中国全科医学 ›› 2020, Vol. 23 ›› Issue (35): 4530-4534.DOI: 10.12114/j.issn.1007-9572.2019.00.776

所属专题: 心理健康最新文章合集

• 专题研究 • 上一篇    

一般心理健康问卷在医务人员中的信效度评价研究

钟小钢1,2,3,刘艺昀3,4,蒲俊材3,4,桂思雯3,田露2,3,周维2,3,王海洋2,3,李鹏飞2,3,谢鹏2,3,4,5*   

  1. 1.400050重庆市,重庆医科大学附属康复医院医护科 2.400016重庆市,重庆医科大学公共卫生与管理学院 3.400016重庆市,重庆医科大学神经科学研究中心 4.400016重庆市,重庆医科大学附属第一医院神经内科 5.100010北京市,中国医师协会神经内科医师分会
    *通信作者:谢鹏,教授;E-mail:xiepeng@cqmu.edu.cn
  • 出版日期:2020-12-15 发布日期:2020-12-15
  • 基金资助:
    国家重大科学研究计划(973项目)(2009CB918300);重庆市研究生科研创新项目(CYS17173)

Reliability and Validity of General Health Questionnaire-12 in Health Care Workers 

ZHONG Xiaogang1,2,3,LIU Yiyun3,4,PU Juncai3,4,GUI Siwen3,TIAN Lu2,3,ZHOU Wei2,3,WANG Haiyang2,3,LI Pengfei2,3,XIE Peng2,3,4,5*   

  1. 1.Department of Medical and Nursing,the Affiliated Rehabilitation Hospital of Chongqing Medical University,Chongqing 400050,China
    2.School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China
    3.Institute of Neuroscience,Chongqing Medical University,Chongqing 400016,China
    4.Department of Neurology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China
    5.China Neurologist Association of Chinese Medical Doctor Association,Beijing 100010,China
    *Corredponding author:XIE Peng,Professor;E-mail:xiepeng@cqmu.edu.cn
  • Published:2020-12-15 Online:2020-12-15

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10 065份问卷,回收6 111份,有效问卷5 414份。5 414例研究对象心理健康状况阳性检出率为37.8%(2 048/5 414)。GHQ-12的Cronbach's α系数为0.887,删除相应条目后Cronbach's α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,χ2/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。

关键词: 一般心理健康问卷, 医务人员, 信度, 效度

Abstract: 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 10 065 questionnaires were distributed,and 6 111 questionnaires were recovery,of which,5 414 questionnaires are valid.The positive detection rate of mental health status of 5 414 subjects was 37.8%(2 048/5 414).The Cronbach's α coefficient of the GHQ-12 scale was 0.887,and the Cronbach's α coefficient 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 the χ2/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.

Key words: General Health Questionnaire-12, Health care workers, Reliability, Validity