广州医药 ›› 2018, Vol. 49 ›› Issue (2): 63-66.DOI: 10.3969/j.issn.1000-8535.2018.02.016

• 论著 • 上一篇    下一篇

实体化形势下社区医护人员心理健康状况调查及干预效果评估

黄志辉1, 蔡雄2   

  1. 1 中山市三乡医院 (中山 528478)
    2 中山市横栏镇社区卫生服务中心(中山 528478)
  • 收稿日期:2017-10-18 出版日期:2018-03-20 发布日期:2021-12-01
  • 基金资助:
    中山市科技计划项目(2015B1267)

Investigation on the mental health status of community health care workers in the entity situation and the effect of intervention

HUANG Zhihui1, CAI Xiong2   

  1. 1 Sanxiang Hospital, Zhongshan City,Zhongshan 528478,China
    2 Henglan Community Health Service, Zhongshan City,Zhongshan 528478,China
  • Received:2017-10-18 Online:2018-03-20 Published:2021-12-01

摘要: 目的 了解社区医护人员的心理健康状况,评估心理干预措施效果,找到提高社区医护人员心理健康状况的有效措施。方法 采用《症状自评量表 SCL-90》对社区医护人员的心理健康状况进行基线调查,在干预3、6、9个月时分别进行SCL-90复测,以评估心理干预措施效果;根据《医护人员工作压力测试量表》的调查结果制定有针对性的心理干预措施并适时调整。结果 社区医护人员SCL-90测评总分和躯体化、强迫、人际敏感、焦虑、敌对、恐怖、偏执7个因子得分均高于全国常模水平(P<0.05);经过综合干预,随访期间SCL-90测评总分呈逐步下降趋势,干预6个月时,除人际敏感因子外,SCL-90测评总分及各因子分已趋于正常水平,与全国常模比较差异没有统计学意义(P<0.05)。至9个月时,人际敏感因子得分也恢复至正常水平。结论 社区医护人员心理健康状况低于全国常模水平,进行针对性的综合干预可提高其心理健康水平,实验显示干预时长应不低于6个月。

关键词: 社区医护人员, 心理健康, 干预效果

Abstract: Objective To understand the mental health status of community health care workers, assess the effect of psychological intervention measures, and find effective measures to improve the mental health status of community health care workers.Methods With the help of Symptom Checklist SCL-90, we firstly carried out baseline survey on community medical staff mental health; then retested that at 3, 6 and 9 months later. Thus, we could assess the effect of psychological intervention. According to the results of the medical staff working pressure test questionnaire, we could develop targeted psychological intervention measures and adopt prompt adjustment.Results Community health care personnel SCL-90 evaluation score and 7 factors scores(physical,forced,interpersonal sensitivity,anxiety,hostility,terror,and paranoia) were higher than the national norm(P<0.05);after comprehensive intervention in the 9 months follow-up,the SCL-90 evaluation score was decreasing gradually.After intervention for 6 months,except for the interpersonal sensitivity factor,SCL-90 total scores and the other factor scores tend to normal levels, to compare the national norm, there was no statistical significance in differences (P<0.05). 9 months later, the scores of interpersonal sensitivity also return to normal levels.Conclusion The mental health status of community health care workers was lower than the national norm,the comprehensive intervention may improve their mental health level, and the experiment showed that the intervention should be no less than 6 months.

Key words: Community health care workers, Mental health, Intervention effect