Objective: To evaluate the mental health of female doctors and nurses. Methods: Investigat the psychologic status of female doctors and nurses using symptom checklist 90. And statistical software was applied to analyze results of symptom checklist 90. Results: There were differences in the score of SCL-90 between doctor and nurse groups, the difference was statistically significant (P<0.05) . Negative life events (OR=2.940) , relative suffer from mental illness (OR=3.683) , shift work (OR=1.611) and heavy workload (OR=2.265) were found to risk factors for the positive of SCL-90. Conclusion: There were differences in the score of SCL-90 between doctor and nurse groups. Negative life events, relative suffer from mental illness, shift workand heavy workload are risk factors for SCL-90 positive of female doctors and nurses.
目的： 比较女性医生和护士心理健康状况，了解女性医护人员的心理状况特点，探索影响因素。 方法： 于2016年7月至9月，采用横断面调查研究方法，选择北京市通州区和怀柔区的部分医院所有女性在职医生和护士共1 578人，并采用症状自评量表（SCL-90）进行心理健康状况调查分析。 结果： 医生SCL-90量表总分中位数为109分，阳性项目数中位数为16项；护士SCL-90总分中位数为120分，阳性项目数中位数为24项。医生和护士的SCL-90总分、阳性项目数、阳性项目均值、10个因子的中位数和10个因子阳性率都存在差异，差异有统计学意义（P<0.05）。医生因子阳性率最高的前3位依次是强迫症状、抑郁和躯体化因子，护士为强迫症状、敌对和躯体化因子。多因素分析结果为近3个月遭遇负向生活事件（OR=2.940，95%CI:2.279~3.792）、亲属患心理疾患（OR=3.683，95%CI:2.251~6.025）、轮班作业（OR=1.611，95%CI: 1.295~2.005）和工作负荷大（OR=2.265，95%CI: 1.793~2.860）为医护人员SCL-90问卷阳性的危险因素。 结论： 该次调查女性医生和护士的心理健康状况存在差异，护士的心理健康状况相对医生较差，近3个月遭遇负向生活事件、亲属患心理疾患、轮班作业和工作负荷大是医护人员SCL-90阳性的危险因素。.
Keywords: Doctors; Influence factor; Nurses; Symptom checklist 90 (SCL-90).