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目的探讨职业再培训医务人员在内控性、有势力他人和机遇三方面心理控制能力的状况及其影响因素。方法采用横断面研究,使用内控性、有势力他人及机遇量表(internality,powerful others and chance scales,IPC)对282名职业再培训医务人员进行问卷调查。结果被调查医务人员在内控性、有势力他人及机遇三方面的平均分值分别为(29.59±6.23)分、(17.14±6.59)分和(16.73±6.55)分。职业再培训医务人员内控性、有势力他人两方面分值均低于对照。职业再培训医务人员的内控性与健康自评、户籍和年龄均相关(均有P<0.05),有势力他人与性别、健康变化和医务人员来源均相关(均有P<0.05),机遇与性别、健康变化和健康自评均相关(均有P<0.05)。结论职业再培训医务人员心理控制能力的薄弱点在内控性方面,应对县镇和农村的医务人员等高危人群进行心理辅导、心理咨询以及增强体质等有针对性的干预措施,增强医务人员的心理控制能力,从而提高医疗技术水平。
Objective To explore the status and influential factors of occupational retraining medical personnel’s ability of controlling mental health among three aspects: internal control, influential others and opportunities. Methods A cross-sectional study was conducted on 282 vocational retraining medical staff using the internal control, influential others and chance scales (IPC). Results The average score of the medical staff under investigation was (29.59 ± 6.23) points, (17.14 ± 6.59) points and (16.73 ± 6.55) points, respectively. Vocational retraining medical staff internal control, influential others scores lower than the control. Occupational control and health self-assessment of medical retraining workers, household registration and age were related (all P <0.05), and those of influential persons were related to gender, health changes and sources of medical staff (all P <0.05) Gender, health changes and health self-assessment were related (P <0.05). Conclusions The weakness of the psychology control ability of vocational retraining medical staff In terms of internal control, we should take psychological counseling, counseling, physical fitness and other targeted interventions for high-risk groups such as medical workers in county and rural areas, and enhance the psychology of medical staff Control ability, thereby enhancing the level of medical technology.