| 题名 | 医护人员的心理健康与肠道健康状况的相关性研究 |
| 作者 | 刘淑虹 |
| 答辩日期 | 2020-01 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院大学 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 李新影 |
| 关键词 | 医护人员 心理健康 肠道健康 脑-肠轴 焦虑抑郁 |
| 学位名称 | 理学硕士（同等学力硕士） |
| 其他题名 | orrelation between mental health and intestinal health status of medical staff |
| 学位专业 | 健康心理学 |
| 中文摘要 | BackgroudWith the development of society and economy, mental health has attracted more and more people's attention, especially the mental health of medical staff. Due to the special nature of medical staff positions, the high medical risks, high intensity and often white-night shifting, so the work pressure and mental stress are greater. Coupled with the growing tension between doctors and patients, medical staff will inevitably have various psychological problems, such as anxiety, depression, and blue mood. In recent years, the interaction between the intestine and the brain has been recognized, and the "brain-gut" axis is used to describe the complex network relationship between the gastrointestinal microbiota and the host. It is a two-way information regulation pathway based on the intestinal flora in mammals and plays an important role in human health and disease progression. Research on the regulation of intestinal flora has been increasing, and people have begun to pay attention to the "brain-gut" axis. Depression is a chronic, long-lasting and recurrent episode of mental illness that distinguishes it from simple mood disorders. Studies have shown that the intestinal flora can have an important impact on the host's stress response, anxiety, depression and cognitive function through the “brain-gut” axis. At present, there are relatively few studies on mental health from the perspective of intestinal health esp.ObjectivesThrough a questionnaire survey of medical staff, we want to understand the mental health status (anxiety and depression) of medical staff and understand whether mental health and intestinal health are related. Our objective is to explore the relationship between mental health and gut health of medical staff, and to provide effective measures for the mental intervention of medical staff, so as to provide reference for restoring the mental health of medical staff.Methods Using the census method, the questionnaire link produced by the questionnaire star is distributed through the WeChat platform, and the questionnaire is filled out to pay attention to the questionnaire, and the questionnaire is completed on the same day. The questionnaire consists of three parts: basic information of medical staff, psychological questionnaire and the Brain-Gut Health Questionnaire. The basic information includes the occupation, gender, age, education level, and disease diagnosis of medical staff; the psychological questionnaire includes the Self-rating Depression Scale (SAS) and the Self-rating Anxiety Scale (SDS); The “Brain-Gut Health Questionnaire” (including the symptoms associated with gastrointestinal diseases, duration of symptoms, and progression of the disease) prepared by the research team Jin Feng from the psychology of the Chinese Academy of Sciences. Through the cluster random sampling method, the SPSS22.0 statistical software was used to analyze the baseline data of the medical staff, the intestinal health and the relationship with mental health.Main ResultsA total of 432 medical staffs were surveyed and the questionnaire recovery rate was 100%, of which 412 medical staff suffering from intestinal diseases. 