医疗纠纷对医务工作者心理影响调查与应对

Investigation and Response to the Psychological Impact of Medical Disputes on Medical WorkersLi Xiumei

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(6)
作者
作者单位

重庆市大足区人民医院医患关系办公室 ;

摘要
目的:探讨医疗纠纷对医务工作者心理的影响,并提出合理的应对措施。方法:随机选取2018年3月至2019年7月期间发生医疗纠纷的公立医院中的相关医务工作者100名为观察组,同时选取同期内未涉及医疗纠纷的医务工作者100名为对照组。对比分析两组医务人员HAMA、HAMD评分结果的差异,并就发生焦虑抑郁的危险因素进行多因素回归分析。结果:①两组研究对象的 HAMD总分存在明显差异,有统计学意义(t=11.907,P=0.000),在各因子中,在焦虑/躯体化、睡眠障碍、体重减轻、绝望感及激越等方面,观察组明显高于对照组,差异有统计学意义(P<0.05)。②两组研究对象的HAMA 总分差异有统计学意义 (t=14.271,P=0.000),在各因子中,观察组的精神性焦虑和躯体性焦虑评分均明显高于对照组,差异有统计学意义(P<0.05)。③多元线性回归分析结果显示:女性、文化程度较低者、职称较低者、工作年限较低者及发生过医疗纠纷者均是产生焦虑/抑郁情绪的影响因素。结论:医疗纠纷后,医务人员会出现焦虑、抑郁等情绪,建议采用合理的应对措施以改善不良的心理状态。
Abstract
Objective: To explore the psychological impact of medical disputes on medical workers and put forward reasonable countermeasures. Methods: 100 medical workers in public hospitals with medical disputes from March 2018 to December 2019 were randomly selected as observation group, and 100 medical workers without medical disputes during the same period were selected as control group. The differences of HAMA and HAMD scores between the two groups were compared and analyzed, and the risk factors of anxiety and depression were analyzed by multivariate regression analysis. Results: ①There was significant difference in HAMD total score between the two groups (t=11.907, P=0.000). Among the factors, anxiety/somatization, sleep disorder, weight loss, despair and agitation in the observation group were significantly higher than those in the control group (P<0.05). ② There was significant difference in HAMA total score between the two groups (t = 14.271, P = 0.000). Among the factors, the scores of mental anxiety and somatic anxiety in the observation group were significantly higher than those in the control group, with significant difference (P < 0.05). ③ The results of multiple linear regression analysis showed that women, those with lower education, those with lower professional titles, those with lower working years and those with medical disputes were the influencing factors of anxiety/depression. Conclusion: After medical disputes, medical staff will have anxiety, depression and other emotions. It is suggested to adopt reasonable coping measures to improve the bad psychological state.
关键词
医疗纠纷;焦虑;抑郁;医务人员
KeyWord
Medical disputes; Anxiety; Depression ;Medical staff
基金项目
页码 978-981
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李秀梅*. 医疗纠纷对医务工作者心理影响调查与应对 [J]. 国际精神病学杂志. 2019; 46; (6). 978 - 981.

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