摘要
目的了解发生过职业危害暴露的医务人员的心理健康状况,为心理危机干预提供依据。方法运用症状自评量表(SCL-90)问卷,对北京市东城区某医院524名医务人员进行现场调查,并对结果进行统计分析。结果北京市东城区某医院医务人员躯体化、人际关系敏感、偏执3个因子得分与常模比较有统计学意义(P<0.05),护理岗位人员的SCL-90总分及各因子得分差异有统计学意义(P<0.05)。职业危害暴露人员与非暴露组人员在SCL-90总分>160分、阳性项目数超过43项(43项2分以上)、因子分≥2这3方面比较,差异都具有统计学意义(P<0.05)。职业危害暴露组与非暴露组SCL-90总分及各因子得分差异有统计学意义(P<0.05)。结论北京市东城区某医院医务人员心理状况阳性率较高,其中护理人员的心理状况相对较差。医务人员在发生职业危害暴露后,除了进行必要的医疗处理外还应该进行心理危机干预工作,以减少职业暴露给医务人员带来的心理健康影响。
[Objective] To investigate the mental health status of medical workers who have been exposed to occupational hazards,provide the basis for psychological crisis intervention. [Methods]The symptom checklist 90（SCL-90）was used to investigate 524 medical workers in a hospital in Dongcheng District of Beijing,and the results were statistically analyzed.[Results]The differences in the scores of somatization,interpersonal sensitivity and paranoid were statistically significant between the medical workers and the national norms（P〈0.05）,and there were statistically significant differences in total score of SCL-90 and score of factor among nursing staff（P〈0.05）. There were statistically significant differences in total score of SCL-90 greater than 160 points,the number of positive items more than 43（score more than 2 points in 43 items）and the factor scores more than 2 points between exposure group and nonexposure group（P〈0.05）. The differences in total score of SCL-90 and factor scores between exposure group and non-exposure group were statistically significant（P〈0.05）. [Conclusion]The positive rate of psychological status among medical workers in a hospital in Dongcheng District of Beijing is high,and the psychological status of nursing staff is relatively poor. In addition to the necessary medical treatment,the psychological crisis intervention should be carried out among medical staff after occupational hazard exposure,so as to reduce the mental health problems caused by occupational exposure.
作者
孙志峰
邹艳杰
刘晶磊
成金栋
孙鑫
SUN Zhi-feng ZOU Yan-jie LIU Jing-lei CHENG Jin-dong SUN Xin(Department of Occupational Health, Dongcheng District Center for Disease Control and prevention ,Beijing, 100050, China)
出处
《职业与健康》
CAS
2017年第20期2812-2815,共4页
Occupation and Health
关键词
医务人员
职业危害暴露
心理健康
Medical staff
Occupational hazard exposure
Mental health status
