国家卫生和计划生育委员会.2010年中国卫生和计划生育统计年鉴[R]. 2010.
National health commission of the People’s Republic of China. 2010 yearbook of healthy China[R]. 2010.
国家卫生健康委员会. 2021年中国卫生健康统计年鉴[R]. 2021.
National health commission of the People’s Republic of China. 2021 yearbook of healthy China[R]. 2021.
中华医学会儿科学分会,中国医师协会儿科医师分会.中国儿科资源现状白皮书[R].2016.
Chinese Pediatric Society, Chinese medical association, pediatricians branch of China medical association. White paper on the status of pediatric resources in China[R]. 2016.
Zhang Y, Huang L, Zhou X, et al. Characteristics and workload of pediatricians in China[J]. Pediatrics, 2019,144(1):e20183532.
王佳敏,邵頔,吴林的,等.基于ERG理论的青海省儿科医生工作满意度及激励策略质性研究[J].中国医院管理,2021,41(08):43-46.
Wang JM, Shao D, Wu LD, et al. Qualitative research on job satisfaction and incentive strategies of pediatricians in Qinghai province based on ERG theory[J]. Chin Hosp Manag, 2021, 41(08):43-46.
姚新颖. 公立医疗机构儿科医生离职倾向与离职行为影响因素研究[D]. 南方医科大学,2020.
Yao XY. A study on influential factors of turnover intention and turnover behavior of pediatricians in public medical institutions[D]. South Med Univ, 2020.
高汀,曾亮,李巍.供给侧视域下儿科医生可持续发展路径研究[J].中国卫生事业管理, 2021,38(2):94-96;99.
Gao T, Zeng L, Li W. Researches on the path to pediatricians’ sustainable development from the perspective of supplyside[J]. Chin Health Serv Manag, 2021, 38(2):94-96;99.
卓丽军,陶红兵,吴倩,等.儿科医师感知医患关系与离职倾向关系——基于工作满意度的中介作用[J].中国卫生政策研究,2021,14(11):43-48.
Zhuo LJ, Tao HB, Wu Q, et al. Correlation of pediatricians' perception of doctor-patient relationship with turnover intention: based on the mediation effect of work satisfaction level[J]. Chin J Health Policy, 2021, 14(11):43-48.
王瑶,夏欢,李亚群,等.成都市儿科医生工作满意度及影响因素调查[J].医学与社会,2017,30(08):75-77;81.
Wang Y, Xia H, Li YQ, et al. Investigation of job satisfaction of pediatricians and influencing factors in Chengdu city[J]. Med & Soc, 2017, 30(08):75-77;81.
冯娜.儿科医生人才队伍萎缩的原因探析[J].检验医学与临床,2012,9(13):1660-1661.
Feng N. Exploring the causes of shrinking pediatrician workforce[J]. Lab Med Clin, 2012, 9(13):1660-1661.
姜茂敏,郭佩佩,高凯,等.上海市各级医院医生职业高原影响因素研究[J].卫生经济研究,2020,37(04):41-45.
Jiang MM, Guo PP, Gao K, et al. Study on influencing factors of doctors' occupational altitude in hospitals at all levels in Shanghai[J]. Health Econ Res, 2020, 37(04):41-45.
黄蓓,李熙鸿,郎肖玲,等.某妇产儿童医院急诊医患关系评价及影响因素分析[J].中国卫生事业管理,2022,39(5):340-344.
Huang B, Li XH, Lang XL, et al. Evaluation of doctor-patient relationship in emergency department of a women’s and children’s hospital and analysis of its influencing factors[J]. Chin Health Serv Manag, 2022, 39(5):340-344.
0
浏览量
0
下载量
2
CSCD
关联资源
相关文章
相关作者
相关机构