节点文献

湖北省某高校教职工心理健康服务利用行为的质性研究

The Qualitative Study of Mental Health Service Utilization Behaviors Among Faculty and Staff at a University in Hubei Province

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 李欣妍; 万政一; 冯晶; 屈歌; 甘勇; 卢祖洵;

【Author】 LI Xinyan;School of Public Health, Tongji Medical College, Huazhong University of Science and Technology;

【通讯作者】 甘勇;

【机构】 华中科技大学同济医学院公共卫生学院;

【摘要】 目的:分析湖北省某高校教职工利用心理健康服务的情况及影响因素,为准确评估教职工的心理健康水平、改善心理健康状况和提供高水平心理健康服务提供依据。方法:于2022年12月-2023年6月对湖北省某高校22名教职工进行半结构化访谈并获得相关资料,采用扎根理论方法对资料进行质性分析。结果:通过三级编码梳理出57个初级概念、25个范畴和9个主范畴。主范畴包括身体与行为调节、心理与情感调节、个人认知、组织情况和服务质量等。最终,通过理论性编码构建高校教职工“压力产生-应对-心理健康服务利用行为”模型。结论:该高校针对教职工的心理健康服务实际缺位。个人认知、组织情况和服务质量是影响教职工心理健康服务利用行为的潜在因素,心理问题感知易感性低,心理健康服务感知益处低、障碍多,缺乏信任,组织间存在部门壁垒,服务推广不力以及服务质量低都是阻碍高校教职工利用心理健康服务的重要因素。教职工主要通过调节身体与行为活动和获取心理与情感支持两条途径来应对工作压力,应对风格表现为情绪调节的积极方向与解决问题或回避问题的组合。

【Abstract】 Objective: To explore the patterns and influencing factors of psychological health service utilization among faculty and staff at a university in Hubei Province, providing a basis for accurately assessing their mental health status, improving psychological well-being, and delivering high-quality psychological services. Methods: Between December 2022 and June 2023, semi-structured interviews were conducted with 22 faculty and staff members at a university in Hubei Province. Relevant materials were collected and subjected to grounded theory qualitative analysis, including open, axial, and selective coding. Results: Three levels of coding yielded 57 primary concepts, 25 categories, and 9 main categories. The main categories comprised: physical and behavioral regulation, psychological and emotional regulation, personal cognition, organizational context, and service quality, among others. Ultimately, a "stress generation-coping-psychological service utilization behavior" model was constructed for university faculty and staff through theoretical coding. Conclusion: Psychological health services for faculty and staff at this university are largely inadequate. Personal cognition, organizational context, and service quality are latent factors influencing service utilization behaviors. Low sensitivity to psychological problem perception, limited perceived benefits versus numerous barriers to service use, lack of trust, interdepartmental silos, ineffective service promotion, and poor service quality all impede utilization. Faculty and staff predominantly cope with work stress through two pathways: physical and behavioral adjustment, and seeking psychological and emotional support. Their coping styles reflect a combination of positive emotional regulation with either problem-solving or avoidance strategies.

【关键词】 心理健康; 服务利用; 高校; 教职工; 湖北;
【Key words】 Mental Health; Service Utilization; University; Faculty and Staff; Hubei;
【基金】 国家社会科学基金资助重大项目,编号为18ZDA085;国家自然科学基金资助项目,编号为71804049;华中科技大学文科双一流建设项目基金资助“华中科技大学教职工心理健康状况调查研究”
  • 【文献出处】 医学与社会 ,Medicine and Society , 编辑部邮箱 ,2025年08期
  • 【分类号】G647;R395.6
  • 【下载频次】20
节点文献中: