目的: 对疗养院医务人员的负性情绪现状进行调查,并探究人性化干预对疗养院医务人员的负性情绪改善的应用效果。方法: 选取2022年1月至2023年12月于某疗养院就职的98名医务人员为研究对象,收集医务人员的一般资料,所有医务人员均采用抑郁-焦虑-压力量表简体中文版进行负性情绪调查,并比较实施人性化干预前后两组的负性情绪、心理负荷评分、满意率和负性情绪发生率。结果: 98例疗养院医务人员中,存在负性情绪的医务人员共42例,占比42.86%（42/98）;其中抑郁11例,占比11.22%;焦虑27例,占比27.55%;压力19例,占比19.39%。人性化干预后医务人员的各项负性情绪评分较实施前均有所降低（P<0.05）;人性化干预后医务人员的负荷感受、自我评价、总分较实施前均有所降低（P<0.05）。人性化干预后医务人员的满意率较实施前有所提高,负性情绪发生率较实施前有所降低（P<0.05）。结论: 疗养院医务人员存在一定的负性情绪问题,通过人性化干预可以有效改善医务人员的负性情绪、心理负荷评分、满意率和负性情绪发生率。
Abstract
Objective To investigate the current situation of negative emotions of medical staff in sanatoriums, and explore the effect of humanized intervention on improving negative emotions. Methods A total of 98 medical workers working in a nursing home from January 2022 to December 2023 were selected as the research subjects. General data of the medical workers were collected. All medical workers were surveyed on negative emotions using the simplified Chinese version of depression-anxiety-stress scale. The negative emotion, psychological load score, satisfaction rate and incidence of negative emotion were compared between the two groups before and after the humanized intervention. Results Among the 98 nursing home medical staff, 42 had negative emotions, accounting for 42.86% (42/98). Among them, 11 cases were depressed, accounting for 11.22%. There were 27 cases of anxiety, accounting for 27.55%; There were 19 cases of stress, accounting for 19.39%. After humanized intervention, all the negative emotion scores of medical staff were lower than before implementation, and the difference was statistically significant (P<0.05). After humanized intervention, the load perception, self-evaluation and total score of medical staff were decreased compared with those before implementation, and the difference was statistically significant (P<0.05). The satisfaction rate of medical staff after humanized intervention was higher than that before implementation, and the incidence of negative emotion was lower than that before implementation, with statistical significance (P<0.05). Conclusion There are some negative emotion problems among medical staff in nursing homes. Humanistic intervention can effectively improve the negative emotion, psychological load score, satisfaction rate and incidence of negative emotion of medical staff, which has high clinical application value.
关键词
疗养院 /
医务人员 /
负性情绪 /
现状调查 /
人性化干预
Key words
nursing home /
medical personnel /
negative emotions /
investigation of current situation /
humanized intervention
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参考文献
[1] 曹瑞丹, 张磊, 马金磊, 等. 直升机机组人员夜视镜使用情况调查及其对夜间战场直升机医疗救援课程构建的启示[J]. 解放军医学院学报, 2023, 44(12): 1340-1343, 1356.
[2] 刘旭, 唐碧菡, 崔艳, 等. 某特勤疗养中心疗养官兵睡眠质量、焦虑状态及其影响因素分析[J]. 中华航海医学与高气压医学杂志, 2022, 29(02): 251-253.
[3] 赵海霞. 护理专业素质与人文素养的有效结合评价[J]. 罕少疾病杂志, 2020, 27(01): 94-95, 106.
[4] 许泽宁, 吴建南, 高晓路. 疫情分级分类管控机制的优化策略研究——以新冠肺炎疫情为例[J]. 城市发展研究, 2020, 27(07): 5-10, 89.
[5] 董红, 崔慧霞, 徐笑笑, 等. 康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系[J]. 中国康复理论与实践, 2022, 28(06): 739-744.
[6] 龚栩, 谢熹瑶, 徐蕊, 等. 抑郁-焦虑-压力量表简体中文版 (DASS-21) 在中国大学生中的测试报告[J]. 中国临床心理学杂志, 2010, 18(04): 443-446.
[7] 梁丽玲, 赵丽, 邓娟, 等. NASA-TLX量表的汉化及信效度检验[J]. 护理研究, 2019, 33(05): 734-737.
[8] 孙晓芳. 军队疗养院优质护理服务品牌的创建与实施——评《现代疗养院服务管理》[J]. 林产工业, 2020, 57(04): 128.
[9] 黄继峥, 韩明锋, 罗腾达, 等. 新型冠状病毒肺炎定点收治医院医务人员心理健康调查[J]. 中华劳动卫生职业病杂志, 2020(03): 192-195.
[10] 杨华杰, 王皓翔, 陈运聪, 等. 新型冠状病毒感染疫情常态化防控背景下社区医务人员心理健康状况及影响因素分析[J]. 中国全科医学, 2024, 27(07): 834-842.
[11] VIZHEH M, QORBANI M, ARZAGHI SM, et al.The mental health of healthcare workers in thecoVID-19 pandemic: a systematic review[J]. J Diabetes Metab Disord, 2020, 19(2020): 1967-1978.
[12] RYU H, JUNG J, MOON J.Health promotion program for office workers with SEM based on the WHO's healthy workplace frameworkJ]. Health Promot Int, 2020, 35(6): 1369-1382.
[13] 潘芳, 唐俊琳, 刘仲霞, 等. 潜艇疗养员心理健康状况调查[J]. 环境与健康杂志, 2019, 36(12): 1103-1104.
[14] 庞永丽, 方蘅英, 陈妙霞, 等. 新型冠状病毒肺炎抗疫一线护士工作心理负荷及影响因素调查[J]. 护理学杂志, 2020, 35(13): 68-70.
[15] 石爱丽, 程玲灵, 章梦飞, 等. 急诊科护士应对重大突发公共卫生事件心理负荷现状及潜在剖面分析[J]. 中华急危重症护理杂志, 2023, 4(12): 1075-1081.
[16] 刘永, 吴峥, 魏宁, 等. 北京市属公立医院高级专业技术人员职业压力源分析及对策研究[J]. 中国医院, 2023, 27(12): 78-81.
[17] S. NZ, D. AB, N. VT.Immune dysfunction in millitary personnel participating in special tasks and the possibility of medical and psychological rehabilitation[J]. Bulletin of the Russian Military Medical Academy, 2022, 24(2): 307-314.
[18] 李刚锋, 王文, 井勇, 等.14例军营内腺病毒肺炎的CT特征分析[J]. 中国CT和MRI杂志, 2018, 16(11): 59-61, 68.
[19] 石玉梅. 人性化管理模式应用于基层医院护理管理中的效果[J]. 中国卫生产业, 2022, 19(3): 130-133.
[20] 张礼梅, 彭姣. 全方位护理管理对儿科护理人员护理质量及职业倦怠的影响[J]. 临床医学研究与实践, 2021, 6(7): 180-182.
基金
广东省医学科学技术研究基金项目“广州地区居民痤疮的流行病学调查、相关危险因素分析及防治策略的研究”（C2023117）
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