ABSTRACT
Objective:To investigate the mental health status and related influencing factors of medical staff in a tertiary Traditional Chinese Medicine(TCM)hospital during COVID-19 normalized prevention and control period.Methods:In March 2021, the medical staff of a TCM hospital in Beijing were investigated by general information questionnaire, self-rating anxiety scale(SAS), self-rating depression scale(SDS) and 12-item general health questionnaire(GHQ-12). Descriptive analysis, single factor analysis, and logistic regression analysis were preformed by using SPSS 22.0 software.Results:A total of 872 medical staff accepted this survey and 869 valid questionnaires were collected. The total scores of SAS and SDS of medical staff in the hospital were significantly lower than those of medical staff in similar domestic study before the outbreak of COVID-19( P<0.001). The detection rates of anxiety symptoms, depression symptoms and mental health problems were 22.2%(193 cases), 27.8%(242 cases)and 12.5%(109 cases), respectively. There were significant differences in total scores of SAS, SDS and GHQ-12 in education levels, occupation, basic diseases, mental illness and family financial difficulties( P<0.05), and the total scores of SAS and SDS were significantly different in terms of working years( P<0.01). Binary logistic stepwise regression analysis showed that those with mental illness and family financial difficulties were at significantly higher risk of anxiety, depression, and mental health problems( P<0.001), those with low educational level had a significantly higher risk of anxiety and depression( P<0.05), and those with basic diseases had a significantly higher risk of depression( P=0.009). Conclusions:During COVID-19 normalized prevention and control period, some medical staff in the hospital had anxiety, depression and mental health problems with various degrees. More attention should be paid to those with bachelor′s degree or below, nurses and other healthcare staff, senior staff, people with basic diseases, mental illness, and family financial difficulties.
ABSTRACT
Recent years found a series of severe incidents of injuring or killing medical workers in several places in China,deteriorating patient-physician relations,and disturbing medical orders.Beijing Administration of Hospitals,since its founding,has attached great importance to the management of medical disputes,as evidenced in the full-process management covering pre-during-post disputes.The administration guided the hospitals in their dispute resolution,and included resolution rate of disputes as an index of municipal hospital performance evaluation.By means of the guidance of such evaluation, medical disputes and major medical accidents have been resolved satisfactorily,and fine management of service quality of such hospitals in terms of medical service,pharmacy,nursing and medical technology has been intensified all the time.