公立医院医务人员焦虑与社会支持、领悟社会支持及应对方式的相关性研究

  目的  调查公立医院医务人员心理健康状况，以及其社会支持、领悟社会支持及应对方式的情况，探讨医务人员焦虑状况与社会支持、领悟社会支持、应对方式等因素的关系。  方法  采用问卷调查的研究方法，调查医务人员的基本信息、焦虑状况、社会支持、领悟社会支持及应对方式情况。  结果  被访医务人员的焦虑水平高于国内常模（37.23±12.59）（t=14.370，P<0.001）；焦虑水平在职业、学历和工作年限之间的差异有统计学意义。不同焦虑状态的医务人员三种量表各维度得分差异有统计学意义；Spearman相关分析显示焦虑同客观支持（r=-0.098，P=0.051）、主观支持（r=-0.189，P<0.001）、社会支持的利用度（r=-0.164，P=0.001）、朋友支持（r=-0.356，P<0.001）、家庭支持（r=-0.330，P<0.001）、其他支持（r=-0.238，P<0.001）、积极应对（r=-0.282，P<0.001）呈负相关关系，同消极应对（r=0.385，P<0.001）呈正相关关系。  结论  应加强对医务人员的心理健康关注度，逐步提升公立医院医务人员社会支持水平，打造更高质量的医务人员团队，为构建更高水平的公立医院提供支持。

Correlation between anxiety among public hospital medical personnel and social support,perceived social support and coping styles

  Objective  This research aimed to explore the mental status of public hospital medical personnel and social support for them, social support they perceive, and their coping styles. This study was designed to investigate on the relationship between their anxiety and social support, perceived social support and their coping styles.  Methods  A questionnaire was adopted to collect data, including participants' background, measurement of anxiety, as well as social support, perceived social support and their coping styles.  Results  (1) The anxiety level of medical personnel was significantly higher than that of domestic norm 37.23±12.59(t=14.370, P<0.001);(2)Anxiety levels appeared to be significantly different in occupation, educational background and working years; (3)Results shown in the three scales were different among participants with different levels of anxiety in perspectives of every dimension in the scales; (4) With the help of Spearman correlation analysis, it showed that anxiety levels of medical personnel was negatively correlated with objective support (r=-0.098, P=0.051), subjective support (r=-0.189, P<0.001), utilization of social support (r=-0.164, P=0.001), friend support (r=-0.356, P<0.001), family support (r=-0.330, P<0.001), other support (r=-0.238, P<0.001) and positive response (r=-0.282, P<0.001), and positively correlated with negative response (r=0.385, P<0.001).  Conclusions  Mental health of medical personnel should be noticed and enhanced, and social support for public hospital medical personnel should be strengthened. Thus, the performance of the medical team can be developed in order to support further public medical service construction.