【摘要】 目的:调查分析青岛市某区公务员焦虑情绪的现状及其影响因素。方法:选取2023年1月至2023年12月在青岛大学附属医院进行年度体检的青岛市某区公务员(共3 641名)进行问卷调查,问卷包括个人生活方式调查及GAD-7广泛性焦虑障碍量表。共发放问卷3 641份,回收3 641份,有效问卷3 585份(98.46%),最终3 585名纳入分析。根据量表结果分析,青岛市某区公务员的焦虑情绪的现状及其影响因素。结果:3 585名研究对象中,焦虑症状检出率为34.23%(1 227/3 585)。不同年龄、性别、学历、婚姻状况、睡眠时长、每周参加体育活动的时间、工作或生活中(8 h)坐着的时间,焦虑症状检出率差异均具有统计学意义(均P<0.05)。多元有序Logistic回归分析结果显示,年龄越大,焦虑症状的严重程度越低(OR=0.969,95%CI0.962～0.978);与女性相比,男性焦虑症状的严重程度更低(OR=0.829,95%CI0.713～0.964);与“天天参加运动”的公务员相比,“每周3次以上运动”(OR=1.394,95%CI1.085～1.788)、“每周3次以下运动”(OR=1.738,95%CI 357～2.230)、“基本没有运动”(OR=2.620,95%CI 2.036～3.370)的人群焦虑症状的严重程度更高;与工作或生活中(8 h)坐着的时间为“几乎全部”的公务员相比,坐着的时间“多于4 h”(OR=0.661,95%CI 0.549～0.796)、“少于4h”(OR=0.598,95%CI0.468～0.764)、“几乎没有”(OR=0.310,95%CI 0.185～0.519)的公务员焦虑症状严重程度更低;与睡眠时长为“8～10h”的公务员相比,睡眠时长为“6～8h”(OR=1.837,95%CI1.465～2.300)、“4～6h”(OR=5.145,95%CI 3.861～6.848)、“4 h以下”(OR=7.404,95%CI3.251～16.878)的公务员焦虑症状的严重程度更高。结论:青岛市某区公务员焦虑情绪现状不容乐观,应加强该群体心理健康的宣传教育,使其保持良好的工作、运动习惯,做到负面情绪的早发现、早预防。更多还原

【Abstract】 Objective:To investigate and analyze the current situation of anxiety among civil servants in a certain district of Qingdao city and its influencing factors.Methods:A questionnaire survey was conducted among civil servants(a total of 3 641) from a certain district of Qingdao who underwent annual physical examinations at the Affiliated Hospital of Qingdao University from January 2023 to December 2023.The questionnaires included personal lifestyle survey and GAD-7 Generalized Anxiety Disorder Scale.A total of 3 641 questionnaires were distributed,3 641 were retrieved,and 3 585(98.46%) were valid.Eventually,3 585 individuals were included in the analysis.Based on the results of the scale,analyze the current situation and influencing factors of anxiety among civil servants in a certain district of Qingdao city.Results:Among the3 585 research subjects,the detection rate of anxiety symptoms was 34.23%(1 227/3 585).There were statistically significant differences in the detection rates of anxiety symptoms among different ages,genders,educational backgrounds,marital status,sleep duration,weekly time spent on physical activities,and the time spent sitting at work or in life(8 hours)(P<0.05).The results of multivariate ordered Logistic regression analysis showed that the older the age,the lower the severity of anxiety symptoms(OR=0.969,95% CI 0.962-0.978).Compared with women,the severity of anxiety symptoms in men was lower(OR=0.829,95% CI 0.713-0.964).Compared with civil servants who "participate in sports every day",those who "exercise more than three times a week"(OR=1.394,95%CI1.085-1.788), "less than three times a week"(OR=1.738,95%CI1.357-2.23),and "basically none"(OR=2.620,95%CI 2.036-3.37)had a higher severity of anxiety symptoms.Compared with civil servants who sit for "almost all" of their work or life(8 hours), "more than 4 hours"(OR=0.661,95%CI0.549-0.796), "less than 4 hours"(OR=0.598,95%CI0.468-0.764) and "almost none"(OR=0.310,95%CI 0.185-0.519) had a lower severity of anxiety symptoms.Compared with civil servants whose sleep duration was "8-10hours",those with "6-8 hours"(OR=1.83 7.95 %CI1.465-2.3), "4-6 hours"(OR=5.145,95 %CI3.861-6.848),and “less than 4 hours”(OR=7.404,95%CI 3.251-16.878) had a higher severity of anxiety symptoms.Conclusion:The current situation of anxiety among civil servants in a certain district of Qingdao city is not optimistic.It is necessary to strengthen the publicity and education on mental health for this group,maintain good working and exercise habits,and achieve early detection and prevention of negative emotions.更多还原