在中国初级卫生保健工作者中,职业压力和亚临床抑郁症之间的关联
Jiao Zhang1,2, Lingzhong Xu3, Wenzhe Qin3
1School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
Frontiers in psychiatry
|November 29, 2023
概括
职业压力,特别是障碍压力,在中国初级医疗保健工作者中显著增加了亚临床抑郁症的风险. 针对职业压力的干预措施对于预防这一群体的抑郁症至关重要.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 心理健康研究 心理健康研究
背景情况:
- 医疗保健工作者的福祉对于初级医疗保健系统的功能至关重要.
- 亚临床抑郁症对医疗保健专业人员构成风险.
- 了解职业压力影响是预防策略的关键.
研究的目的:
- 在初级卫生保健工作者中调查职业压力和亚临床抑郁症之间的关联.
- 确定与抑郁症相关的特定类型的职业压力.
- 为制定有针对性的预防性干预奠定基础.
主要方法:
- 在中国山东省泰安市进行的横截面研究.
- 832名初级卫生保健工作人员填写了自我管理的问卷.
- 使用的挑战和障碍相关的自我报告压力 (C-HSS) 尺度和患者健康问卷-9.
- 多变量逻辑回归分析了这种关系.
主要成果:
- 亚临床抑郁症的患病率为11.66%.
- 较高的职业压力 (挑战和障碍) 与亚临床抑郁症显著相关.
- 职业压力仍然是一个重要的风险因素 (OR=4.57).
- 阻碍压力,而不是挑战压力,在控制其他因素时显示出显著的关联.
- 具有更高挑战压力的男性工人患抑郁症的风险增加.
结论:
- 亚临床抑郁症在中国的初级医疗保健工作者中很普遍.
- 职业压力,特别是障碍压力,是次临床抑郁症的重要原因之一.
- 解决职业压力的心理社会干预措施对于预防至关重要.
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