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首页> 外文期刊>Journal of Psychiatry and Brain Science >Life Events, Anxiety, and Depression among Physicians and Nurses in the Emergency Departments of Eleven General Hospitals in Hunan, China
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Life Events, Anxiety, and Depression among Physicians and Nurses in the Emergency Departments of Eleven General Hospitals in Hunan, China

机译：湖南省十一所综合医院急诊科医师和护士的生活事件，焦虑和抑郁症

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Objectives: To evaluate life events, anxiety and depression levels among physicians and nurses in emergency department (ED). Design: An anonymous, self-reporting survey was employed between January 2013 and April 2013 that included Life Event Scale (LES), Zung's Self-Rating Anxiety Scale (SAS), Zung's Self-Rating Depression Scale (SDS) and other Likert-style questions. Participants: A total sample of 412 participants (124 physicians and 288 nurses) from the emergency department of eleven grade-3 and grade-2 general hospitals in Hunan Province, China. Results: ED physicians and nurses both experienced more negative life events than positive life events (mean total score: 14.13 VS. 6.41). The high pressure of work as a negative life event was the most frequently reported of all life events. Suggestive anxiety symptoms were reported by 6.34 % (5.65 % in physicians and 6.60 % in nurses) and suggestive depression symptoms were reported by 17.73 % (14.5 % in physicians and 18.8 % in nurses). Negative, but not positive, life events correlated with symptoms of depression and anxiety. Physicians experienced many more work-related negative events than nurses. Nurses showed higher levels of anxiety and depression than physicians. Conclusion: These findings suggest that emergency department physicians and nurses experienced many more negative life events than positive life events, and these negative life events, especially work-related negative events, may harmfully impact their mental health placing them at risk for depression and anxiety. Developing a range of coping strategies for decreasing the harmful effects of these negative life events and minimizing, or controlling, the occurrence of anxiety and depressive symptoms should be emphasized for physicians and nurses who work in a hospital’s emergency department.
机译：目的：评估急诊科医师和护士的生活事件，焦虑和抑郁水平。设计：2013年1月至2013年4月间进行了匿名的自我报告调查，包括生活事件量表（LES），Zung的自评焦虑量表（SAS），Zung的自评抑郁量表（SDS）和其他李克特风格问题。参加者：来自中国湖南省11家三级和二级综合医院急诊科的412名参与者（124名医生和288名护士）的样本。结果：ED医师和护士都经历了比积极生活事件更多的消极生活事件（平均总分：14.13对6.41）。在所有生活事件中，作为负面生活事件的工作压力最高。提示性焦虑症状的发生率为6.34％（医生为5.65％，护士为6.60％），提示抑郁症状的发生率为17.73％（医生为14.5％，护士为18.8％）。阴性但不是阳性的生活事件与抑郁和焦虑症状相关。与护士相比，医生经历了更多与工作有关的负面事件。护士表现出比医生更高的焦虑和抑郁水平。结论：这些发现表明，急诊科医师和护士经历的负面生活事件比正面生活事件多得多，这些负面生活事件，特别是与工作相关的负面事件，可能会对他们的心理健康产生有害影响，使他们有患抑郁症和焦虑症的风险。对于在医院急诊室工作的医生和护士，应强调制定一系列应对策略以减少这些不良生活事件的有害影响，并最大程度地减少或控制焦虑和抑郁症状的发生。

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