摘要
背景心理健康问题普遍存在于医务工作者群体中。一般心理健康问卷(GHQ-12)已应用于多个群体的心理健康状况评估,但尚无相关研究探索该问卷在医务人员中的信效度。目的评价GHQ-12在医务人员中的信效度。方法以2014年9月—2015年3月开展的中国医师协会神经内科医师分会第一次全国神经内科医师执业状况调查的神经内科医师为研究对象,填写GHQ-12,总分≥4分认为心理健康状况阳性。并对GHQ-12进行信效度检验。结果共发放10065份问卷,回收6111份,有效问卷5414份。5414例研究对象心理健康状况阳性检出率为37.8%(2048/5414)。GHQ-12的Cronbach'sα系数为0.887,删除相应条目后Cronbach'sα系数为0.873~0.882,折半信度为0.845。条目得分与总分的相关系数为0.499~0.727(P<0.05)。探索性因子分析结果包含12个条目,2个因子,因子负荷为0.602~0.787,累积方差解释率为54.961%。验证性因子分析显示,χ^2/df值为11.410。规范拟合指数(NFI)、比较拟合指数(CFI)、递增拟合指数(IFI)、拟合优度指数(GFI)、非规范拟合指数(TLI)分别为0.927、0.933、0.933、0.944、0.917,近似误差均方根(RMSEA)为0.076。结论GHQ-12应用于医务人员心理健康状况测量具有良好的信效度,能够正确反映医务人员的心理健康状况。
Background Mental health problems are common in the health care workers.The General Health Questionnaire(GHQ-12)has been applied to the assessment of mental health status of multiple groups,while there is no relevant study has explored the reliability and validity of this scale among health care workers.Objective To evaluate the reliability and validity of the GHQ-12 in health care workers.Methods The neurology physician participated in the First National Neurologist Practice Survey conducted by the China Neurologist Association of Chinese Medical Doctor Association from September 2014 to March 2015 was regarded as research object,and the GHQ-12 was filled out.Total scores≥4 were considered to be positive for mental health status,and the reliability and validity of GHQ-12 was tested.Results A total of 10065 questionnaires were distributed,and 6111 questionnaires were recovery,of which,5414 questionnaires are valid.The positive detection rate of mental health status of 5414 subjects was 37.8%(2048/5414).The Cronbach'sαcoefficient of the GHQ-12 scale was 0.887,and the Cronbach'sαcoefficient was 0.873-0.882 after deletion of the corresponding item,and the split-half reliability was 0.845.The correlation coefficient between the item score and the total score ranging from 0.499 to 0.727(P<0.05).The exploratory factor analysis(EFA)contained 12 items with 2 factors and the factor load was 0.602-0.787.The cumulative variance interpretation rate was 54.961%.The confirmatory factor analysis(CFA)showed that theχ^2/df value was 11.410.The NFI,CFI,IFI,GFI,TLI value were 0.927,0.933,0.933,0.944,0.917 respectively,and RMSEA was 0.076.Conclusion GHQ-12 has a good reliability and validity for the measurement of mental health status of health care workers,which can reflect the mental health status of health care workers correctly.
作者
钟小钢
刘艺昀
蒲俊材
桂思雯
田露
周维
王海洋
李鹏飞
谢鹏
ZHONG Xiaogang;LIU Yiyun;PU Juncai;GUI Siwen;TIAN Lu;ZHOU Wei;WANG Haiyang;LI Pengfei;XIE Peng(Department of Medical and Nursing,the Affiliated Rehabilitation Hospital of Chongqing Medical University,Chongqing 400050,China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;Institute of Neuroscience,Chongqing Medical University,Chongqing 400016,China;Department of Neurology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;China Neurologist Association of Chinese Medical Doctor Association,Beijing 100010,China)
出处
《中国全科医学》
CAS
北大核心
2020年第35期4530-4534,共5页
Chinese General Practice
关键词
一般心理健康问卷
医务人员
信度
效度
General Health Questionnaire-12
Health care workers
Reliability
Validity
作者简介
通信作者:谢鹏,教授,E-mail:xiepeng@cqmu.edu.cn。
