医師・看護師養成プロセスにおけるメンタルヘルス調査 : 自殺予防プログラムの構築を目的として [in Japanese] Mental Health Surveys During the Medical and Nursing Education and Training Process : for the Development of a Suicide Prevention Program [in Japanese]
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本研究は,医学部生から社会人1年目の研修医,看護師を対象に,メンタルヘルス調査を実施して実態を把握し,自殺の危険の高い抑うつ状態の人に早期介入することにより,医師・看護師養成プロセスにおける自殺予防プログラムを構築することを目的とした.医学科1年,3年,5年生,看護学科1年,3年生を対象に,4月にSelf-rating Depression Scale(SDS)を,研修医,新人看護師を対象に,4月にSDS,The General Health Questionnaire(GHQ)30を,6月,1年後に,さらに職業性ストレス簡易調査票,勤務時間などを追加調査して,SDS 50点以上の抑うつ状態の疑われる人を対象に面接をした.その結果,医師は,学生の間は少ないが,研修開始後3ヵ月で,仕事の質的負担が高く約20%に抑うつ状態が疑われ,看護師は,3年生で約20%に,就職3ヵ月で,仕事の質的,身体的負担が高く約30%に抑うつ状態が疑われて,1年後もその状態が続いていた.本研究より,適切な時期にメンタルヘルス調査をして介入することによって,自殺予防につなげることができると考えた.
Purpose: It has been reported that medical schools have a higher suicide rate than other faculties and depression and suicide among doctors and nurses is becoming a social problem. The purpose of this research was to conduct mental health surveys by the medical and nursing education and training process and to determine the current situation and develop a suicide prevention program based on early intervention for those at risk due to depression. The subjects consist of medical and nursing students as well as the interns and nurses, who are in the first year on the job. Subjects and method : First-, third- and fifth-year medical students and first- and third-year nursing students were surveyed in April using the Self-rating Depression Scale (SDS). Interns and nurses in their first year of employment were surveyed in April and June and again in March the following year using the SDS and General Health Questionnaire 30 (GHQ30) in addition to the Brief Job Stress Questionnaire (BJSQ) and a survey of their working hours. Interviews were conducted with participants whose SDS score of 50 or more indicated that they might be in a depressive state. Results: While few of the medical students showed signs of depression, after three months as interns, approximately 20% of the trainee doctors were suspected of being in a depressive state due to the burden of high qualitative demands. Among the nurses and nursing students, depression was suspected in 20% of the students in their third year of study, which involves practical nursing experience, and in 30% of the nurses, both when surveyed in June in their first year of employment and also in March the following year, due to the high qualitative and physical demands of their work. Conclusion: Having identified the periods during the medical and nursing education and training process when depression is likely to occur, this research could lead to suicide prevention through timely use of mental health surveys and intervention, enabling early diagnosis and treatment.
- Japanese Journal of Psychosomatic Medicine
Japanese Journal of Psychosomatic Medicine 54(5), 431-438, 2014
Japanese Society of Psychosomatic Medicine