中国援外医疗队员一般心理健康现状及其影响因素分析

王金龙; 殷文渊; 张洪龙; 王晓春

Abstract

王金龙,殷文渊,张洪龙,王晓春.中国援外医疗队员一般心理健康现状及其影响因素分析[J].Chinese journal of Epidemiology,2019,40(5):574-579

中国援外医疗队员一般心理健康现状及其影响因素分析

Study on the general mental health status and influencing factors of Chinese Medical Team members

Received:September 26, 2018

DOI：10.3760/cma.j.issn.0254-6450.2019.05.016

KeyWord: 中国援外医疗队心理健康影响因素 GHQ-12

English Key Word: Chinese Medical Team Mental health Influential factors GHQ-12

FundProject:

Author Name	Affiliation	E-mail
Wang Jinlong	Center for Global Public Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Yin Wenyuan	Center for Global Public Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Zhang Honglong	Center for Global Public Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Wang Xiaochun	Center for Global Public Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China	13701265920@163.com

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Abstract:

目的了解中国援外医疗队员一般心理健康状况及其影响因素。方法采用自行开发的一般情况调查表和WHO推荐的GHQ-12问卷对2018年5月10日至6月10日正在国外执行援外医疗队任务的1 015名队员进行心理健康状况调查，使用非条件二分类logistic回归分析其影响因素。结果共有808名队员完成调查，其中25.9%（209/808）疑似有心理健康问题（GHQ-12总得分≥3分）。多因素logistic回归分析结果显示，出国前家庭生活不顺心（OR=1.928，95% CI：1.162～3.197）、国内工作不顺心（OR=2.069，95% CI：1.210～3.538）、父亲健在（OR=1.703，95% CI：1.060～2.736）、有腹泻发热等症状（OR=2.087，95% CI：1.363～3.194）、担任队长职务（OR=1.996，95% CI：1.128～3.532）、未适应文化差异（OR=2.439，95% CI：1.621～3.671）等因素是心理健康的危险因素。年龄大（OR=0.736，95% CI：0.571～0.949）、文娱活动满意（OR=0.654，95% CI：0.490～0.872）等因素是心理健康的保护因素。此外，每天饮酒（OR=7.439，95% CI：1.290～42.900）、孤独感（OR=4.094，95% CI：2.438～6.875）、在医院受重视（OR=0.783，95% CI：0.610～1.004）等因素与心理健康状况相关。结论援外医疗队员存在一定程度的心理健康问题，队长与年轻队员为重点人群，应采取针对性措施保护援外医疗队员的心理健康，保障援外医疗工作顺利开展。

English Abstract:

Objective To analyze the mental health status of the Chinese Medical Team (CMT) members and its influencing factors. Methods A total of 1 015 members of the CMT were recruited and surveyed by using a self-administered questionnaire and 12-item General Health Questionnaire (GHQ-12) from May 10 to June 10, 2018. Multivariable logistic regression models were used to identify risk factors for mental health problems. Results A total of 808 subjects completed the questionnaire and an estimated 25.9% of them were suspected to have mental health problems (GHQ-12 ≥ 3). Logistic model analysis indicated that family life (OR=1.928, 95%CI:1.162-3.197), domestic work status (OR=2.069, 95%CI:1.210-3.538), father's health status (OR=1.703, 95%CI:1.060-2.736), disease symptoms (OR=2.087, 95%CI:1.363-3.194), captain (OR=1.996, 95%CI:1.128-3.532), cultural differences (OR=2.439, 95%CI:1.621-3.671) were the risk factors for mental health. Age (OR=0.736, 95%CI:0.571-0.949), leisure activities (OR=0.654, 95%CI:0.490-0.872) were the protective factors. Drinking habits (OR=7.439, 95%CI:1.290- 42.900), loneliness (OR=4.094, 95%CI:2.438-6.875), and respect from the hospital (OR=0.783, 95%CI:0.610-1.004) were relative to mental health problems. Conclusion CMT members have certain mental health problems, especially young members and captains. Therefore, interventions should be implemented to improve the mental health of CMT members and to promote the development of foreign aid work.

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