首页|新型冠状病毒感染疫情期间医务人员心理健康状况、工作满意度调查及其影响因素分析

新型冠状病毒感染疫情期间医务人员心理健康状况、工作满意度调查及其影响因素分析

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目的 分析新型冠状病毒感染疫情期间隔离场所医务人员抑郁、焦虑心理健康情况和工作满意度情况及其影响因素.方法 选取2022年3-9月在广东省广州市入境隔离酒店、健康驿站等集中隔离场所工作的223名公立医疗机构医务人员为调查对象,作为闭环组;以同属公立医疗机构的455名未到过隔离场所的医务人员作为对照组.对两组进行问卷调查,调查一般情况;采用美国精神病学会出版《精神障碍诊断统计手册》抑郁症筛查量表(PHQ-9)和广泛性焦虑障碍筛查量表(GAD-7)评估调查对象抑郁、焦虑状况;采用明尼苏达满意度短式量表(MSQ)调查问卷调查医务人员的工作满意度.采用多元logistics回归分析工作满意度影响因素.结果 不同年龄闭环人员中重度及以上抑郁发生率比较差异有统计学意义(x2=8.736,P<0.05),不同年龄、职称的中重度焦虑发生率比较差异有统计学意义(x2值分别为19.598、13.636,P<0.05).与对照组比较,闭环组 PHQ-9、GAD-7 评分高(t 值分别为 3.887、5.919,P<0.05).不同闭环工作时长PHQ-9评分差异有统计学意义(t=3.124,P<0.05).不同职称闭环人员外在满意度、总体满意度评分比较差异有统计学意义(F值分别为4.470、2.988,P<0.05).内在满意度方面进入回归方程的因素有是否体现自身价值(t=-6.519,95%CI:-0.899~-0.484,P<0.05)进入回归方程,并具有负向预测作用;外在满意度和总体满意度方面是否体现自身价值(t=-4.45,95%CI:-0.895~-0.347,P<0.05)、收入是否达到预期(t=-3.539,95%CI:-0.846~-0.242,P<0.05)、职称(t=-3.323,95%CI:-0.316~-0.080,P<0.05)三个因素纳入回归方程,具有负向预测作用.结论 新型冠状病毒感染疫情期间隔离场所医务人员存在抑郁、焦虑心理,且与闭环工作时长有关;是否体现自身价值、收入、职称是其工作满意度的影响因素.
Investigation on mental health status and job satisfaction of medical staff during the COVID-19 period and analysis of influencing factors
Objective To analyze the depression,anxiety,mental health and job satisfaction of medical staff in isolation places during COVID-19 as well as their influencing factors.Methods A total of 223 medical staff of public medical in-stitutions who worked in centralized isolation sites such as inbound isolation hotels and health posts in Guangzhou city,Guangdong province,from March to September 2022 were selected as the survey respondents as a closed-loop group,and 455 medical staff who did not visit isolation sites in the same public medical institutions were selected as the control group.Questionnaires were administered to both groups,including general information;the screening scale for depression(PHQ-9)and the screening scale for generalized anxiety disorder(GAD-7)published by the Diagnostic Statistical Manual of Mental Disorders of the American Psychiatric Association were used to assess the depression and anxiety status of the respondents;and in the third part,the Minnesota Satisfaction Short-form Questionnaire(MSQ)questionnaire was used to investigate the job satisfaction of the medical staff.Multiple logistics regression was used to analyze the factors affecting job satisfaction.Results There was a statistically significant difference in the comparison of the incidence of moderate-to-severe and above depression among closed-loop personnel of different ages(x2=8.736,P<0.05),and in the compari-son of the incidence of moderate-to-severe anxiety among different ages and job titles(x2=19.598 and 13.636,P<0.05).PHQ-9 and GAD-7 scores were higher in the closed-loop group compared to the control group(t=3.887 and 5.919,P<0.05).The difference in PHQ-9 scores between different closed-loop working hours was statistically signifi-cant(t=3.124,P<0.05).There were differences in external satisfaction and overall satisfaction scores among different pro-fessional titles(F=4.470 and 2.988,P<0.05).The factors that entered the regression equation for intrinsic satisfaction were whether or not they reflect their own value(t=-6.519,95%CI:-0.899--0.484,P<0.05)entered the regres-sion equation and had a negative predictive effect;for extrinsic satisfaction and overall satisfaction,whether or not they reflect their own value(t=-4.45,95%CI:-0.895--0.347,P<0.05),whether income meets expecta-tions(t=-3.539,95%CI:-0.846--0.242,P<0.05),and title(t=-3.323,95%CI:-0.316--0.080,P<0.05)were included in the regression equation,which had negative predictive effects.Conclusion Depression and anxiety were present among medical staff in isolation sites during COVID-19 outbreak and were associated with closed-loop working hours;whether they reflected their own values,income,and title were influential factors in their job satisfaction.

COVID-19OutbreakMedical staffMental healthJob satisfactionInfluencing factors

李曦然、李瑛、何志坚、吴秋梅、吴翠霞

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广州市南沙区疾病预防控制中心办公室,广东 511457

广州市南沙区第一人民医院医务科

广州市南沙区第六人民医院院感科

广州市南沙区鱼窝头医院院感科

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新型冠状病毒感染 疫情 医务人员 心理健康 工作满意度 影响因素

广东省广州市科技计划一般项目

2022010118807

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(1)
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