摘要

目的：调查医务人员抑郁状态及其相关影响因素。

方法：在2022年9月，通过问卷星进行横断面研究调查，用预先设计的问卷收集调查对象的社会人口学信息，采用患者健康问卷、特质应对方式问卷和社会支持评定量表收集调查对象的临床特征及影响因素。用二元逻辑回归检验社会人口学特征及临床特征与医务人员抑郁发作的因果关系。

结果：455名调查对象中，获得有效调查问卷419份。

结果显示有抑郁症状和无抑郁症状的医务人员在性别、工作科室、是否是一线工作人员、积极总分和支持利用度等方面均存在差异（P<0.05）。二元逻辑回归分析显示、工作科室（综合科室OR=2.043，95%CI: 1.018-4.099)、积极总分(OR=1.079，95%CI:1.040-1.120)是抑郁发作的独立危险因素，性别(OR=0.471，95%CI: 0.236-0.942) 、是否是一线工作人员(OR=0.438，95%CI: 0.21-0.913)是抑郁状态的保护因素。

结论：医务人员的心理健康状况不容忽视。我们要关注男性、综合科室、一线医务人员的心理健康，为其提供恰当的心理援助。

关键词：医务人员，抑郁，应对方式，精神科

ABSTRACT

Objective: To investigate depression among medical personnel and its associated influence factors.

Methods: A cross-sectional study was conducted via a questionnaire and an online survey. Sociodemographic information of the respondents was collected using a pre-designed form, and clinical characteristics of the respondents were collected using the Patient Health Questionnaire, Trait Coping Style Questionnaire, and Social Support Rating Scale. Binary logistic regression was used to test the relationship between sociodemographic and clinical characteristics and depression in medical personnel.

Results: Of the 455 respondents, 419 valid questionnaires were obtained. Univariate analysis showed differences between medical staff with and without depressive symptoms in terms of gender, work department, whether they were frontline staff, total positive score, and support utilization (P< 0.05). The binary logistic regression analysis showed that the working department (comprehensive department OR = 2.043, 95% CI: 1.018–4.099) and the total score of positive factors (OR = 1.079, 95% CI: 1.040–1.120) were independent risk factors for depressive episodes, while gender (OR = 0.471, 95% CI: 0.236–0.942) and whether being a front-line worker (OR = 0.438, 95% CI: 0.21–0.913) were protective factors for depressive state.

Conclusion  : The mental health status of medical staff should not be neglected. We should pay more attention to the mental health of men, integrated departments, and front-line medical staff and provide them with psychological assistance.

Key words: medical staff, depression, new crown epidemic, coping styles, psychiatry