【作者】 李岩；

【导师】 王平；

【作者基本信息】 中国医科大学 ， 公共卫生（专业学位）， 2018， 硕士

【摘要】 目的:了解医护人员生命质量的情况,分析应对方式对生命质量的影响,为改善医护人员应对方式,提高医护人员生命质量提供科学依据。方法:采用整群随机抽样的方法,抽取沈阳市某医院医护人员共600人作为研究对象,收回有效问卷501份。应用一般情况调查、特质应对方式量表(TCSQ)和生命质量量表(SF-36)编制成问卷进行调查分析。使用t检验和单因素方差分析对不同特征医护人员的生活质量进行比较,应用相关分析和多元线性回归分析检验医护人员应对方式与生活质量的关系。结果:1、不同学历医护人员的生命质量比较显示在GH和MH得分差异有统计学意义(P<0.05),博士组GH得分最高;不同父母情况医护人员的生命质量比较显示在BP、GH、VT以及MCS维度得分差异有统计学意义(P<0.05);与家庭成员关系不同的医护人员的生命质量比较显示在除了 RE维度,其他方面差异均具有统计学意义(P<0.05);家庭负担不同的医护人员的生命质量比较显示除了 PF维度,其他各维度得分差异均有统计学意义(P<0.05),担负不起组的各项得分均最低;不同编制情况的医护人员的生命质量比较显示在GH维度得分差异具有统计学意义(P<0.05);离职想法不同的医护人员的生命质量比较显示除了在PF维度,其他各维度得分差异均具有统计学意义(P<0.05);与同事关系不同的医护人员的生命质量比较显示所有维度得分差异均具有统计学意义(P<0.05);体育锻炼次数不同的医护人员的生命质量比较显示在RP、BP、GH、VT、MH以及PCS、MCS维度得分差异具有统计学意义(P<0.05);一年内有无重大变故的医护人员的生命质量比较显示除了在PF、RE维度得分差异无统计学意义,其他维度得分差异具有统计学差异(P<0.05);是否吸烟的医护人员生命质量比较显示RP和RE得分差异具有统计学差异(P<0.05);有无慢性病的医护人员生命质量比较显示各个维度得分差异均具有统计学意义(P<0.05);情绪变化不同的医护人员生命质量比较显示各个维度得分差异均具有统计学意义(P<0.05)。2、不同水平应对方式下医护人员生命质量得分比较显示,积极应对高分组生命质量总分高于低分组,消极应对高分组生命质量总分低于低分组。应对方式选择积极应对,且积极应对得分越高,生命质量得分越高。医护人员积极应对与RP、BP、GH、VT、SF、RE、MH及PCS、MCS、生命质量总分呈正相关,与MH的相关系数最高。医护人员消极应对医护人员的消极应对得分与PF、RP、BP、GH、VT、SF、RE、MH及PCS、MCS、生命质量总分呈负相关,与MH的相关系数最高。3、多重回归分析发现,医护人员总体的生命质量影响因素为消极应对、积极应对、有无慢性病、同事关系、家庭负担和工龄。结论:医护人员不同个体因素会对生命质量造成影响,医护人员应对方式的选择不同,会导致生命质量水平有差异,选择积极应对生命质量水平高,选择消极应对生命质量水平低,改善医护人员应对方式,对提高生命质量有重要意义。更多还原

【Abstract】 Objective:To understand quality of life of medical staff,and to analyze the influence of coping style on quality of life,so as to provide a scientific basis for improving the coping style and improving the quality of life of medical staff.Methods:With the method of cluster random sampling,600 medical staff in a hospital in Shenyang were selected as the research object,and 501 valid questionnaires were collected.The general situation survey,the trait coping style scale(TCSQ)and the quality of life scale(SF-36)were compiled into a questionnaire to be investigated and analyzed.T test and one-way ANOVA were used to compare the quality of life of medical staffs with different characteristics.Correlation analysis and multiple linear regression analysis were used to examine the relationship between coping styles and quality of life of medical staff.Results:1、The comparison of the quality of life of medical staffs with different educational backgrounds showed that there was significant difference between the GH dimension and the MH dimension(P<0.05),and the GH score of the doctorate group was the highest;The quality of life of different medical staffs in parents’ condition showed that there was a significant difference in the scores of BP,GH,VT and MCS(P<0.05).The quality of life of health care workers who had different relations with family members showed statistical difference in all respects except RE(P<0.05);The quality of life of medical staffs with different family burden showed that the scores of all dimensions were statistically different except for the PF dimension(P<0.05),and the score of the group who cannot afford was the lowest;The quality of life of medical staffs with different forms of work showed a statistically significant difference in GH dimension scores(P<0.05);The quality of life of medical staff with different ideas of turnover showed that the scores of all dimensions were statistically significant except for the PF dimension(P<0.05);The quality of life of medical staffs who had different relations with colleagues showed that the scores of all dimensions were statistically significant(P<0.05);The quality of life of medical staffs with different physical training times showed statistically significant difference in the scores of RP,BP,GH,VT,MH,PCS and MCS dimensions(P<0.05);The quality of life of medical staffs whether there was a major accident within a year showed that the scores of all dimensions were statistically significant except for PF and RE scores(P<0.05);The quality of life of health care workers who smoke or not showed a statistically significant difference in the score of RP and RE(P<0.05);The quality of life of medical staffs who whether had chronic disease showed that the differences in all dimensions were statistically significant(P<0.05);The quality of life of doctors and nurses with different emotional changes showed that the differences in all dimensions were statistically significant(P<0.05).2、The scores of quality of life of medical staffs at different levels of coping styles showed that the total score of high score group of positive coping was higher than that of low score group,and the total score of high score group of negative coping style was lower than that of low score group;Choose the positive coping style,and the higher the score of the positive coping style,the better the quality of life.The positive coping styles of medical staffs were positively related to RP,BP,GH,VT,SF,RE,MH,PCS,MCS and the total quality of life.The coefficient of correlation with MH is the highest.The negative coping styles of medical staffs were negatively correlated with PF,RP,BP,GH,VT,SF,RE,MH,PCS,MCS,and the total quality of life.The coefficient of correlation with MH is the highest.3、Multiple regression analysis found that the main factors affecting the quality of life of medical staff were negative coping,positive coping,chronic disease,coworker relationship,family burden and length of service.Conclusions:The different characteristics of medical staffs have an impact on the quality of life.and the choices of the coping style of the medical staffs are different,which leads to the difference of the quality of life.The quality of life in a positive coping style is high,and the quality of life in a negative coping style is low.Improving the coping style of medical staffs is of great significance to improving the quality of life.更多还原