醫療資訊系統運用定期簡式健康量表進行員工心理關懷的整合性員工協助方案

Periodic Assessment using the 5-Item Brief Symptom Rating Scale Built in the Healthcare Information System as an Employee Assistance Program Portal

葉宇記(Yu-Chi Yeh) ； 謝蕙宜(Hui-I Hsieh) ； 黃鼎元(Ting-Yuan Huang) ； 陳惠娟(Hui-Jyuan Chen) ； 邱偉哲(Wei-Che Chiu) ； 郭明娟(Ming-Chuan Kuo) ； 單家祁(Jia-Chi Shan)

《中華職業醫學雜誌》 30卷1期 (2023/01) Pp. 49-58

摘要

員工身心健康及關懷輔導機制有助員工安心工作，提升組織效能；整合「問題發現，問題評估及問題解決」此三大系統，攸關員工協助方案（Employee Assistance Programs）能否順利進行。本研究呈現於員工人數達2000人的某醫療院所之醫療資訊系統建置簡式健康量表（BSRS-5），以此做為主動性定期評估機制，從2019年第四季系統建置起至2021年第四季止，其執行成果之描述性統計。結果顯示平均每季員工總數2322.2人，有效填答BSRS-5比率為82.3%，且執行一年後仍能維持八成以上有效填答，直接忽略或關閉量表視窗的比率為6.0%，誤填或隨意填寫數據僅0.23%。BSRS-5量表得分顯示平均每季有55.4（2.6%）人次有中度情緒困擾，16（0.8%）人次評分為重度困擾，也有16（0.8%）人次自殺想法≥2分，需積極介入。經由本系統建置，連結後續評估與解決流程，總計進行157人次電話關懷，45次面談及7人次電子郵件關懷。而員工困擾面向以工作困擾（54.3%），心理健康（20.1%）及身體健康（10.0%）問題佔最多。研究結果顯示以此方式執行員工心理關懷並作為整合型員工協助方案之入口，係可行方案。

關鍵字

職場心理健康 ； 員工協助方案 ； 簡式健康量表 ； 心情溫度計 ； 醫療資訊系統

並列摘要

In October 2019, we implemented a program to enhance employees' mental health, combining a quarterly online self-rating questionnaire and the bridging to the following employee assistance programs (EAPs). The five-item Brief Symptom Rating Scale-5 (BSRS-5) questionnaire pops up when an employee logs into the healthcare information system every three months. When the score is 15 and above, i.e., severe psychological distress, the employee answers in which aspect one encounters difficulties, including finance, lawsuits, psychological issues, and troubles in the workplace and so forth. Staff members responsible for each aspect contact the employee and evaluate whether to refer the employee to EAPs. When the score lies between 10 and 14, i.e., moderate distress, the employee will get the information about how to contact the staff member and decide whether to seek help based on which aspect of difficulties one considers. When the score is nine and below, the interpretation is feedbacked to the employee. There is an additional question inquiring about suicidal ideation. When this question scores two or greater, i.e., at least moderate severity, the information system spontaneously delivers a message to the second-level supervisor for prompt evaluation and intervention. The data was collected from 2019Q4 to 2021Q4. The result was calculated on a quarterly average base. Of the 2322.2 employees, 82.3% completed the BSRS-5. In terms of psychological distress, 2.6% respondents suffered from moderate disturbance and 0.8% severe. Furthermore, 0.8% respondents reported suicidal ideation with at least moderate severity. The subsequent corresponding interventions offered 157 telephone contacts, 45 in-person counselling sessions, and seven e-mail contacts. The most common issues encountered by employees with psychological distress were workplace distress (54.3%), mental health problems (20.1%) and physical health conditions (10.0%). Our work lends support to integrating a healthcare information system, a self-rating questionnaire, and subsequent referrals for further resources as an innovative and feasible mental health promotion program in a healthcare workplace.

並列關鍵字

Workplace Mental Health ； Employee Assistance Programs ； Brief Symptom Rating Scale ； BSRS-5 ； Healthcare Information System