Study on the intervention effect of humanistic management on the anxiety and depression tendency of visiting physicians

Zhao Tiefu; Wang Na; Peng Jie; Tian Xuedi; Ma Hanying

doi:10.3760/cma.j.cn116021-20200911-01257

您当前的位置：

首页 >

文章列表页 >

Study on the intervention effect of humanistic management on the anxiety and depression tendency of visiting physicians

Continuing Medical Education | 更新时间：2023-05-12

- Study on the intervention effect of humanistic management on the anxiety and depression tendency of visiting physicians
- Chinese Journal of Medical Education Research Vol. 22, Issue 4, Pages: 606-612(2023)
- 作者机构：
  
  首都医科大学附属北京安贞医院社会工作部，北京　100029
- 作者简介：
  
  Ma Hanying, Email: mahanying@126.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20200911-01257
  CLC： R-05
- Published：20 April 2023，
  
  Received：11 September 2020，
扫描看全文
赵铁夫, 王娜, 彭洁, 等. 人文管理对进修医师焦虑、抑郁倾向干预效果的研究[J]. 中华医学教育探索杂志, 2023, 22(4): 606-612.

Zhao Tiefu, Wang Na, Peng Jie, et al. Study on the intervention effect of humanistic management on the anxiety and depression tendency of visiting physicians. [J]. Chinese Journal of Medical Education Research 22(4):606-612(2023)
赵铁夫, 王娜, 彭洁, 等. 人文管理对进修医师焦虑、抑郁倾向干预效果的研究[J]. 中华医学教育探索杂志, 2023, 22(4): 606-612. DOI： 10.3760/cma.j.cn116021-20200911-01257.

Zhao Tiefu, Wang Na, Peng Jie, et al. Study on the intervention effect of humanistic management on the anxiety and depression tendency of visiting physicians. [J]. Chinese Journal of Medical Education Research 22(4):606-612(2023) DOI： 10.3760/cma.j.cn116021-20200911-01257.

摘要

目的

探讨人文管理对进修医生焦虑、抑郁倾向的干预效果。

方法

选择2016年1月至2018年12月开始在首都医科大学附属北京安贞医院进修学习的进修医生进行人文管理，并以2013年4月至2015年12月的进修医师为参照，应用医院焦虑抑郁量表于进修前、后进行问卷调查。所有进修医生均采用常规进修管理模式，干预组在此基础上建立个体化进修学习日程表、配备进修医生导师、定期对进修医生进行走访并组织进修医生座谈会、协助进修医生加入科室学术群、组织协调进修医生参与多学科专病学术查房、通过巴林特小组方式进行负面情绪疏导、将进修医生文化生活融入医院文化建设和对进修结束的进修医生进行随访。应用SPSS 16.0进行

