Liu H, Fei C N, Zhang X J, Liu J, Song J, Yan Z
Department of disinfection, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2024 Aug 20;42(8):594-597. doi: 10.3760/cma.j.cn121094-20230228-00055.
To understand the occupational stress and mental health status of hospital infection prevention and control practitioner (HIPCPs) in medical institutions, and analyze their main influencing factors. In November 2021, 550 nosocomial infection managers in Tianjin were randomly selected to conduct a questionnaire survey using the Concise Occupational Stress Questionnaire, Depression Screening Scale (PHQ-9) and Self-Rating Anxiety Scale (SAS). 497 valid questionnaires were obtained, and the total recovery efficiency was 90.36%. Single factor analysis and multivariate logistic regression method were used to analyze the main influencing factors of occupational stress and mental health status of psychiatric managers. The detection rate of anxiety and depression among 497 HIPCPs was 22.73% (113/497) and 58.95% (293/497), respectively. Gender and major were the influencing factors of depression (=0.000, 0.001). Average working hours>52 hours per week and night shift days>1 days per week were the influencing factors of anxiety (=0.035, 0.014). Average working hours>52 h per week, night shift days >1 d per week and different majors were the influencing factors of occupational stress (=0.000, 0.025, 0.010). Multivariate logistic regression results showed that the risk of anxiety in those who worked more than 52 hours per week was 1.753 times that of those who worked less than 52 hours per week (=0.038), and the risk of depression in women was 3.071 times that of men (=0.006) . Working hours are an important influencing factor for occupational stress and anxiety among HIPCPs. In order to reduce the occurrence of occupational stress and mental health problems, it is necessary to strengthen psychological counseling for HIPCPs and balance work and rest.
为了解医疗机构中医院感染预防与控制从业人员（HIPCPs）的职业压力和心理健康状况，并分析其主要影响因素。2021年11月，随机抽取天津市550名医院感染管理人员，采用简明职业压力问卷、抑郁筛查量表（PHQ - 9）和自评焦虑量表（SAS）进行问卷调查。共获得有效问卷497份，总回收率为90.36%。采用单因素分析和多因素logistic回归方法分析精神科管理人员职业压力和心理健康状况的主要影响因素。497名HIPCPs中焦虑和抑郁的检出率分别为22.73%（113/497）和58.95%（293/497）。性别和专业是抑郁的影响因素（P = 0.000，0.001）。每周平均工作时间>52小时和每周夜班天数>1天是焦虑的影响因素（P = 0.035，0.014）。每周平均工作时间>52小时、每周夜班天数>1天和不同专业是职业压力的影响因素（P = 0.000，0.025，0.010）。多因素logistic回归结果显示，每周工作超过52小时者焦虑风险是每周工作少于52小时者的1.753倍（P = 0.038），女性抑郁风险是男性的3.071倍（P = 0.006）。工作时间是HIPCPs职业压力和焦虑的重要影响因素。为减少职业压力和心理健康问题的发生，有必要加强对HIPCPs的心理咨询并平衡工作与休息。
