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日间病房医护人员心身-消化症状调查研究

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目的 了解天津市三级综合性医院日间病房医护人员的心身及胃肠道症状变化.方法 2023 年 1-12 月,以天津市部分三级综合医院日间病房医护人员作为研究对象,选取同时期其他病房医护人员为对照组,采用胃肠道症状评定量表(gastro-intestinal symptom rating scale,GSRS)、Zung焦虑自评量表(Zung self-ratinng anxiety scale,SAS)、Zung抑 郁 自 评 量 表(Zung self-ratinng depression scale,SDS)进行胃肠道症状和心理测评,根据积分变化进行统计学分析,了解日间病房医护人员胃肠道症状和焦虑抑郁情况.结果 调查对象SAS平均分为(35.28±8.71)分,SDS平均分为(38.85±10.17)分;不同人口学分组之间SAS、SDS及GSRS平均得分差异无统计学意义(P>0.05);已婚焦虑检出率高于未婚,差异有统计学意义(P<0.05),其余人口学分组之间焦虑、抑郁检查率差异无统计学意义(P>0.05).GSRS平均得分为(28.80±11.44)分,GSRS得分由高至低依次为焦虑合并抑郁组、焦虑组、抑郁组、非焦虑合并非抑郁组,差异有统计学意义(P<0.05).结论 日间病房医护人员部分人员出现心身-消化症状且GSRS得分与焦虑、抑郁密切相关,但其发生率低于普通病房,日间病房的组建在一定程度上可以缓解医护人员心身-消化道症状的出现.
Study on Psychosomatic and Gastrointestinal Symptoms of Medical Staff in Day Ward
Objective To understand the changes in psychosomatic and gastrointestinal symptoms among healthcare staff in the day wards of tertiary general hospitals in Tianjin.Methods From January to December 2023,healthcare staff in the day wards of several tertiary general hospitals in Tianjin were selected as the study subjects,while healthcare staff in other wards during the same period were chosen as the control group.The gastro-intestinal symptom rating scale(GSRS),Zung self-rating anxiety scale(SAS),and Zung self-rating depression scale(SDS)were employed to assess gastrointestinal symptoms and psychological conditions.Statistical analysis was conducted based on the changes in scores to understand the gastrointestinal symptoms and anxiety-depression status of the healthcare staff in the day wards.Results The average score of SAS for the study subjects was(35.28±8.71)points,and the average score of SDS was(38.85±10.17)points.There were no statistically significant differences in the average scores of SAS,SDS,and GSRS among different demographic groups(P>0.05).The anxiety detection rate among married individuals was higher than that of unmarried individuals,and this difference was statistically significant(P<0.05).However,there were no statistically significant differences in the anxiety and depression detection rates among other demographic groups(P>0.05).The average score of GSRS was(28.80±11.44)points,and the GSRS scores ranked from high to low were as follows:anxiety with depression group,anxiety group,depression group,and non-anxiety with non-depression group,with statistically significant differences observed(P<0.05).Conclusion Some healthcare staff in the day wards experience psychosomatic-digestive symptoms,and the GSRS scores are closely related to anxiety and depression.However,the incidence is lower than that in general wards.The establishment of day wards can,to some extent,alleviate the occurrence of psychosomatic-digestive symptoms among healthcare staff.

day wardhealthcare personneldepressionanxietypsychosomatic disordersdigestive symptoms

王楠

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天津市第四中心医院骨科,天津 300140

日间病房 医务人员 抑郁 焦虑 心身疾病 消化症状

2024

继续医学教育
天津医学高等专科学校

继续医学教育

影响因子:0.637
ISSN:1004-6763
年,卷(期):2024.38(11)