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目的了解基层医疗卫生机构医生的健康状况和压力现状,为加强对基层医务人员的健康教育提供参考。方法应用问卷调查、访谈等方法,对河南省598名乡镇卫生院、社区卫生服务中心医生的患病情况、亚健康和压力情况进行调查。结果 56.4%的乡镇卫生院、社区卫生服务中心医生处于亚健康状况,31.4%的医生患有慢性疾病,随年龄增长的慢性疾病患病率显著增加(P﹤0.01),基层医生的健康状况不容乐观;88.1%的基层医生有压力,经济收入、生活环境、发展前景、子女成长和学习提高是基层医生面临的主要压力。结论从社会、机构和个人3个应对层面采取积极的应对措施,提高基层医疗卫生机构医生的健康水平、减缓压力,已显得刻不容缓。
Objective To understand the health status and stress status of physicians in primary health care institutions and to provide reference for strengthening the health education of primary health care workers. Methods By means of questionnaires, interviews and other methods, 598 township hospitals in Henan Province, community health centers doctors to investigate the prevalence, sub-health and stress conditions. Results 56.4% of township hospitals and community health service centers were in sub-health status, 31.4% of them had chronic diseases, the prevalence of chronic diseases with age increased significantly (P <0.01), and the physicians’ Optimistic; 88.1% of the grassroots doctors under pressure, economic income, living environment, development prospects, children’s growth and learning to improve is the primary pressure doctors at primary level. Conclusion It is urgent to take active measures to deal with the three coping levels of society, institutions and individuals to improve the health of physicians in primary health care institutions and reduce their stress.