关键词: 医务人员, 射线污染, 心理弹性, 负性情绪

Abstract: Objective To explore the correlation between the psychological resilience and negative emotions of medical staff at high risk of radiation pollution,provide a scientific basis for understanding the emotional state of the population. Methods From October 2020 to March 2021,the convenience sampling was used to select 4 tertiary comprehensive hospitals and 3 grassroots hospitals in the city. The self-designed general situation questionnaire,Connor-Davidson rresilience scale（CD-RISC）,self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were used to conduct a questionnaire survey on the psychological resilience and negative emotions of 128 medical workers at high risk of radiation pollution,and the data were analyzed. Results The scores of resilience,anxiety and depression were （78.17±27.20）,（45.75±11.23） and （51.45±11.98）points,respectively. The incidence of anxiety and depression were generally high,as high as 33.59% and 52.34%,respectively. There were statistically significant differences in the scores of psychological resilience and negative emotion among medical staff at high risk of radiation pollution with different professional titles,grade of hospitals,and years of service（all P<0.05）. Pearson correlation analysis of anxiety symptoms,depression symptoms and psychological resilience showed that there was a significant negative correlation（r= -0.374,-0.647,both P<0.05）. ROC curve analysis was performed on the two indicators of anxiety and depression with the resilience score as the detection variable. The area under the ROC curve for anxiety was 0.701,P<0.05,the sensitivity was 0.706,the specificity was 0.209,the Youden index was 0.497,and the optimal cutoff value was 75.5. The area under the ROC curve for depression was 0.845,P<0.05,the sensitivity was 0.904,the specificity was 0.289,the Youden index was 0.615,and the optimal cutoff value was 75.50. The psychological resilience score has a good predictive value for predicting whether the medical staff at high risk of radiation pollution will have negative emotions,and patients are more likely to have negative emotions when the two resilience scores ≤75.5 points. Conclusions The psychological resilience of medical staff at high risk of radiation pollution is closely related to negative emotions. Therefore,it is necessary to improve the psychological resilience of medical staff at high risk of radiation pollution and relieve anxiety and depression,thereby improving the work efficiency and living standards of medical staff at high risk of radiation pollution.

Key words: Medical staff, Radiation pollution, Resilience, Negative emotions