天津市医院感染管理人员心理健康的多因素分析
Multivariate analysis of psychological health among hospital infection prevention and control practitioners in Tianjin
刘贺 1费春楠 1张晓娟 1刘军 1宋佳 1闫峥1
作者信息
- 1. 天津市疾病预防控制中心消毒科,天津 300011
- 折叠
摘要
目的 了解医疗机构医院感染管理人员的职业应激和心理健康状况,并分析其主要影响因素.方法 于2021年11月,随机选择天津市550名医院感染管理人员,使用《简明职业紧张问卷》《抑郁筛查量表》(PHQ-9)和《焦虑自评量表》(SAS)开展问卷调查.回收有效问卷497份,总回收有效率为90.36％.使用单因素分析和多因素非条件logistic回归方法分析院感管理人员职业应激和焦虑及抑郁的主要影响因素.结果 497名医院感染管理人员焦虑和抑郁检出率分别为22.73％(113/497)和58.95％(293/497).性别、不同专业是抑郁的影响因素(P--0.000、0.001);平均每周工.作时长＞52 h和每周夜班天数＞1 d是焦虑的影响因素(P=0.035、0.014);平均每周工作时长＞52 h、每周夜班天数＞1 d、不同专业是职业应激的影响因素(P=0.000、0.025、0.010).多因素logistic回归结果显示,平均每周工作时长＞52 h者发生焦虑的风险是平均每周工作时长≤52 h者的1.753倍(P=0.038),女性发生抑郁的风险是男性的3.071倍(P=0.006).结论 工作时长是医院感染管理人员产生职业应激和焦虑的重要影响因素,应加强对医院感染管理人员的心理疏导,注意劳逸结合,以减少职业应激和心理健康问题的发生.
Abstract
Objective To understand the occupational stress and mental health status of hospital infection prevention and control practitioner(HIPCPs)in medical institutions,and analyze their main influencing factors.Methods In November 2021,550 nosocomial infection managers in Tianjin were randomly selected to conduct a questionnaire survey using the Concise Occupational Stress Questionnaire,Depression Screening Scale(PHQ-9)and Self-Rating Anxiety Scale(SAS).497 valid questionnaires were obtained,and the total recovery efficiency was 90.36％.Single factor analysis and multivariate logistic regression method were used to analyze the main influencing factors of occupational stress and mental health status of psychiatric managers.Results The detection rate of anxiety and depression among 497 HIPCPs was 22.73％(113/497)and 58.95％(293/497),respectively.Gender and major were the influencing factors of depression(P=0.000,0.001).Average working hours＞52 hours per week and night shift days＞l days per week were the influencing factors of anxiety(P=0.035,0.014).Average working hours＞52 h per week,night shift days＞1 d per week and different majors were the influencing factors of occupational stress(P=0.000,0.025,0.010).Multivariate logistic regression results showed that the risk of anxiety in those who worked more than 52 hours per week was 1.753 times that of those who worked less than 52 hours per week(P=0.038),and the risk of depression in women was 3.071 times that of men(P=0.006).Conclusion Working hours are an important influencing factor for occupational stress and anxiety among HIPCPs.In order to reduce the occurrence of occupational stress and mental health problems,it is necessary to strengthen psychological counseling for HIPCPs and balance work and rest.
关键词
感染控制人员/职业性应激/心理健康/多因素分析Key words
Infection control practitioners/Occupational stress/Mental health/Multivariate analysis引用本文复制引用
基金项目
天津市卫生健康科技面上项目(TJWJ2021MS016)
天津市医学重点学科建设项目(TJYXZDXK-50A)
出版年
2024
NETL
NSTL
万方数据