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精神科医护人员主观幸福感与抑郁症状的关系

Relationship between subjective well-being and depressive symptoms of psychiatric medical staff

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【作者】 孙悦; 寻知元;

【Author】 SUN Yue;XUN Zhiyuan;Graduate College,Tianjin Medical University;Second Mood Disorders Department,Tianjin Anding Hospital;

【通讯作者】 寻知元;

【机构】 天津医科大学研究生院; 天津市安定医院心境障碍二科;

【摘要】 目的 分析疫情防控常态化期间,精神科医护人员抑郁症状水平以及主观幸福感与抑郁症状的关系。方法 采用横断面调查方法于2022年2月25日—3月8日对天津市某精神专科三级甲等医院370名医护人员进行问卷调查,并对数据进行分析。结果 疫情防控常态化期间,天津市某精神专科医院精神科医护人员非抑郁症状组抑郁量表得分M(P25,P75)为7(3,12)分,主观幸福感总分为96(89,104)分,抑郁症状组抑郁量表得分为24(21,28)分,主观幸福感总分为80(74,85)分,抑郁症状检出率为33.8%。抑郁症状组主观幸福感、正性情绪和生活满意度得分明显低于非抑郁症状组,负性情绪得分明显高于非抑郁症状组(均P<0.01)。在校正职称、家庭关系之后,主观幸福感中的正性情绪因子分(95%CI:0.821~0.916)、负性情绪因子分(95%CI:1.195~1.348)和生活满意度因子分(95%CI:0.879~0.985)均与抑郁症状的发生相关(均P<0.01)。结论 天津市某精神专科医院精神科医护人员抑郁症状检出率较高,主观幸福感是抑郁症状的影响因素,正性情绪高、生活满意度高是抑郁症状的保护性因素,负性情绪高是抑郁症状的危险因素。

【Abstract】 Objective To understand the level of depressive symptoms of psychiatric medical staff and the relationship between subjective well-being and depressive symptoms during the normalization of the prevention and control of. Method From February25 to March 8,2022,a cross-sectional survey was conducted among 370 medical and nursing staff in a psychiatric tertiary grade a hospital in Tianjin,and the data were analyzed. Results During the normalization of epidemic prevention and control,the center for epidemiologic studies depression scale(CES-D) score M(P25,P75) of the nondepression symptom group of psychiatric medical staff in a psychiatric hospital in Tianjin was 7(3,12),the total score of subjective well-being was 96(89 104),the CES-D of the depression symptom group was 24(21,28),the total score of subjective well-being was 80(74,85),and the detection rate of depression symptoms was 33.8%. The scores of subjective well-being,positive emotions and life satisfaction in the depression symptom group were significantly lower than those in the non depression symptom group,while the scores of negative emotions were significantly higher than those in the non depression symptom group(all P<0.01). After adjusting for professional titles and family relationships,the positive emotion factor score(95%CI:0.821-0.916),negative emotion factor score(95%CI:1.195-1.348) and life satisfaction factor score(95%CI:0.879-0.985) in subjective well-being were all correlated with the occurrence of depressive symptoms(all P<0.01). Conclusion The detection rate of depressive symptoms of psychiatric medical staff in a psychiatric hospital in Tianjin was high. Subjective well-being was the influencing factor of depressive symptoms. High positive emotions and high life satisfaction were the protective factors of depressive symptoms,and high negative emotions were the risk factors of depressive symptoms.

【基金】 天津市卫生健康科技项目(ZC20136);天津市科技计划项目(18ZXRHSY00100)
  • 【文献出处】 职业与健康 ,Occupation and Health , 编辑部邮箱 ,2023年19期
  • 【分类号】R749.4
  • 【下载频次】20
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