四川省10所三级综合医院内科医务人员心理健康促进现状及影响因素分析

摘要/Abstract

摘要： 目的探讨三级综合医院内科医务人员心理健康促进行为现状及与逆境商和工作家庭行为角色冲突的关系。方法于2023年6—8月,采用方便抽样方法,选取四川省5个区域10所三级综合医院378名内科医务人员为研究对象。采用心理健康促进量表、逆境商量表和工作家庭行为角色冲突量表对研究对象进行问卷调查,并对数据进行分析。结果 378名内科医务人员心理健康促进得分为（147.18±25.91）分,逆境商得分为（145.61±32.76）分,工作家庭行为角色冲突得分为（79.68±11.69）分。单因素分析显示,不同婚育状况、岗位类型、科室氛围、是否轮值班工作、健康状况、运动状况、睡眠质量、工作压力、参加心理健康促进培训及工作场所暴力的内科医务人员心理健康促进得分比较,差异均有统计学意义（均P<0.05）。Pearson相关分析显示,三级综合医院内科医务人员心理健康促进总分与逆境商总分及各维度得分均呈正相关（r=0.415~0.675,均P<0.05）,与工作家庭行为角色冲突总分及各维度得分均呈负相关（r=-0.463~-0.692,均P<0.05）。多元线性回归分析显示,科室氛围、睡眠质量、工作压力、心理健康促进、逆境商和工作家庭行为角色冲突是内科医务人员心理健康促进的主要影响因素（均P<0.05）,共解释总变量的65.8%。结论三级综合医院内科医务人员存在较高工作家庭行为角色冲突,逆境商和心理健康促进水平不容乐观,医院管理者可通过提升逆境商、降低工作家庭行为角色冲突以促进医务人员心理健康。

关键词: 医务人员, 心理健康促进, 逆境商, 工作家庭行为角色冲突, 影响因素

Abstract: Objective To explore the status quo of mental health promotion behavior among internal medicine medical staff in tertiary general hospitals and its relationship with adversity quotient and work-family behavior role conflict. Methods From June to August 2023,a convenience sampling method was used to study 378 internal medicine medical staff from 10 tertiary general hospitals in 5 regions of Sichuan Province. The mental health promotion scale,adversity quotient scale and work-family behavior role conflict scale were used to conduct a questionnaire survey on the research subjects,and the data were analyzed. Results The mental health promotion score of 378 internal medicine medical staff was （147.18±25.91）points,the score of adversity quotient was （145.61±32.76）points,the score of work-family behavior role conflict was （79.68±11.69）points. Univariate analysis showed that there were statistically significant differences in the scores of mental health promotion among different marital and reproductive status,job types,department atmosphere,whether or not to work on duty,health status,exercise status,sleep quality,work pressure,participation in mental health promotion training,and workplace violence（all P<0.05）. Pearson correlation analysis showed that the total score of mental health promotion of internal medicine medical staff in tertiary general hospitals was positively correlated with the total score of adversity quotient and the scores of each dimension（r=0.415-0.675,all P<0.05）,and negatively correlated with the total score of work-family behavior role conflict and the scores of each dimension（r=-0.463--0.692,all P<0.05）. Multivariate linear regression analysis showed that department atmosphere,sleep quality,work pressure,mental health promotion,adversity quotient and work-family behavior role conflict were the main influencing factors of mental health promotion among internal medicine medical staff（all P<0.05）,which explained 65.8% of the total variables. Conclusion There is a high level of work-family behavior role conflict among internal medicine medical staff in tertiary general hospitals,and the level of adversity quotient and mental health promotion is not optimistic. Hospital managers can promote the mental health of medical staff by improving adversity quotient and reducing work-family behavior role conflict.

Key words: Medical staff, Mental health promotion, Adversity quotient, Work-family behavior role conflict, Influencing factors

中图分类号:

R192

谢娟, 李双宏, 王冬梅. 四川省10所三级综合医院内科医务人员心理健康促进现状及影响因素分析. [J]职业与健康, 2024, 40(20): 2799-2804.

XIE Juan, LI Shuanghong, WANG Dongmei. Analysis on current status and influencing factors of mental health promotion of internal medicine medical personnel in 10 tertiary general hospitals in Sichuan Province. [J]OCCUPATION AND HEALTH, 2024, 40(20): 2799-2804.

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