Study On Mental Health Status And Related Factors Of Pre-hospital Emergency Staff

Objectives: Pre-hospital emergency staff work in poor working environment with high labor-intensity,high risk and lack of respect.The purpose of this study is to understand the mental health status of pre-hospital emergency staff and explore the main influencing factors,so as to provide reference for further improvement of the mental health level of pre-hospital emergency staff.Methods: In this study,data is collected by questionnaires,in which 400 pre-hospital emergency staff of one emergency center in Hebei Province are selected as research objects to fill.The questionnaire contains general situation scale,self-rating anxiety scale(SAS),self-rating depression scale(SDS),job burnout scale,simple coping style scale questionnaire(SCSQ)and Minnesota job satisfaction questionnaire(MSQ).A total of 400 questionnaires were distributed,and 387 were recovered,with a recovery rate of 96.75%.Unqualified questionnaires are removed,leaving a total of 336 valid questionnaires.This study uses Excel to sort out data and SPSS21.0 to analyze the data.Several analyzing methods are used,including descriptive statistics,variance analysis,multiple regression analysis and so on.Results:1.The survey of the pre-hospital emergency staff of one emergency center in Hebei province shows that:The scores of job satisfaction show statistical difference in gender(P<0.05),age(P<0.05),job position(P<0.05),working years(P<0.01),marriage(P<0.05),professional title(P<0.01),and educational level(P<0.05).The scores of job burnout show statistical difference in gender(P<0.05),job position(P<0.05),marriage(P<0.05),and education level(P<0.01).The scores of negative coping method show statistical difference in age(P<0.05),job position(P<0.05),education level(P<0.01).2.The scores of anxiety self-assessment are statistically significant: those who have worked for more than 10 years have the highest scores(45.38± 11.91)with a detection rate of 19.8%(P<0.05).In terms of professional title,there are significant differences.The self-evaluation score of senior(technical)title anxiety is the highest(46.15±13.32)with a detection rate of 23.1%(P<0.01).There are significant differences in age.The self-rating score of anxiety above 45 years old is the highest(47.49±12.01)with a detection rate of 30.2%(P<0.01).3.The scores of depression self-assessment show statistical difference in professional.Those of middle professional title have the highest score(52.77± 9.78)with a depression detection rate of 50.3%(P<0.01).4.As for job burnout,gender,age,job satisfaction,job position,working years,coping style,marriage,professional title and education level,the overall prediction rate for each dimension’s impact on SAS is 15.2%.SAS total score regression equation can be expressed as: SAS total score = 0.171 * gender + 0.073 * age + 0.034 * job position + 0.034 * working years-0.044 * marriage + 0.126 * professional title-0.168 * education level + 0.087 * job satisfaction + 0.265 * job burnout-0.163 * coping style.5.As for job burnout,gender,age,job satisfaction,job position,working years,coping style,marriage,professional title and education level,the overall prediction rate for each dimension on SDS is 17.5%.SDS regression equation can be expressed as: SDS total score = 0.002 * gender + 0.029 * age + 0.080 * working position + 0.033 * working years-0.038 * marriage + 0.191 * professional title-0.106 * education level-0.216 * job satisfaction + 0.108 * job burnout-0.273 * coping style.6.Results of one-to-one interview: the interview results suggest that the main sources of stress for pre-hospital emergency staff are the tension between doctors and patients,high-intensity workload and occupational psychological stress and physical discomfort.Some staff have low job satisfaction,tend to burnout,and do not support their children to engage in pre-hospital emergency work.Conclusion:1.The mental health status of pre-hospital emergency staff is not satisfying,which is affected by gender,age,job position,working years,marriage,professional title,education level,job satisfaction,job burnout and coping style.2.The pre-hospital emergency staff have anxiety and depression,and the detection rate of depression is higher than that of anxiety.3.The pre-hospital emergency staff need individualized psychological intervention.