公共卫生与预防医学论著

鲁东地区肿瘤科医护人员心理健康状况及影响因素*

  • 刘灿 ,
  • 肖采璐 ,
  • 李颖洁 ,
  • 白庆瑞 ,
  • 钟雪 ,
  • 唐思源
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  • 1.山西医科大学管理学院,山西太原 030001;
    2.康复大学青岛中心医院—青岛市中心医疗集团;
    3.上海市疾病预防控制中心;
    4.青岛市崂山区午山馨苑社区卫生服务站;
    5.内蒙古科技大学包头医学院
唐思源

收稿日期: 2025-04-30

  网络出版日期: 2025-10-11

基金资助

*内蒙古自然科学基金项目(2024LHMS06006);内蒙古自治区大学生创新创业训练计划项目(s202410130004)

Mental health status and influencing factors of medical staff in oncology department of east areas of Shandong province

  • LIUCan ,
  • XIAO Cailu ,
  • LI Yingjie ,
  • BAI Qingrui ,
  • ZHONG Xue ,
  • TANG Siyuan
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  • 1. School of Management, Shanxi Medical University, Taiyuan 030001, China;
    2. Qingdao Central Hospital, University of Health and Rehabilitation Sciences;
    3. Shanghai Municipal Center for Disease Control and Prevention;
    4. Wushan Xinyuan Community Health Service Station, Laoshan District, Qingdao;
    5. Baotou Medical College, Inner Mongolia University of Science and Technology

Received date: 2025-04-30

  Online published: 2025-10-11

摘要

目的:探讨鲁东地区肿瘤科医护人员心理健康状况及影响因素,为心理评估和干预提供依据。方法:于2023年9-12月选取鲁东地区三甲医院肿瘤科720名医护人员作为研究对象,采用症状自评量表问卷调查,多重线性回归分析影响因素。结果:医生的抑郁、焦虑、敌对和恐惧4因子心理健康得分低于护士。按照职业分层后,医生组中,女性、硕士及以上学历、已婚、工作年限>10年、家庭月收入<10000元、每周夜班频次>3次的人群心理健康状况得分较高(P<0.05);护士组中,仅女性和家庭月收入<10000元的人群心理健康状况得分较高(P<0.05)。多重线性回归显示,性别是影响肿瘤科医护人员心理健康状况的重要因素,受教育程度仅对医生有重要影响。结论:鲁东地区肿瘤科医护人员心理健康状况存在差异,应加大对女性和低收入人群心理健康教育的投入力度,为其提供及时的心理支持与疏导服务,进而有效提升其心理健康水平。

本文引用格式

刘灿 , 肖采璐 , 李颖洁 , 白庆瑞 , 钟雪 , 唐思源 . 鲁东地区肿瘤科医护人员心理健康状况及影响因素*[J]. 包头医学院学报, 2025 , 41(9) : 7 -13 . DOI: 10.16833/j.cnki.jbmc.2025.09.002

Abstract

Objective: To explore the mental health status and influencing factors of medical staff in oncology department of east areas of Shandong province, and to provide basis for psychological assessment and intervention. Methods: From September to December 2023, a total of 720 medical staff in the oncology department of a tertiary hospital in east areas of Shandong province were selected. The symptom self-rating scale was used to investigate the influencing factors, and multiple linear regression analysis was used to analyze the influencing factors. Results: The mental health scores of depression, anxiety, hostility and terror of doctors were lower than those of nurses. After occupational stratification, the mental health scores of female, master′s degree or above, married, working years >10 years, family monthly income <10 000 yuan and weekly night shift frequency >3 times were higher in the doctor group (P<0.05), while in the nurses group, only women and those with family monthly income <10 000 yuan had a higher mental health score (P<0.05). Multiple linear regression showed that gender was an important influencing factor, and education level only had an important impact on doctors. Conclusion: There are significant differences in the mental health status of medical staffs in oncology department of eastern areas of Shandong province. It is necessary to strengthen the mental health education of women and low-income people, give support and guidance, and improve their mental health level.

