核医学科一线人员职业风险与心理弹性的相关性分析

doi:10.3969/j.issn.1009-976X.2022.04.018

摘要/Abstract

摘要： 目的了解核医学科一线人员职业风险和心理弹性现状,探讨职业风险对于心理弹性的影响,为提高核医学科一线人员心理弹性提供依据。方法 2021年7月~11月运用方便抽样法对全国核医学科一线护理技术人员采用一般人口特征学资料调查问卷、职业风险评估表及心理弹性量表进行人口学特征、职业风险指数以及心理弹性水平的调查,并对结果进行单因素分析,相关性分析及多元线性回归分析。结果在284名调查对象中,职业风险的总分是（179.99±108.03）分,其中工作环境危害风险指数最高。年龄、婚姻状况、核医学工作时间以及基础疾病史在某些职业危险指数差异有统计学意义（P<0.05）。心理弹性总分（88.84±14.16）分,力量维度得分最高,乐观维度得分最低。核医学科一线人员的职业危害风险得分与心理弹性得分及各维度得分呈负相关关系（P<0.05）。线性回归分析显示：职务组对心理弹性具有正向作用（β=2.115,P<0.05）;事故性因素危害对心理弹性具有负向作用（β=-0.084,P<0.05）。结论核医学科的一线人员职业风险越高心理弹性越低,管理者应高度重视核医学一线人员的职业风险,以科学方法进行职业风险管控,提高一线人员心理弹性水平。

关键词: 核医学科, 一线人员, 职业风险, 心理弹性, 相关性

Abstract: Objective To investigate the current situation of occupational risk and psychological resilience of front-line personnel in nuclear medicine department, and explore the influence of occupational risk on psychological resilience, so as to provide a scientific basis for improving their psychological resilience. Methods From July to November 2021, a convenience sampling method was used to investigate the demographic characteristics, occupational risk and psychological resilience of front-line personnel in nuclear medicine departments nationwide, and the results were analyzed by univariate analysis, correlation analysis and multiple linear regression analysis. Results Among the 284 respondents, the total occupational risk score was 179.99±108.03, among which work environment hazards dimension scored the highest. The univariate analysis showed that occupational risk was statistically associated with age, marital status, time on working in nuclear medicine, diseases history（P<0.05）. The total psychological resilience score was 88.84±14.16,among which the strength dimension scored the highest and the optimism dimension scored the lowest. Occupational hazard risk is negatively corelated with the psychological resilience of front-line personnel in the nuclear medicine department （P<0.05）. Multiple linear regression showed that levels of leadership had a positive effect on psychological resilience （β=2.115, P<0.05） while accidental factor hazards had a negative effect （β=-0.084, P<0.05）. Conclusion The psychological resilience is negatively related with the occupational risk of front-line personnel in nuclear medicine department, and managers should pay more attention to their occupational risk and control it with scientific methods, so as to improve the level of psychological resilience

Key words: nuclear medicine, frontline health workers, occupational risk, psychological resilience, correlation analysis

中图分类号:

R730.5

黄薇, 刘秀文, 余秀贤, 林妹. 核医学科一线人员职业风险与心理弹性的相关性分析[J]. 岭南现代临床外科, 2022, 22(04): 408-413.

HUANG Wei, LIU Xiu-wen, YU Xiu-xian, LIN Mei. Correlation analysis of occupational risk and psychological resilience among front-line personnel in nuclear medicine department[J]. Lingnan Modern Clinics In Surgery, 2022, 22(04): 408-413.

参考文献

[1] Bernier MO, Journy N, Villoing D, et al.Cataract Risk in a Cohort of U.S. Radiologic Technologists Performing Nuclear Medicine Procedures[J]. Radiology, 2018, 286(2):592-601.
[2] Kollaard R, Zorz A, Dabin J,et al.Review of extremity dosimetry in nuclear medicine[J]. J Radiol Prot, 2021, 41(4).
[3] Adliene D, Griciene B, Skovorodko K, et al.Occupational radiation exposure of health professionals and cancer risk assessment for Lithuanian nuclear medicine workers[J]. Environ Res, 2020, 183:109144.
[4] 董杰. 2015年北京市三级医院住院医师工作压力源现状分析[J].实用预防医学, 2017, 24(2):160-163.
[5] Cameron F,Brownie S.Enhancing resilience in registered aged care nurses[J]. Australas J Ageing, 2010,29(2):66-71.
[6] Sisto A, Vicinanza F, Campanozzi LL, et al.Towards a Transversal Definition of Psychological Resilience:A Literature Review[J]. Medicina (Kaunas), 2019, 55(11):745.
[7] 李红, 宋亦男, 王小芳. 护理职业风险评估工具的研制与评价[J]. 中华护理杂志, 2008,43(7):651-654.
[8] Connor KM, Davidson JRT.Development of a new resiliencescale:the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2):76-82.
[9] 于肖楠. Connor-Davidson韧性量表 (CD-RISC) 在中国大陆的应用[C]//中国心理学会.第十届全国心理学学术大会论文摘要集.北京:中国心理学会, 2005.
[10] 李晓芳, 唐静, 时敏秀, 等. 军队三甲综合医院护士职业风险感知现状及影响因素分析[J].护理学杂志, 2014, 29(13):7-9.
[11] 袁志斌, 周志俊. 核医学从业人员的职业暴露与放射防护[J]. 国际放射医学核医学杂志, 2011,35(1):49-53.
[12] 梁婧, 练德幸, 张庆召, 等. 核医学科放射工作人员职业心理压力的调查分析[J]. 中国辐射卫生, 2017,26(6):655-657.
[13] 刘芮寒, 陈德凤, 陈文英, 等. 护理职业风险对护士心理弹性的影响研究[J]. 职业卫生与应急救援, 2020,38(2):146-151.
[14] 韩斌如, 陈曦, 徐凤霞, 等. 护士心理韧性与职业发展的相关性分析[J].中华护理杂志, 2021,56(2):255-259.
[15] 徐奕曼, 吴瑛, 张艳, 等.全国医院护士工作状态的调查分析[J].中华护理杂志, 2016,51(8):947-950.
[16] 闫丽娟, 康凤英, 亀岡智美, 等.中文版护士行为目标达成度评价量表的信效度研究[J].中华护理杂志, 2013, 48(12):1112-1115.
[17] 朱慧崟, 洪佳楠, 陈晶, 等. 公立医院医生职业风险感知及其影响因素分析[J].中国医院, 2022,26(1):47-50.
[18] 那军,邢立莹,杨晓丽,等. 职业风险、工作压力和组织公平对医生工作倦怠的影响[J].现代预防医学,2014,41(17):3105-3108.
[19] Kamioka H, Okuizumi H, Okada S, et al.Effectiveness of intervention for low back pain in female caregivers in nursing homes:a pilot trial based on multicenter randomization[J]. Environ Health Prev Med, 2011, 16(2):97-105.