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目的调查不同婚姻状况的精神科医护人员症状自评及社会支持间的差异,分析并提出建议对策,为改善精神科医护人员自身症状和提高医疗服务水平提供理论依据。方法随机抽取吉林省精神科专科医院832名医护人员作为调查对象,采用问卷调查法收集资料,有效问卷759份,问卷由个人基本资料、症状自评量表和社会支持量表3部分组成。结果不同婚姻情况对精神科医护人员症状自评方面的影响主要体现在躯体化(1.47±0.55,P<0.01)、抑郁(1.43±0.55,P<0.05)和偏执(1.32±0.48,P<0.05)3大方面,差异均有统计学意义。社会支持总分(F=14.29,P<0.01)、主观支持(F=4.07,P<0.05)和客观支持(F=20.14,P<0.01)差异均有统计学意义,而对社会支持的利用度上差异无统计学意义。结论已婚合法的精神科医护人员症状自评状况优于未婚和离异、丧偶的医护人员,社会支持程度也高于未婚和离异、丧偶的医护人员。离异和丧偶的医护人员有更大的抑郁和偏执倾向,应给予这些护理人员提供更多的社会帮助与关爱。
Objective To investigate the differences of self-assessment and social support for psychiatric nurses in different marital status, analyze and propose the countermeasures, and provide theoretical basis for improving their own symptoms and improving the level of medical service. Methods A total of 832 medical and nursing staffs from Jilin Province psychiatric hospital were randomly selected. The questionnaires were used to collect data and 759 valid questionnaires were collected. The questionnaire consisted of three parts: basic personal information, symptom self-rating scale and social support scale. Results The effects of different marital status on symptom check-ups of psychiatrist staff were mainly manifested in somatization (1.47 ± 0.55, P <0.01), depression (1.43 ± 0.55, P <0.05) and paranoid ) 3 major aspects, the differences were statistically significant. The differences of social support scores (F = 14.29, P <0.01), subjective support (F = 4.07, P <0.05) and objective support Degree difference was not statistically significant. Conclusion The symptom self-assessment of married legal psychiatrists is better than unmarried and divorced widowed medical staff, and the social support is also higher than that of unmarried and divorced widowed medical staff. Divorced and widowed medical staff have greater depression and paranoid tendencies, these caregivers should be given more social help and care.