432 medical staff were divided into intestinal disease group and non-disease group, and the self-rating anxiety scale and self-rating depression scale were compared and analyzed. The average score of SAS in the intestinal disease group was significantly higher than the persons in the non-disease group, which proved that the possibility of intestinal disease with anxiety was relatively high, which was consistent with the clinical trial. T test was performed between the two groups of intestinal disease and non-disease groups. The results showed that the average scores of SAS scores in the intestinal disease group and the non-affected group were statistically significant, and the difference between the two groups was significant statistically (P<0.05). In the same way, compare to the intestinal disease group, the average score of SDS was significantly higher than that in the non-affected group. The difference was significant (P<0.05). It proved that depression is one of the risk factors for intestinal diseases. It is also confirmed that the intestinal health of medical staff is also a key factor affecting mental health. In this study, a total of 185 male medical staff members suffered from intestinal diseases, with a prevalence rate of 44.90%; the remaining 227 medical staff were women, accounting for 55.10%. The medical staff participating in the survey were divided into two groups according to age, one group was 30 years old and below, and the other group was 30 years old or older. The prevalence between the two groups was 46.12% (n=190) and 53.88% (n=222), respectively. The number of patients with functional dyspepsia was 74, accounting for 17.1%. Among them, 32 were males, accounting for 43.24%; 42 were females, accounting for 56.76%. The number of patients with irritable bowel syndrome was 235, accounting for 54.40%. Among them, 111 were males, accounting for 47.23%, and 124 were females, accounting for 52.77%. The number of patients with functional constipation was 123, accounting for 28.50%, including 42 males, accounting for 34.15%; 81 females, accounting for 65.85%.ConclusionsThe mental health of medical staff is related to intestinal health. The degree of anxiety and depression of patients with intestinal diseases is higher than that of patients with non-intestinal diseases, and the scores are statistically significant. Among them, the prevalence of intestinal diseases in women is higher than that in males, and the prevalence of intestinal diseases in lower ages is lower than that in high ages. Therefore, in order to better improve the mental health of medical staff, it is possible to improve the increasingly serious psychological pressure faced by medical staff by regulating intestinal health. |
| 英文摘要 | 背景随着社会和经济的发展，心理健康越来越受到人们的关注，尤其是医护人员的心理健康。由于医护人员职位的特殊性，医疗风险高，工作强度大、经常需要白班夜班交替，因此承受的工作压力与精神压力更大。加之医患关系越来越紧张，医护人员难免会出现各种心理问题，比如焦虑、抑郁、情绪下降等。近年来，肠道与大脑之间的相互交流现已得到公认，“脑肠轴”这一新称谓应运而生，用来描述胃肠道，机体与大脑之间的复杂网络关系。基于肠道菌群的存在，“菌脑肠轴”由肠道菌群，肠道和大脑构成，相互之间是一种双向信息调节的通路，在人体健康和疾病进程中发挥着重要作用。随着对肠道菌群调控作用研究不断增多，人们开始重视“脑肠轴”。 抑郁症是区别于简单情绪障碍的一种持续时间长并且反复发作的慢性精神疾病。有研究表明，肠道菌群能够通过“脑肠轴”对宿主的应激反应、焦虑、抑郁和认知功能产生重要影响。当前，基于“脑肠轴”的概念，从肠道健康来看心理健康的研究还相对较少，尤其研究医护人员肠道健康的研究则少之又少。研究目的通过对医护人员进行问卷调查，了解医护人员的心理健康状况（焦虑与抑郁），同时了解心理健康与肠道健康是否具有关联性。目的是探究医护人员心理健康与肠道健康的关系，为对医护人员实施精神干预提出有效的措施，从而为恢复医护人员的心理健康提供参考依据。研究方法 采用问卷调查的方法，通过微信平台给被试发放问卷星制作的问卷链接，并告知问卷填写注意事项，当天完成问卷填写。调查表包括三部分：医护人员的基本信息、心理调查表和肠脑健康问卷。其中基本信息包括医护人员的职业、性别、年龄、文化程度、疾病诊断等；心理调查表包括抑郁自评量表（SAS）和焦虑自评量表（SDS）；肠脑健康问卷采用中国科学院心理研究所金锋课题组编制的“肠脑健康问卷”（包括胃肠的相关症状、症状持续时间以及进展程度），通过整群分层随机抽样的方式，利用SPSS22.0统计学软件对医护人员的基线资料、肠道健康情况以及与心理健康方面的联系进行数据分析。主要结果本次调查共纳入了432名医护人员，问卷回收率100%，其中412名医护人员存在肠道方面的问题。将432名医护人员分为肠道疾病症状组与非症状组对焦虑自评量表、抑郁自评量表进行对比分析。肠道疾病症状组SAS得分平均值显著高于非症状组，证明肠道疾病合并焦虑的可能性比较高，同临床实验的情况相吻合。并且对肠道疾病症状组与非症状组两样本之间进行t检验，结果显示肠道疾病症状组与非症状组的SAS得分的平均值具有统计学差异，其差异具有统计学意义（P＜0.05）。同时，肠道疾病症状组的SDS得分平均值，要明显高于非症状组结果，两组之间具有显著差异（P＜0.05），证明肠道疾病的极有可能是抑郁的危险因素之一，从而证实医护人员的肠道健康也是影响心理健康的关键因素。本次研究中共185例男性医护人员患有肠道疾病，患病率为44.90%；余下227名患病医护人员为女性，占比55.10%。将参与调查的医护人员根据年龄分为两组，一组为30岁及以下，一组为30岁以上。两组之间的患病率分别为46.12%（n=190）、53.88%（n=222）。功能性消化不良患病人数为74名，占比17.1%。其中男性32名，占比43.24%；女性42名，占比56.76%。肠易激综合征患病人数为235名，占比54.40%。其中男性111名，占比47.23%；女性124名，占比52.77%。功能性便秘患病人数为123名，占比28.50%，其中男性42名，占比34.15%；女性81名，占比65.85%。结论医护人员的心理健康与肠道健康具有相关性，肠道疾病患者的焦虑和抑郁程度要高于非肠道疾病患者，其得分具有统计学意义。其中女性的肠道疾病患病率高于男性，低年龄段的肠道疾病患病率低于高年龄段的。因此，为了更好的提升医护人员的心理健康，可以通过调节肠道健康来改善医护人员面临的越来越严重的心理压力。 |
| 语种 | 中文 |
| 内容类型 | 学位论文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/41695]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 刘淑虹. 医护人员的心理健康与肠道健康状况的相关性研究[D]. 中国科学院心理研究所. 中国科学院大学. 2020. |
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