| 摘要 |
目的：了解医务人员二级创伤状况及其相关因素，为促进医务人员心理健康提供依据。方法：选取公立医院医务人员1423例，采用职业生活质量量表中的二级创伤分量表评估二级创伤状况，采用中国大五人格问卷简式版、一般自我效能感量表、Rosenberg自尊量表、心理弹性量表、朗格专念量表、多维幽默感量表评估人格特质，采用多维社会支持感知量表评估社会支持度，分析医务人员的二级创伤与人格特质等因素的关系。结果：医务人员的职业生活质量量表中二级创伤分值比较，40～50岁高于20～30岁［(28.34±6.19)vs.(26.98±5.92),P〈0.05］；二级创伤分值与职称、医院等级、学历、工作时间、年收入以及中国大五人格问卷中的神经质、尽责性因子和多维幽默感量表中的幽默应对因子分值正相关(r=0.06～0.40,均P〈0.05)，与多维社会支持感知量表中的其他社会支持、朗格专念量表中的专注、Rosenberg自尊量表分值负相关(r=-0.24、-0.19、-0.29,均P〈0.01)。结论：医务人员的二级创伤与年龄、收入、医院等级、职称、工作时间、学历、神经质、尽责性、幽默应对正相关，与其他社会支持、专注、自尊负相关。
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| Abstract |
Objective: To understand the secondary traumatic stress(STS) among medical staff and its related factors, and providing evidence for promoting the mental health of medical staff. Methods:1423 medical staffs in public hospitals were selected, and evaluated STS by Professional Quality of Occupational Life Scale (ProQOL), evaluated personality trait by Chinese Big Five Personality Inventory brief version(CBF–PI–B), General Self-Efficacy Scale(GSES),Rosenberg Self-Esteem Scale(RSES),Connor-Davidson Resilience Scale(CDRS),Langer Mindfulness Scale(LMS),and Multidimensional Sense of Humor Scale(MSHS),assessed social support by Multidimensional Scale of Perceived Social Support(MSPSS),and analysed the relationship between STS and personality trait. Results: Comparing the STS score in ProQOL ,age 40-50 was higher than that of age 20 -30 [(28.34±6.19)vs.(26.98±5.92),P〈0.05]. The STS score was positively associated with the scores of positional title, hospital rank, qualification, working hours, annual income, Neuroticism and Conscientiousness in CBF–PI–B, Humor Coping in MSHS (r=0.06-0.40, P<0.05), and negative associated with the scores of Other Social Support in MSPSS, Engagement in LMS and RSES (r=-0.24,-0.19,-0.29, P<0.01). Conclusion: The STS of medical staff is positively associated with age, income, hospital rank, positional title, working hours, qualification, Neuroticism, Conscientiousness, Humor Coping, and negatively associated with Other Social Support, Engagement and Selfesteem.
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