参考文献

[1] Wang L, Ni X, Li Z, et al. Mental Health Status of Medical Staff Exposed to Hospital Workplace Violence: A Prospective Cohort Study[J]. Front Public Health, 2022, 10: 930118.
[2] Zheng H, Song X, Li H, et al. Psychological stress responses of medical staff after workplace violence: a longitudinal study[J]. Am J Transl Res, 2022, 14(8): 5598-5604.
[3] Quan L, Zhang Y, Jiang F, et al. Influence of Workload, Personality, and Psychological Flexibility on Occupational Stress Among Medical Staff: A Fuzzy-Set Qualitative Comparative Analysis[J]. Front Public Health, 2022, 10: 929683.
[4] Wang Q, Wang F, Zhang S, et al. Effects of a mindfulness-based interventions on stress, burnout in nurses: a systematic review and meta-analysis[J]. Front Psychiatry, 2023, 14: 1218340.
[5] Zeng LN, Cai H, Gao F, et al. Assessment of mental health status among Chinese nursing staff in the intensive care unit: a network analysis[J]. J Res Nurs, 2023, 28(4): 285-298.
[6] Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China[J]. Lancet Oncol, 2020, 21(3): 335-337.
[7] Ueda M, Martins R, Hendrie PC, et al. Managing Cancer Care During the COVID-19 Pandemic: Agilityand Collaboration Toward a Common Goal[J]. J Natl Compr Canc Netw, 2020, 1-4.
[8] Wang H, Huang D, Huang H, et al. The psychological impact of COVID-19 pandemic on medical staff in Guangdong, China: a cross-sectional study[J]. Psychol Med, 2022, 52(5):884-892.
[9] Broderick N, Vaughan R, McNicholas F, et al. Staff stress and burnout in a community adult mental health service[J]. Ir J Psychol Med, 2023, 40(3):387-395.
[10] 唐秋萍, 程灶火, 袁爱华, 等. SCL-90在中国的应用与分析[J]. 中国临床心理学杂志, 1999, 7(1):16-20.
[11] Han B, Zheng R,Zeng H, et al. Cancer incidence and mortality in China, 2022[J]. J Natl Cancer Cent, 2024, 4(1):47-53.
[12] Saparniene D, Strukcinskiene B, Mineviciute G, et al. Working environment of health care professionals - focus on occupational stress[J]. Ann Agric Environ Med, 2023, 30(4): 721-728.
[13] Huang N, Che Y, Hu X, et al. Current Status and Factors Influencing Emergency Response Capability of Shared Nurses in the Internet + Nursing Service Model: A Descriptive Cross-Sectional Study[J]. Risk Manag Healthc Policy, 2024, 17: 803-814.
[14] Pehlivan Sar>1budak T,Üstün B. Cancer patients′ perceptions of nursing: Expectations & realities, a phenomenological study[J]. Eur J Oncol Nurs, 2024, 70: 102603.
[15] 王灿, 陈旭, 米国琳, 等. 山东省18岁以上人群应对方式及影响因素现况调查[J]. 中国心理卫生杂志, 2020, 34(5): 451-457.
[16] 林志萍, 王丽萍, 余斌, 等. 抗击新型冠状病毒肺炎疫情期间一线防疫人员不良情绪反应及其影响因素分析[J]. 中国公共卫生, 2020, 36(5): 677-681.
[17] Castro-de-Araujo LFS, Machado DB. Impact of COVID-19 on mental health in a Low and Middle-Income Country[J]. Cien Saude Colet, 2020, 25(suppl 1): 2457-2460.
[18] Kondirolli F, Sunder N. Mental health effects of education[J]. Health Econ, 2022, 31 (Suppl 2): 22-39.
[19] 廖庆兰, 韦波, 胡世红, 等. 广西4575名医护人员心理健康及影响因素分析[J]. 中国行为医学科学, 2008, 17(6): 553-556.
[20] 杨丽花. 贵州省医护人员心理健康现状及影响因素研究[D]. 贵阳:贵阳医学院, 2011.
[21] 罗小虎, 田质光, 陶刚, 等. 苏北地区基层医护人员心理健康状况调查[J].江苏预防医学, 2018, 29(4): 396-399.
[22] Ma S, Huang Y, Yang Y, et al. Prevalence of Burnout and Career Satisfaction Among Oncologists in China: A National Survey[J]. Oncologist, 2019, 24(7): e480-e489.
[23] Li X, Han J, Lin H. The effects of psychological flexibility and night shifts on mental health and well-being in nurs[J]. PLoS One, 2024, 19(11): e0313634.
[24] Xu X, Zhang J, Fang R, et al. Evaluation of the mental health status of community frontline medicalworkers after the normalized management of COVID-19 in Sichuan, China[J]. Front Psychiatry, 2023, 14:1198822.
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