关素珍, 于双杰, 李文玉, 张晨. 针刺伤对医护人员心理健康的影响:以新疆某三甲医院为例[J]. 环境与职业医学, 2016, 33(2): 139-142. DOI: 10.13213/j.cnki.jeom.2016.15327
引用本文: 关素珍, 于双杰, 李文玉, 张晨. 针刺伤对医护人员心理健康的影响:以新疆某三甲医院为例[J]. 环境与职业医学, 2016, 33(2): 139-142. DOI: 10.13213/j.cnki.jeom.2016.15327
GUAN Su-zhen, YU Shuang-jie, LI Wen-yu, ZHANG Chen. Effect of Pricking Wound on Mental Health in Medical Workers: An Example of a Tertiary Class A Hospital in Xinjiang[J]. Journal of Environmental and Occupational Medicine, 2016, 33(2): 139-142. DOI: 10.13213/j.cnki.jeom.2016.15327
Citation: GUAN Su-zhen, YU Shuang-jie, LI Wen-yu, ZHANG Chen. Effect of Pricking Wound on Mental Health in Medical Workers: An Example of a Tertiary Class A Hospital in Xinjiang[J]. Journal of Environmental and Occupational Medicine, 2016, 33(2): 139-142. DOI: 10.13213/j.cnki.jeom.2016.15327

针刺伤对医护人员心理健康的影响:以新疆某三甲医院为例

Effect of Pricking Wound on Mental Health in Medical Workers: An Example of a Tertiary Class A Hospital in Xinjiang

  • 摘要: 目的

    了解医务人员针刺伤发生率及其对医务人员的心理影响。

    方法

    采用分层整群抽样方法,以新疆某三甲医院医护人员共432人(医生243人,护士189人)作为研究对象。对近一年内人口学信息、针刺伤情况和心理健康状态进行问卷调查。

    结果

    医生针刺伤发生率为44.4%(108/243),护士为52.4%(99/189),两类人群在有无针刺伤发生和发生次数上均存在差异(P < 0.05)。医生工龄越短(χ趋势2=10.357)、职称越低(χ趋势2=13.749),针刺伤发生次数越多(均P < 0.05)。与相应未发生针刺伤组相比,暴露组医生心理健康自评中躯体化、强迫症状、抑郁及焦虑因子得分均升高(P < 0.05),暴露组护士躯体化、强迫症状因子得分亦升高(P < 0.05)。多元线性回归分析显示:医生心理健康状况保护因素为高工龄和职称,危险因素为发生针刺伤;护士心理健康状况保护因素为高工龄,而危险因素为发生针刺伤。

    结论

    针刺伤可能会影响医护人员心理健康,建议加强个体心理健康教育。

     

    Abstract: Objective

    To investigate the occurrence of pricking wound and its effect on mental health of medical workers.

    Methods

    By stratified cluster sampling, 432 (including 243 physicians and 243 nurses) medical staff were selected from a tertiary class A hospital in Xinjiang and were surveyed with questionnaires on demographic characteristics, pricking wound, and mental health in recent one year.

    Results

    Statistical differences were found between physicians (44.4%, 108/243) and nurses (52.4%, 99/189) in the occurrence rate of pricking injuries (P < 0.05). Shorter service lengths (χtrend2=10.357) and lower professional titles (χtrend2=13.749) were associated with more pricking incidences of physicians (both P < 0.05). Compared with those without pricking wounds, the physicians with pricking wounds reported higher self-rated mental health scores of somatization, forced symptoms, depression, and anxiety (P < 0.05), and the nurses with pricking wounds reported higher scores of somatization and forced symptoms (P < 0.05). The results of multivariate linear regression analysis showed that protection factors for physicians' mental health included higher service lengths and professional titles and risk factors included pricking wound; protection factors for nurses' mental health was higher service length and risk factors was pricking wound.

    Conclusion

    Pricking wound might affect the medical staff's mental health; therefore, strengthened mental health education is suggested.

     

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