| 其他摘要 | 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. |
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