Psychological Morbidity, Quality of Life and their Correlations among Military Health Care Workers in Taiwan
Psychological Morbidity, Quality of Life and their Correlations among Military Health Care Workers in Taiwan
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DOI：
10.2486/indhealth.47.626
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发表时间：
2009-11-01
影响因子：
2
通讯作者：
Yang, Chun-Yuh
中科院分区：
文献类型：
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作者：
Tzeng, Dong-Sheng;Chung, Wei-Ching;Yang, Chun-Yuh
[目的]评估台湾军队医院医护人员心理病态患病率，并探讨心理病态与生活品质之关系。我们对1269名在军队医院工作的医护人员进行了调查。参与者完成了结构化问卷，其中包括一般健康问卷(GHQ)和世卫组织生活质量问卷(WHO-QOL)。这项调查由65名医生、416名护士和304名其他专家完成。护士的GHQ得分最高(护士32.1%，医生28.3%，其他22.4%)。在WHOQOL上，与护士和其他专家相比，护士在心理和环境领域的得分更低(分别为12.7和13.1)，而医生在身体和社会领域的得分最低。在心理疾病组中，年轻、使用催眠药物和生活事件的比例较高(优势比分别为1.0 4、12.5和2.38；p分别为0.008、0.028和0.014)。在回归分析中，工作类别、生活事件和使用催眠药物对生活质量有预测作用，年龄和生活质量对生活质量有预测作用(p<；0.001)。GHQ可能是影响生活质量的中介因素。应该制定计划，教育患有心理疾病的年轻卫生保健工作者调整与其工作相关的压力源，以提高他们的生活质量。
To estimate the prevalence of psychological morbidity among health care workers in military hospitals in Taiwan and studies the association between psychological morbidity and quality of life. We sent surveys to 1,269 health care workers working in military hospitals. Participants completed structured questionnaires that included the General Health Questionnaire (GHQ), and the WHO Quality of Life Questionnaire (WHO-QOL). The survey was completed by 65 physicians, 416 nurses, and 304 other specialists. Nurses had the highest GHQ scores (nurses 32.1% vs. physicians 28.3% and other 22.4%). On the WHOQOL, nurses had worse psychological and environment domain scores (12.7 and 13.1, respectively) and physicians scored the worst for the physical and social domain as compared to nurses and other specialists. The younger, hypnotic drug use and life events had higher percentage in psychological morbidity group (Odds Ratio 1.04, 12.5, 2.38; p=0.008, 0.028 and 0.014, respectively). In regression analysis, job category, life event and hypnotic drug use could predict GHQ; age and GHQ could predict QOL (p < 0.001). The GHQ might be a mediating factor to QOL. Programs should be developed to educate younger health care workers with psychological morbidity to adjust the stressors associated with their jobs to improve their QOL.