军队医院医务工作者潜在的心理问题及影响因素分析*

摘要目的：近年来医务人员工作压力过重而引起的心理疾病日益突出，引起社会各界的关注。本研究针对军队医院医务人员的 心理压力及工作满意度情况展开调查，分析影响该群体心理健康的因素，探讨改善心理环境的有效方法，为提升军队医院管理提 供参考。方法：对我院312 名医务人员的基本资料、心理应激及工作满意度情况进行问卷调查，分析影响军队医院医务人员心理 健康的危险因素。结果：医务人员的心理压力主要表现为焦虑、抑郁、敏感和偏执，工作中普遍不满的是工资福利、工作负荷、晋升 及人际关系。医务人员所处的岗位和职称等级不同，其心理压力与工作满意度也不同。临床医师与护理人员的心理压力均较高， 医技与行政人员的工作满意度较高(P<0.05)；初级职称与中级职称医务人员的心理压力较高，副高级职称与高级职称人员的工作 满意度较高，组间数据比较差异显著(P<0.05)。结论：军队医院的管理人员应完善管理机制，创造良好的发展平台，改善军队医院 医务人员的心理环境，促进医院的发展。

Analysis of the Existing Problems and Influencing Factors on Mental Health for the Medical Staff in Military Hospitals*

ABSTRACT Objective:Recently, it has been the hottest topic that more and more psychological problems have happened to the clinical staffs because of the job pressure. This article aims to analyze the potential psychological problems of medical members by conducting a survey about the job pressure and satisfaction in order to come up with some feasible advices for the improvement of the military hospital management.Methods: 312 clinical staffs in our hospital were investigated by the questionnaire about the mental stress and job satisfaction.Results: The main potential problems of the clinical staffs were the depression, the dysphoria, the sensitivity and the paranoid. The unsatisfied aspects of job were the welfare, the workload, the occupational promotion and the interpersonal relationship for the clinical staffs. The job pressure and satisfaction were different among the clinical staffs with different occupations and professions. The mental stress of the doctors and nurses were higher than others, while the job satisfaction of the laboratory members and the administrators were higher than others (P<0.05). The mental stress of the primary and the intermediate were higher than others, while the job satisfaction of the vice-advanced and the advanced staffs were higher than others (P<0.05). There were statistically significant differences when compared among different groups. Conclusion:It is necessary to take appropriate measures to improve the mental states of the clinical staffs by means of modifying the management system, creating the positive mechanism of promotion so as to ensure the medical quality and the development for the military hospitals.