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目的 了解综合医院临床医生与非临床医生心理健康状况。方法 采用 SCL-90、SDS、SAS对 2 1 8名临床医生和 94名非临床医生进行调查 ,将 SCL-90名因子分、SDS和 SAS总分分别比较 ,并与年龄作相关分析。结果 SCL-90的躯体化、强迫、抑郁、焦虑、恐怖、偏执及精神病性因子 ,临床医生高于非临床医生 (P<0 .0 1 ) ;而人际关系因子 ,临床医生低于非临床医生 (P<0 .0 5 ) ;敌对因子两者间无差异 ,强迫、人际关系、焦虑、偏执及精神病性因子与年龄为负相关 (P<0 .0 5 ) ,躯体化与年龄正相关 (P<0 .0 1 ) ,其余各因子与年龄无关。 SDS、SAS总分临床医生均高于非临床医生且有显著性差异 (P<0 .0 1 ) ;与年龄相关性无统计学意义。结论 综合医院中不同科室的医生的心理健康状况有一定的独特性 ,医院领导可针对其独特性分别进行心理指导 ,提高各科室医生的心理素质 ,减轻他们的心理压力。
Objective To understand the mental health of clinicians and non-clinicians in general hospitals. Methods SCL-90, SDS and SAS were used to investigate 2181 clinicians and 94 non-clinicians. The scores of SCL-90 scores, SDS and SAS were compared and analyzed with age. Results The level of somatization, compulsion, depression, anxiety, terror, paranoid and psychotic factors of SCL-90 were higher in clinicians than in non-clinicians (P <0.01); while interpersonal factors were lower in clinicians than in non-clinicians (P <0.05). There was no difference between hostile factors, coercion, interpersonal relationship, anxiety, paranoid and psychotic factors were negatively correlated with age (P <0.05), somatization was positively correlated with age P <0. 01), the remaining factors have nothing to do with age. SDS, SAS total score of clinicians were significantly higher than non-clinicians (P <0 01); and age-related no statistically significant. Conclusion The mental health status of doctors in different departments in general hospitals has certain uniqueness. Hospital leaders can separately provide psychological guidance according to their uniqueness, and improve psychological quality of doctors in all departments and relieve their psychological pressure.