检验和方差分析。

结果

两组医生进修前测评数据按照性别、进修科室类别、来源医院级别和进修时长的不同比较，焦虑和抑郁评分差异无统计学意义（

0.05）。干预组两次测评比较，焦虑第2次评分男女进修医生[（5.90±1.37） vs

（6.48±1.87），（5.92±1.45） vs

（6.73±2.12）]、进修各科室医生[（5.50±1.23） vs

（6.76±2.35），（6.03±1.36） vs

（6.64±1.75），（5.98±1.50）

（6.64±2.15）]、来自二、三级医院医生[（5.85±1.29）

（6.64±2.02），（6.00±1.50）

vs. （6.78±2.14）]、各进修时长医生[（5.92±1.37）

（6.64±2.15），（5.92±1.47）

vs. （6.68±1.98）]和总分[（5.92±1.42）

（6.66±2.05）]低于第1次测评评分（

0.05）；抑郁第2次评分女性进修医生[（6.15±1.37）

（6.68±2.06）]、进修医技科室医生[（6.02±1.40） vs

（6.69±1.88）]、来自三级医院医生[（6.13±1.41）

（6.51±1.90）]、各时长进修医生[（6.04±1.42）

（6.50±2.02），（6.12±1.34）

（6.57±1.97）]和总分[（6.09±1.37） vs

（6.54±1.99）]低于第1次测评评分（

0.05）。对照组第2次测评焦虑评分，男性进修医生评分[（6.63±1.15）

（6.11±1.76）]高于第1次测评评分（

0.05）。两组医生第2次测评数据比较，焦虑评分方面，干预组各分层医生评分和总分评分低于对照组（

0.05）；抑郁评分方面，女性进修医生、来自三级医院医生、进修时长6个月医生和总分评分低于对照组（

0.05）。

结论

应用人文管理方式加强对进修医生进行管理，可以在一定程度上改善进修医生的心理状态，特别是缓解焦虑状态，是一种值得推广的进修管理模式。

Abstract

Objective

To explore the intervention effect of humanistic management on anxiety and depression tendency of visiting physicians.

Methods

The visiting physicians who began to further study in Beijing Anzhen Hospital

Capital Medical University from January 2016 to December 2018 were selected for humanistic management

and the visiting physicians from April 2013 to December 2015 were set as reference to conduct a questionnaire survey before and after the refresher training with the Hospital Anxiety and Depression Scale. Therefore

the visiting doctors all had the conventional refresher study management mode. On this basis

the intervention group established an individualized refresher study schedule

equipped the doctors with tutors

regularly visited the doctors and organized symposiums for them

assisted them to join the academic groups of the department

organized and coordinated the doctors to participate in the multi-disciplinary academic ward rounds

conducted negative emotional relief through the Balint groups

and integrated the cultural life of the refresher doctors into the cultural construction of the hospital and follow up the refresher doctors after the refresher training. SPSS 16.0 was used to perform

-test and variance analysis.

Results

There was no difference in anxiety and depression scores between the two groups according to gender

type of refresher department

level of source hospital and length of study (

0.05). Compared with the two evaluations in the intervention group

the second scores of anxiety for men and women [(5.90±1.37) vs

(6.48±1.87)

(5.92±1.45) vs

(6.73±2.12)]

doctors in each department [(5.50±1.23) vs

(6.76±2.35)

(6.03±1.36) vs

(6.64±1.75)

(5.98±1.50) vs

(6.64±2.15)]

doctors from secondary and tertiary hospitals [(5.85±1.29) vs

(6.64±2.02)

(6.00±1.50) vs

(6.78± 2.14)]

the total score of doctors [(5.92±1.37) vs

(6.64±2.15)

(5.92±1.47)

(6.68±1.98)] and the total score [(5.92±1.42) vs. (6.66±2.05)]

were lower than the first evaluation score (

0.05). The second scores of depression for female doctors [(6.15±1.37)

(6.68±2.06)]

doctors in medical laboratory department [(6.02±1.40) vs

(6.69±1.88)]

doctors from tertiary hospital [(6.13±1.41) vs. (6.51±1.90)]

doctor with different training durations [(6.04±1.42)

(6.50±2.02)

(6.12±1.34)

(6.57±1.97)] and the total score of doctors [(6.09±1.37) vs

(6.54±1.99)] were lower than those of the first evaluation (

0.05). The anxiety score of the second evaluation in the control group was higher in male physicians [(6.63±1.15)

(6.11±1.76)] than the first evaluation (

0.05). Compared with the second evaluation data of doctors in the two groups

in terms of anxiety scores

the scores of doctors at all levels and total scores in the intervention group were lower than those in the control group (

0.05); in terms of depression score

the scores of female visiting doctors

doctors from tertiary hospitals

doctors with refresher training duration of 6 months and total score were lower than those of the control group (

0.05).

Conclusion

The application of humanistic management to strengthen the management of refresher physicians can improve the psychological state of refresher doctors to a certain extent

especially alleviate the anxiety state

which is a worthy promotion of refresher management mode.

关键词

进修医生焦虑抑郁人文管理

Keywords

Visiting physicianAnxietyDepressionHumanistic management

references

戴晓阳. 常用心理评估量表手册[M]. 北京：人民军医出版社， 2010： 150-151.

