论文部分内容阅读
目的 探讨社区医务人员心理健康状况及其存在的问题。方法 应用 SCL-90对 3 1 6名医务人员进行调查 ,调查结果与全国常模进行对照 ,同时进行医生、护士、医技、常模间的对照。应用自制的患者评定量表对社区医院环境、硬件设施、技术质量、服务态度、收费、健康教育、心理疏导、灵活性等进行调查。结果 除躯体化外 ,社区医务人员整体、医生 SCL-90总分及各因子均分均较全国常模低 ,比较有显著性差异 ;除躯体化、敌对、恐怖、精神病因子外 ;护士组 SCL-90分及各因子均分均较常模低 ,比较有显著性差异 ;除躯体化、敌对外 ,医技组 SCL-90总分及各因子均分均较常模低 ,比较有显著性差异 ;医护、护技之间 SCL-90总分及各因子均分无差异 ;医、技之间 ,除敌对外 ,SCL-90总分和各因子均分无差异 ;社区医院服务态度、收费、灵活性最好 ,硬件设施、健康教育、心理疏导严重缺乏。结论 社区医务人员心理健康水平较好 ,能提供较好的服务 ;社区医院硬件设施应更新 ,应多开展健康教育、心理疏导工作
Objective To explore the mental health of community medical staff and its existing problems. Methods SCL-90 was used to survey 3161 medical staffs, and the results were compared with the national norm. At the same time, doctors, nurses, medical technicians and norm were compared. The self-made patient rating scale was used to investigate the community hospital environment, hardware facilities, technical quality, service attitude, charges, health education, psychological counseling and flexibility. Results In addition to somatization, the overall score of SCL-90 and the average score of each factor in the community medical staff were significantly lower than those in the national standard, with significant differences. In addition to somatization, hostility, terror and psychiatric factors, SCL- -90 points and all factors were lower than the norm, compared with significant differences; in addition to somatization, hostility, the sci-tech group SCL-90 total score and the factors were lower than the norm, compared with significant There was no difference between SCL-90 score and each factor in medical care and nursing care skills. There was no difference in the scores of SCL-90 and other factors except for hostility between medical treatment and technical training. Community hospital service attitude, fee , The best flexibility, hardware facilities, health education, a serious lack of psychological counseling. Conclusion The mental health of community health workers is good and can provide better services. The hardware facilities of community hospitals should be updated. Health education and psychological counseling should be carried out more