社区医务人员领悟社会支持与抑郁的关系

摘要

Objective To understand the relationship between community health workers perceived social support and depression in Jiangxi province. Methods Self direct questionnaire of normal condition,perceived Social Support Scale and Self-rating Depression Scale (SDS) were used as a measure to assess 1040 Community health workers.Results (1)The incidence of depression was 13.65 percent, female and male was respectively 84.38 percent and 57.62 percent,the difference of two groups was not statistically significant (χ2=2.376,P=0.123<0.05);(2)Higher educational status and more living pressure were risk factors of depression; The indirect relationship, the condition of fulfilling family responsibility and the public attitude of occupation as good as possible were protective factors of depression; (3)Perceived social support,in￣family perceived social support, out￣family perceived social support were negatively related to depression (P<0.05).(4)High level of out￣family perceived social support was more important to community health workers in depression feelings. Conclusion Depression is one of bad feelings and perceived social support can decrease the bad feeling. Perceived social support can play important roles in improving individuals'mental health.%目的：了解江西地区社区医务人员领悟社会支持与抑郁的关系。方法采用自编一般情况调查问卷、领悟社会支持量表(PSSS)和抑郁自评量表(SDS)对1040名社区医务人员进行测评。结果(1)抑郁情绪检出率为13．65%，男、女分别为12．30%、10．68%，差异无统计学意义(χ2=2．376，P=0．123＜0．05)；(2)教育程度越高、生活压力越大是抑郁情绪的危险因素，与非直系亲属关系越好、对家庭义务履行情况越好和公众对自身职业的态度越好是其保护因素；(3)抑郁与领悟社会支持、领悟家庭内支持及领悟家庭外支持之间呈显著负相关（r=-0．348，r=-0．322，r=-0．309，P＜0．05)；(4)社区医务人员感受到的领悟家庭外支持比领悟家庭内支持对他们抑郁情绪的影响更为重要。结论抑郁是社区医务人员不良的情绪体验，而领悟社会支持在一定程度上可调节这种不良情绪，提高个体心理健康水平。