刘贤俊，占克斌. 医务人员焦虑、抑郁状况的研究概况[J]. 神经损伤与功能重建， 2018， 13（2）： 90-91. DOI: 10.16780/j.cnki.sjssgncj.2018.02.012http://dx.doi.org/10.16780/j.cnki.sjssgncj.2018.02.012.

涂玲，张新庆，任南，等. 我国医务工作者心理健康现状及分析[J]. 医学与哲学， 2009， 30（13）： 44-46.

徐新华，赵天力，胡建国. 综合医院医生心理健康状况调查[J]. 中国临床心理学杂志， 2006， 14（3）： 324-325. DOI: 10.3969/j.issn.1005-3611.2006.03.040http://dx.doi.org/10.3969/j.issn.1005-3611.2006.03.040.

朱俊鹏，仇雅菊，廖峥娈，等. 医务人员焦虑和抑郁状况及其影响因素分析[J]. 中国现代医生， 2017， 55（36）： 94-97.

顾敏，谷妍，梅幼敏，等. 江苏省综合性医院医务人员心理健康状况调查[J]. 中国公共卫生， 2008， 24（8）： 921-922. DOI: 10.11847/zgggws2008-24-08-11http://dx.doi.org/10.11847/zgggws2008-24-08-11.

林美琴，曾长佑，陈洁. 医务人员心理健康与工作满意度研究[J]. 中国健康教育， 2014， 30（2）： 147-150. DOI: 10.16168/j.cnki.issn.1002-9982.2014.02.013http://dx.doi.org/10.16168/j.cnki.issn.1002-9982.2014.02.013.

孙宏，李君. 进修生实行导师负责制的探索[J]. 解放军医院管理杂志， 2009， 16（8）： 785-786. DOI: 10.3969/j.issn.1008-9985.2009.08.038http://dx.doi.org/10.3969/j.issn.1008-9985.2009.08.038.

赵弘. 临床教学中应用移动学习平台开展交互式学习的探讨[J]. 中国病案， 2015（6）： 67-69. DOI: 10.3969/j.issn.1672-2566.2015.06.026http://dx.doi.org/10.3969/j.issn.1672-2566.2015.06.026.

王璧霞，王旭东. 微信平台教学法在口腔颌面外科专科医师规范化培训中的应用[J]. 中国医学教育技术， 2016， 30（3）： 297-299. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.201603017http://dx.doi.org/10.13566/j.cnki.cmet.cn61-1317/g4.201603017.

罗萍，曾志羽，覃红，等. 广西南宁市630名医务人员职业压力及形成原因的调查研究[J]. 中国医院， 2009， 13（7）： 14-16. DOI: 10.3969/j.issn.1671-0592.2009.07.007http://dx.doi.org/10.3969/j.issn.1671-0592.2009.07.007.

Maslach C, Schaufeli WB, Leiter MP. Job burnout [J]. Annu Rev Psychol, 2001(52): 397-422. DOI: 10.1146/annurev.psych.52.1.397http://dx.doi.org/10.1146/annurev.psych.52.1.397.

漆隽玮，苗元江. 医务人员心理健康状况研究综述[J]. 中国卫生事业管理， 2008， 25（2）： 126-128. DOI: 10.3969/j.issn.1004-http://dx.doi.org/10.3969/j.issn.1004-4663.2008.02.022.

郝伟，于欣. 精神病学[M]. 7版. 北京：人民卫生出版社， 2013： 113-131.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Investigation of anxiety and depression of postgraduates in military medical university under public health emergencies

Associations between the sense of school belonging and mental health status among medical students during the post-epidemic period

A study on the present situation of depression of residents in Chongqing and its relationship with the administration satisfaction of standardized residency training

Related Author

Yang Guoyu

Zhang Jingxuan

He Ying

Tang Yingdan

Zheng Yi

Bai Xue

Zhang Ying

Zhang Shun

Related Institution

Teaching and Research Section of Developmental Psychology for Armymen, Department of Medical Psychology, Army Medical University

People's Armed Forces Department of Chengyang District, Qingdao

The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission

International Student Office of International Cooperation Department of Peking University Health Science Center

National Center for Health Professions Education Development, Peking University Health Science Center

⁰