需求层次满足干预对合同制医师心理状况的影响

杜欣1,石德光2,苏庆军2,朱立强2,赵康2

(1.解放军第251医院军人病房科,张家口075000；2.解放军第322医院,大同037006)

[摘要]目的通过对个体需求层次的满足干预，调查某军队医院合同制医师在需求层次满足前后心理健康状况的变化。方法采用症状自评量表(SCL-90)对某军队医院120名合同制医师进行问卷调查。结果干预前总均分和躯体化、强迫、人际关系、抑郁、焦虑、敌对、精神病性7项因子分显著高于国内常模(P<0.05)，其他因子分与国内常模无显著性差异(P>0.05)；干预后总均分及躯体化、强迫、人际关系、抑郁、焦虑、敌对、精神病性7项因子分显著低于干预前(P<0.05)，但干预后总均分和强迫、抑郁、焦虑3项因子分仍高于国内常模(P<0.05)。结论某军队医院合同制医师心理健康状况低于国内常模，需求层次的满足干预对心理健康状况的改善有一定影响。

[关键词]需求层次;合同制医师;心理健康

[中图分类号]R 197.32[文献标识码]A

[作者简介]杜欣,女,副主任医师;电话:0313-8785716

Influence of Demand Levels Meet on the Mental Health Status of Contract Physicians

DU Xin1, SHI De-guang2,SU Qing-jun2,ZHU Li-qiang2,ZHAO Kang2(1. Department of Soldiers’ Wards, No.251 Hospital of PLA, ZhangJiakou075000; 2. No.322 Hospital of PLA, Datong037006)

Abstract[]ObjectiveTo investigate the change of mental health status before and after the individual needs meet among the contract physicians in certain military hospital. MethodsThe symptom self-assessment scale (SCL-90) was used to survey 120 contract physicians in certain military hospital. ResultsThe total average score, somatization, obsessive-compulsive behavior, interpersonal sensitivity, depression, anxiety, hostility and psychosis scores before intervention are significantly higher than the regular model of the country (P<0.05). But, there was no significant difference between the other factors and the regular model of the country (P>0.05). The total average score, somatization, obsessive-compulsive behavior, interpersonal sensitivity, depression, anxiety, hostility and psychosis scores after intervention are significantly lower than before (P<0.05). But, the total average score, obsessive-compulsive behavior, depression, anxiety scores after intervention are still higher than the regular model of the country (P<0.05). ConclusionThe mental health status of the contract physicians in certain military hospital is inferior to the regular model of the country. The satisfaction of demand level intervention had certain influence on the improvement of the mental health status.

[Key words]demand level; contract physicians; mental health

Hosp Admin J Chin PLA，2015，22(9)：857-858.

随着军队医院体制编制调整，合同制医师在医院中的比例逐年上升，越来越成为一支重要的医疗力量。据文献报道，该群体的心理健康状况普遍不佳[1-4]，提升其心理健康状况对于医疗安全和医疗质量起着至关重要的作用。本文通过对个体需求层次的满足干预，调查干预前后某军队医院合同制医师心理健康状况。

1对象与方法

1.1研究对象2014年3月，随机选取某军队医院120名合同制医师进行问卷调查，有效问卷109份,其中男性61名，女性48名，平均年龄31±4.3岁。纳入标准：取得执业医师资格，工作满1年以上，无精神疾病史，半年内无重大家庭和应激事件发生，自愿接受调查。排除标准：有精神疾患，不能独立完成问卷，对问卷调查有疑虑或抵触情绪者。……