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临床输血与检验

临床输血与检验 ›› 2022, Vol. 24 ›› Issue (5): 605-609.DOI: 10.3969/j.issn.1671-2587.2022.05.011

• 调查研究 • 上一篇    下一篇

医疗机构输血从业人员心理健康状况调查研究*

李志强, 李兴龙, 李丽玮, 于建   

  1. 200233 上海,上海交通大学附属第六人民医院
  • 收稿日期:2022-03-19 出版日期:2022-10-20 发布日期:2022-10-31
  • 作者简介:李志强（1962-）,男,血液病学、全科医学主任医师,硕士研究生导师,国家二级心理咨询师,主要从事血液病诊治和临床输血基础与应用研究,（E-mail）kcb039@126.com。
  • 基金资助:
    *本课题受上海市2020年度“科技创新行动计划”生物医药科技支撑专项项目（No.0S31902900）资助

Mental Health Status of Blood Transfusion Practitioners in Medical Institutions

LI Zhi-qiang, LI Xing-long, LI Li-wei, et al   

  1. Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233
  • Received:2022-03-19 Online:2022-10-20 Published:2022-10-31

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摘要： 目的 研究医疗机构输血从业人员心理健康状况,寻找发生心理健康问题的可能原因以及应对调适心理状态的方法。方法 545名医务人员自愿通过微信扫码进入小程序,填写SCL-90症状自评量表。根据从事专业类型分为输血专业组266名,非输血专业组279名,分析输血专业组与普通人群（中国人常规模式值）的SCL-90症状自评量表总均分和10个维度项因子分,以及与非输血专业组在性别、年龄、医院级别、专业技术职称级别和工作所处地域单因素方面的10个维度项因子分区别。结果 输血专业组人员除人际关系敏感和偏执项因子分与中国人常规模式值相比差异无统计学意义（P>0.05）外,其他各项因子分均显著高于中国人常规模式值,分别比较差异有统计学意义（P<0.05）;强迫项总症状指数达到最高（1.94）,其次是抑郁项（1.70）,且均比非输血专业组高。另外,三级医疗机构输血专业人员心理健康问题比二级及以下医疗机构输血专业人员明显（P<0.05）,三级医疗机构内输血专业人员心理健康问题也比非输血专业人员明显（P<0.05）。结论 临床输血从业人员心理健康存在一定问题,应及时进行心理疏导。只有让他们拥有健康的心理,才能从根本上确保临床输血的安全,从而更好地为患者的生命保驾护航。

关键词: 临床输血, 心理健康, SCL-90症状自评量表

Abstract: Objective We studied the mental health status of blood transfusion practitioners in medical institutions to find out the possible causes of mental health problems and to deal with or adjust their mental state. Methods A total of 454 volunteers applied WeChat applet scan code, and filled in the SCL-90 symptom self-assessment scale. Of which 266 were engaged in blood transfusion group and 279 were engaged in non-blood transfusion group based on different professions. We analyzed the total mean scores of SCL-90 symptom self-rating scale and 10-dimension factor scores between the blood transfusion group and the general population (Chinese conventional model values). We analyzed the 10-dimensional factors including gender, age, hospital level, professional and technical title level, and work location, compared with non-transfusion group. Results There was no significant difference between the blood transfusion practitioners and the Chinese conventional pattern values (P>0.05), except for the interpersonal sensitivity and paranoia factor scores. The scores of other factors were significantly higher than those of the Chinese conventional model, with statistically significant differences (P<0.05). The total symptom index of obsessive-compulsive item reached the highest level of 1.94, followed by depression item with 1.70. Both were higher than the non-transfusion professional group. In addition,The level of three medical institutions were significantly higher than the level of two and below medical institutions in the mental health problems of blood transfusion professionals (P<0.05).The mental health problems of transfusion professionals were more significantly than those of non-transfusion professionals in the level of three medical institutions(P<0.05). Conclusion Blood transfusion practitioners have certain mental health problems. Psychological counseling should be carried out in time. Guaranteeing their health psychology could fundamentally ensure the safety of clinical blood transfusion, so as to better escort the lives of patients.

Key words: Clinical blood transfusion, Mental health, SCL-90 symptom self-rating scale

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