职业与健康 ›› 2026, Vol. 42 ›› Issue (8): 1087-1093.

• 论著 • 上一篇    下一篇

上海市奉贤区医务人员症状自评量表评分现况及影响因素分析

戴桃芳1, 陆高峰1, 汤海英2(), 袁媛2()   

  1. 1 上海市奉贤区庄行镇邬桥社区卫生服务中心上海 201402
    2 上海市奉贤区疾病预防控制中心(上海市奉贤区卫生健康监督所)上海 202400
  • 收稿日期:2025-06-19 修回日期:2025-07-17 出版日期:2026-04-15 发布日期:2026-05-18
  • 通信作者: 汤海英,E-mail:tanghaiying819@126.com;袁媛,E-mail:yyuan639@126.com
  • 作者简介:戴桃芳,女,主管医师,主要从事公共卫生管理和预防保健工作。
  • 基金资助:
    上海市卫生健康委员会青年项目(20174Y0104)

Analysis of the current status and influencing factors of SCL-90 scores for medical personnel in Fengxian District of Shanghai City

DAI Taofang1, LU Gaofeng1, TANG Haiying2(), YUAN Yuan2()   

  1. 1 Shanghai Fengxian District Zhuangxing Town Wuqiao Community Health Service CenterShanghai 201402, China
    2 Shanghai Fengxian District Center for Disease Control and Prevention(Shanghai Fengxian District Health Supervision Institute)Shanghai 202400, China
  • Received:2025-06-19 Revised:2025-07-17 Online:2026-04-15 Published:2026-05-18
  • Contact: TANG Haiying,E-mail:tanghaiying819@126.com;YUAN Yuan,E-mail:yyuan639@126.com

摘要:

目的 了解上海市奉贤区医务人员心理健康水平及影响因素,为改善医务人员的心理健康状况提供参考依据。方法 2023年11—12月通过问卷调查收集上海市奉贤区813名医务人员的症状自评量表(symptom checklist 90,SCL-90)评分数据,并对数据进行分析。结果 上海市奉贤区医务人员SCL-90量表总分为(132.56±54.13)分,与2015年全国常模比较,差异无统计学意义,躯体、抑郁、恐怖3个因子得分均高于全国常模,人际关系敏感因子得分低于全国常模,差异均有统计学意义(均P<0.05)。上海市奉贤区医务人员SCL-90量表阳性检出率为36.7%,各因子筛查阳性顺位前3位分别为强迫症状(30.75%)、其他状态(24.11%)和抑郁(20.66%)。双休日轮班是医务人员人际关系敏感(OR=3.027,95%CI:1.187~7.715)、抑郁(OR=2.988,95%CI:1.265~7.055)、敌对(OR=2.408,95%CI:1.109~5.689)和偏执(OR=2.886,95%CI:1.020~8.167)的影响因素;经常久站是躯体化(OR=1.919,95%CI:1.163~3.166)、焦虑(OR=1.847,95%CI:1.108~3.080)、恐怖(OR=2.002,95%CI:1.099~3.646)、偏执(OR=2.062,95%CI:1.198~3.548)和精神病(OR=2.754,95%CI:1.475~5.141)的影响因素;30天前饮酒是躯体化(OR=1.854,95%CI:1.187~2.897)、人际关系敏感(OR=2.047,95%CI:1.304~3.213)、抑郁(OR=1.838,95%CI:1.196~2.825)、焦虑(OR=1.760,95%CI:1.107~2.799)、敌对(OR=1.653,95%CI:1.050~2.601)、恐怖(OR=1.943,95%CI:1.142~3.306)、偏执(OR=1.878,95%CI:1.159~3.045)和精神病性(OR=2.292,95%CI:1.351~3.890)的影响因素。结论 上海市奉贤区医务人员心理健康总体状况良好,需重视双休日轮班、工作久站和饮酒行为对医务人员心理症状因子阳性率的影响。

关键词: 医务人员, 心理健康, 症状自评量表, 影响因素

Abstract:

Objective To understand the mental health level and influencing factors of medical staff in Fengxian District of Shanghai City, and provide scientific basis for improving the mental health status of medical staff. Methods From November to December 2023, a questionnaire survey was conducted to collect symptom checklist-90(SCL-90) score data from 813 medical staff in Fengxian District of Shanghai City, and the data were analyzed. Results The total score of SCL-90 scale of medical staff in Fengxian District of Shanghai City was (132.56±54.13)points, and there was no statistically significant difference compared with the national norm in 2015. The scores of somatization, depression and photicanxiety were all higher than the national norm, while the scores of interpersonal sensitivity was lower than the national norm, and the differences were statistically significant(all P<0.05). The positive detection rate of SCL-90 scale of medical staff in Fengxian District of Shanghai City was 36.7%, the top three positive screening factors were obsessive-compulsive(30.75%), sleepdiet(24.11%) and depression(20.66%). Shift work on weekends was the influencing factor of interpersonal sensitivity(OR=3.027, 95%CI:1.187-7.715), depression(OR=2.988, 95%CI:1.265-7.055) hostility(OR=2.048, 95%CI:1.019-5.689) and paranoidideation(OR=2.886, 95%CI:1.020-8.617);Frequent standing was the influencing factor of somatization(OR=1.919, 95%CI:1.163-3.166), anxiety(OR=1.847, 95%CI:1.108-3.080), photicanxiety(OR=2.002, 95%CI:1.099-3.646), paranoidideation(OR=2.062, 95%CI:1.198-3.548) and psychoticism(OR=2.754, 95%CI:1.475-5.141). Drinking before 30 days was the influencing factor of somatization(OR=1.854, 95%CI:1.187-2.897), interpersonal sensitivity(OR=2.047, 95%CI:1.304-3.213), depression(OR=1.838, 95%CI:1.196-2.825), anxiety(OR=1.760, 95%CI:1.107-2.799), hostility(OR=1.653, 95%CI:1.050-2.601), photicanxiety(OR=1.943, 95%CI:1.142-3.306), paranoidideation(OR=1.878, 95%CI:1.159-3.045) and psychoticism(OR=2.292, 95%CI:1.351-3.890). Conclusion The overall mental health status of medical staff in Fengxian District of Shanghai City is good. It is necessary to pay attention to the influence of weekend shifts, frequent standing and drinking behavior on the positive rate of psychological symptom factors of medical staff.

Key words: Medical staff, Mental health, Symptom checklist-90, Influence factor

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