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目的:了解江苏省部分综合性三级甲等医院医务人员吸烟、饮酒行为状况及与心理健康状况的关系。方法:采用“医务人员健康状况调查表”(自填表)和90项症状自评量表(SCL-90),对南京医科大学第一附属医院等7家综合性三级甲等医院的医务人员进行调查。采用EpiData3.02双轨录入调查表数据,SPSS13.0软件进行统计分析。结果:共发放问卷1447份,收回合格问卷1418份,有效应答率98.0%。调查对象中,男性占30.5%,女性占69.5%,平均年龄(35.6±11.1)岁。总吸烟率为10.0%,男性吸烟率为31.2%,女性为0.8%,按照2000年第五次全国人口普查年龄构成进行标化,标化后总吸烟率为11.7%,男性吸烟率为26.6%,女性吸烟率为1.3%;男性吸烟率显著高于女性,以医技人员(25.8%)为主。总饮酒率为14.0%,男性饮酒率为40.4%,女性饮酒率为2.6%,标化后的总饮酒率为16.3%,男性饮酒率为37.0%,女性饮酒率为1.4%;男性饮酒率显著高于女性,以医技人员(28.9%)为主。除敌对、偏执、精神病性3个因子无显著性差异外,其他因子(躯体化、强迫、人际关系、抑郁、焦虑、恐怖)在吸烟与不吸烟医务人员间差异有统计学意义(P<0.05)。除躯体化、恐怖2个因子在饮酒与不饮酒两组医务人员间差异有显著性(P<0.05)外,其他因子的差异均无统计学意义。结论:三级甲等医院医务人员总吸烟率和总饮酒率均低于我国人群水平,但吸烟医务人员的心理健康水平较低。
Objective: To understand the relationship between smoking and drinking behavior and mental health status of medical workers in some Grade-III Hospitals in Jiangsu Province. Methods: A total of 7 comprehensive Grade-3 hospitals, including the First Affiliated Hospital of Nanjing Medical University, were selected using the Medical Health Checklist (SELF) and the 90 Symptom Checklist 90 (SCL-90) Medical staff to investigate. EpiData3.02 dual-track entry questionnaire data, SPSS13.0 software for statistical analysis. Results: A total of 1447 questionnaires were distributed and 1418 valid questionnaires were retrieved. The effective response rate was 98.0%. Among the respondents, 30.5% were men, 69.5% were women, and the average age was 35.6 ± 11.1 years. The total smoking rate was 10.0%. The male smoking rate was 31.2% and the female was 0.8%. According to the age composition of the fifth national census in 2000, the total smoking rate was 11.7% and the smoking rate was 26.6% , Smoking rate of 1.3% for women; men smoking rate was significantly higher than that of women, mainly medical technicians (25.8%). The total drinking rate was 14.0%, the male drinking rate was 40.4%, the female drinking rate was 2.6%, the total drinking rate was 16.3%, the male drinking rate was 37.0%, the female drinking rate was 1.4%; the male drinking rate was significantly Higher than women, mainly medical technicians (28.9%). Except for the three factors of hostility, paranoid and psychosis, there was no significant difference among other factors (somatization, coercion, interpersonal relationship, depression, anxiety and terror) between smoking and non-smoking medical workers (P <0.05 ). Except for somatization and horror, there were no significant differences in other factors between the two groups of medical staffs (P <0.05). Conclusion: The total smoking rate and total drinking rate of medical staff in Grade A hospitals are lower than that of our population, but the mental health of smoking medical staffs is low.