[1]谷珊珊,宫海燕,何梅.医护人员血源性职业暴露心理健康状况及应对方式的相关性研究[J].第三军医大学学报,2013,35(21):2371-2374.
 Gu Shanshan,Gong Haiyan,He Mei.Psychological status and coping styles of medical staffs with occupational exposure to blood infectious diseases[J].J Third Mil Med Univ,2013,35(21):2371-2374.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第21期
页码:
2371-2374
栏目:
论著
出版日期:
2013-11-15

文章信息/Info

Title:
Psychological status and coping styles of medical staffs with occupational exposure to blood infectious diseases
作者:
谷珊珊宫海燕何梅
第三军医大学西南医院:临床心理科,预防保健科
Author(s):
Gu Shanshan Gong Haiyan He Mei
Department of Clinical Psychology, Department of Prevention and Healthcare, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China
关键词:
医务人员血源性职业暴露心理健康应对方式相关
Keywords:
medical staffs occupational exposure to blood infectious diseases psychological condition coping style correlation
分类号:
R135.99; R192; R395.6
文献标志码:
A
摘要:
目的      了解医务人员血源性职业暴露的心理健康状况、创伤后应激障碍发生率及与应对方式的相关性,探讨其有效的预防模式及心理干预对策。      方法        采用回顾性问卷调查方式,运用症状自评量表,PTSD 自评量表及简易应对方式问卷,调查2011年6月至2012年11月213人血源性职业暴露的医务人员。      结果        医护人员血源性职业暴露后SCL-90总分、躯体化、人际关系敏感、抑郁、焦虑、恐怖因子分显著高于常模(P<0.05);PCL-C总分为14~58(32.69±10.73)分,3类症状再体验、回避、警觉的得分为(10.67±3.78)、(11.56±4.98)、(10.01±5.76), PTSD阳性率为16.90%。积极应对方式显著高于常模(P<0.05)。积极应对方式与SCL-90总分、焦虑、抑郁、敌对、偏执呈显著负相关(r分别为-0.138、-0.365、-0.201、-0.188、-0.235,P<0.05)。消极应对方式与SCL-90总分、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性、PTSD总分、再体验、回避、警觉呈显著正相关(r分别为0.194、0.141、0.401、0.354、0.201、0.436、0.308、 0.323、0.269、0.286、0.315、0.287,P<0.05)。消极应对方式可以预测心理健康水平及PTSD的发生(Beta分别为0.186、0.152)。      结论        医护人员血源性职业暴露后心理健康状况不容乐观,PTSD的发生率较高,应给予正确指导和心理干预,采取更有效的应对方式。
Abstract:
Objective       To investigate the psychological status, incidence of post-traumatic stress disorder (PTSD), and coping styles in medical staff who having occupational exposure to blood infectious diseases in order to explore effective modes of prevention and psychological intervention measures.       Methods       A total of 213 medical staffs with occupational exposure to blood infectious diseases during June 2011 to November 2012 were inquired by questionnaires including self-report symptom checklist 90, PTSD, self-rating and questionnaire on copying styles.       Results       SCL-90 total score, somatization, interpersonal sensitivity, depression, anxiety, phobic were significantly higher in the medical staffs than the norm (P<0.05). The total score of PCL-C was 14 to 58 points (32.69±10.73). And the sore of subscales re-experiencing the trauma, avoidance behaviors and hyper-arousal behaviors was 10.67±3.78, 11.56±4.98 and 10.01±5.76 respectively, and the positive rate of PTSD was 16.90%. Active coping style was significantly higher than the norm (P<0.05). Positive coping styles had an obvious negative correlation with SCL-90 total score, anxiety, depression, hostility, paranoia (r=-0.138, -0.365, -0.201, -0.188, -0.235, P<0.05). Negative coping style had an obvious positive correlation with SCL-90 total score, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoia, psychosis, total score of PTSD, subscales re-experiencing the trauma, avoidance behaviors and hyper-arousal behaviors (r=0.194, 0.141, 0.401, 0.354, 0.201, 0.436 , 0.308, 0.323, 0.269, 0.286, 0.315, 0.287, P<0.05). Negative coping style predicted the status of mental health and the incidence of PTSD (Beta=0.186, 0.152).       Conclusion      Mental health status of medical staffs with occupational exposure to blood infectious diseases is not optimistic, with higher incidence of PTSD. Right guidance and psychological intervention should be given to take a more effective coping styles.

参考文献/References:

谷珊珊, 宫海燕, 何梅. 医护人员血源性职业暴露心理健康状况及应对方式的相关性研究[J].第三军医大学学报,2013,35(21):2371-2374.

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更新日期/Last Update: 2013-11-06