喻玲丽, 古丽米热·阿尔肯, 齐敏克, 王鹏, 丁丽丽. 职业性接触生物性危害因素的医院员工心理健康状况调查[J]. 职业卫生与应急救援, 2017, 35(3): 213-215, 258. DOI: 10.16369/j.oher.issn.1007-1326.2017.03.005
引用本文: 喻玲丽, 古丽米热·阿尔肯, 齐敏克, 王鹏, 丁丽丽. 职业性接触生物性危害因素的医院员工心理健康状况调查[J]. 职业卫生与应急救援, 2017, 35(3): 213-215, 258. DOI: 10.16369/j.oher.issn.1007-1326.2017.03.005
YU Lingli, GULIMIREAI Arken, QI Minke, WANG Peng, DING Lili. Investigation on mental health status of medical staff potentially exposed to biological hazards[J]. Occupational Health and Emergency Rescue, 2017, 35(3): 213-215, 258. DOI: 10.16369/j.oher.issn.1007-1326.2017.03.005
Citation: YU Lingli, GULIMIREAI Arken, QI Minke, WANG Peng, DING Lili. Investigation on mental health status of medical staff potentially exposed to biological hazards[J]. Occupational Health and Emergency Rescue, 2017, 35(3): 213-215, 258. DOI: 10.16369/j.oher.issn.1007-1326.2017.03.005

职业性接触生物性危害因素的医院员工心理健康状况调查

Investigation on mental health status of medical staff potentially exposed to biological hazards

  • 摘要:
    目的  了解医院内可能暴露于生物危险性物质员工的心理健康状况, 为医疗机构职业暴露管理提供依据。
    方法  采用症状自评量表(SCL-90)对近期(一周内)内发生过生物体液接触过的医务人员(n=64)及长期处于职业暴露风险的医务人员(n=50)的心理状态进行调查。
    结果  与成年人常模比较, 长期暴露于生物危险性环境人员的抑郁因子平均得分较高, 差异有统计学意义(P < 0.05), 其余各因子平均得分和SCL-90总分差异均无统计学意义(P>0.05)。近期发生过生物体液接触的医务人员SCL-90各项因子平均得分高于常模(P < 0.05), 且不同职业或岗位、不同年龄医务人员总得分超过常模比例的差异有统计学意义(P < 0.05), 其中受训人员比例(89.47%)高于护士和医生(44.44%、53.85%); ≤ 30岁医务人员总得分超过常模的比例(73.81%)高于>30岁医务人员(42.85%)。近期发生过生物体液接触的医务人员对防护措施和对预防性处理的信任度明显低于长期处于暴露风险的医务人员(P < 0.01)。
    结论  发生生物体液接触后医务人员的心理健康状况比正常人差。医院应加强职业暴露个体心理疏导与健康教育。

     

    Abstract:
    Objective  To understand the mental health status of medical staff potentially exposed to biological hazards and the change of mental health condition after occurrence of exposure to human biological fluids, and provide orientation to manage such potential health problem.
    Methods  The mental health status of 2 groups of medical staff, i.e, with potential exposure risk (n=50) and exposed to human biological fluids within one week (n=64), were surveyed with the symptom checklist 90 (SCL-90).
    Results  Compared with the adult Chinese normative scores, the medical staff with potential risk of exposure to biological hazards had higher scores of depression(P < 0.05), while the scores of other items in SCL-90 were in normal scope. However, the staff exposed to human biological fluids within one week had higher score of all items in SCL-90(P < 0.05). The percentage of medical staff with higher scores than norm varied among different sub-groups, such as, 44.44%, 53.85% and 89.47% for doctors, nurses and trainees; 73.81% and 42.85% for the staff with age ≤ 30 and>30, and the differences were statistically significant(P < 0.05). It seemed that the staff exposed to human biological fluids within one week had a lower attitude to preventive measures during the operation and precaution treatment than the staff with potential exposure risk(P < 0.01).
    Conclusion  The mental health status of staff exposed to human biological fluids are worse. Hospitals should strengthen the preventive measures in daily work and provide psychological counseling for the medical staff.

     

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