摘要
目的 了解上海市规范化培训（规培）医师的抑郁和焦虑状况,探讨社会支持对其抑郁焦虑情绪的影响,为促进该群体的心理健康提供对策.方法 以上海市4所住院医师规培基地临床医学专业的549名规培医师为研究对象,采用完全随机抽样方法抽取318名进行问卷调研.结果受调查规培医师PHQ-9的平均分为（7.24±5.20）分,67.30%（214名）的医师存在不同程度的抑郁情绪;GAD-7的平均分为（5.57±4.55）分,55.03%（175名）的医师存在不同程度的焦虑情绪;有工作经历、规培时间越长、对收入不满意的规培医师,其焦虑及抑郁量表总分均较高（均P〈0.05）;男性规培医师焦虑总分显著高于女性规培医师（P〈0.05）;PHQ-9总分及GAD-7总分与社会支持的γ值分别为-0.390和-0.376（均P〈0.01）.回归分析显示,已规培时间、收入满意度、客观支持和对支持的利用度进入抑郁回归方程,调整后的R2为0.242（F=17.893）;工作经历、收入满意度、客观支持和对支持的利用度进入焦虑回归方程,调整后的R2为0.228（F=14.390）.在控制了人口统计学变量之后,社会支持对PHQ-9得分所解释的方差变异量为0.119,对GAD-7得分所解释的方差变异量为0.126.结论 规培医师抑郁焦虑情绪状况需加以关注,增加规培医师客观支持和对社会支持的利用度,提高其对收入的满意度有助于提高规培医师心理健康水平.
Objective To investigate the influence of social support on the depression and anxiety of standardized training residents.Methods Three hundred and eighteen standardized training residents selected by random sampling method from 4 training bases in Shanghai participated in this survey.ResultsThe average score of PHQ-9 was（7.24±5.20）, and 67.30%（n=214）of participants had different degrees of depression;the average score of GAD-7 was（5.57±4.55）, and 55.03%（n=175）of participants had different degrees of anxiety.One-way analysis of variances showed that standardized training residents who had work experience, longer training years and less salary satisfaction got higher scores in PHQ-9 and GAD-7.Male physicians had higher scores in GAD-7 than female ones.The scores of PHQ-9 （r=-0.390, P〈0.01） and GAD-7 （r=-0.376, P〈0.01） were both negatively correlated with social support.Regression analysis showed that training years,salary satisfaction,objective social support and the availability of support were significant for predicting the scores of PHQ-9（adjusted R2=0.242,F=17.893）, work experience, salary satisfaction,objective social support and the availability of support were significant for predicting the scores of GAD-7（adjusted R2=0.228,F=14.390）.After controlled the demographic variables, social support explained the variation rate of 0.119 to the score of PHQ-9 and 0.126 to the score of GAD-7.Conclusion The depression and anxiety of standardized training residents in this study is in a serious situation.Providing the objective social support and the availability of support as well as improving the salary satisfaction of standardized training residents may relieve the depression and anxiety and enhance their mental health.
出处
《中华全科医师杂志》
2017年第7期517-521,共5页
Chinese Journal of General Practitioners
基金
2015年上海市卫生和计划生育委员会科研课题（20154Y0007）
关键词
医师
抑郁
焦虑
规范化培训
Physicians
Depression
Anxiety
Standardized training residents
