中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
3期
281-284
,共4页
护士%焦虑%重症监护室%应付方式%普通病房
護士%焦慮%重癥鑑護室%應付方式%普通病房
호사%초필%중증감호실%응부방식%보통병방
Nurse%Anxiety%Intensive care unit%Coping style%General ward
目的 探讨重症监护室(ICU)护士与普通病房护士的应付方式与焦虑状况及相关性.方法 选取ICU护士84例及同医院病房护士77例为研究对象.采用一般调查表、应付方式问卷(CSQ)与焦虑自评量表(SAS)对两组进行调查研究,比较两组应付因子评分及其影响因素、焦虑发生率及程度,并分析应付方式与焦虑的相关性.结果 在应用“求助”这一成熟型的应付方式中ICU护士得分(0.694±0.175)分高于病房护士(0.631±0.212)分；在应用“自责”这一不成熟型应付方式中ICU护士得分(0.262±0.237)分低于病房护士(0.349±0.262)分,差异有统计学意义(t分别为2.043,-2.220；P＜0.05).两组焦虑发生率比较无统计学意义(P＞0.05),但ICU护士焦虑得分(39.37±8.905)分低于病房护士(42.53±8.573)分,差异具有统计学意义(t=-2.292,P＜0.05).ICU护士的应对方式与年龄、职称无相关关系(r分别为-0.060,-0.054；P＞0.05),但病房护士的应对方式与年龄和职称呈负相关(r分别为-0.237,-0.251；P＜0.05).“解决问题”与“求助”成熟型应付方式与焦虑呈负相关(r分别为-0.267,-0.177；P＜0.05或P＜0.01)；“退避”、“自责”、“幻想”不成熟型应对方式及“合理化”混合型应付方式与焦虑呈正相关(r分别为0.329,0.304,0.330,0.287；P ＜0.01).结论 提高护士的应付方式有助于减轻其心理压力和焦虑水平.
目的 探討重癥鑑護室(ICU)護士與普通病房護士的應付方式與焦慮狀況及相關性.方法 選取ICU護士84例及同醫院病房護士77例為研究對象.採用一般調查錶、應付方式問捲(CSQ)與焦慮自評量錶(SAS)對兩組進行調查研究,比較兩組應付因子評分及其影響因素、焦慮髮生率及程度,併分析應付方式與焦慮的相關性.結果 在應用“求助”這一成熟型的應付方式中ICU護士得分(0.694±0.175)分高于病房護士(0.631±0.212)分；在應用“自責”這一不成熟型應付方式中ICU護士得分(0.262±0.237)分低于病房護士(0.349±0.262)分,差異有統計學意義(t分彆為2.043,-2.220；P＜0.05).兩組焦慮髮生率比較無統計學意義(P＞0.05),但ICU護士焦慮得分(39.37±8.905)分低于病房護士(42.53±8.573)分,差異具有統計學意義(t=-2.292,P＜0.05).ICU護士的應對方式與年齡、職稱無相關關繫(r分彆為-0.060,-0.054；P＞0.05),但病房護士的應對方式與年齡和職稱呈負相關(r分彆為-0.237,-0.251；P＜0.05).“解決問題”與“求助”成熟型應付方式與焦慮呈負相關(r分彆為-0.267,-0.177；P＜0.05或P＜0.01)；“退避”、“自責”、“幻想”不成熟型應對方式及“閤理化”混閤型應付方式與焦慮呈正相關(r分彆為0.329,0.304,0.330,0.287；P ＜0.01).結論 提高護士的應付方式有助于減輕其心理壓力和焦慮水平.
목적 탐토중증감호실(ICU)호사여보통병방호사적응부방식여초필상황급상관성.방법 선취ICU호사84례급동의원병방호사77례위연구대상.채용일반조사표、응부방식문권(CSQ)여초필자평량표(SAS)대량조진행조사연구,비교량조응부인자평분급기영향인소、초필발생솔급정도,병분석응부방식여초필적상관성.결과 재응용“구조”저일성숙형적응부방식중ICU호사득분(0.694±0.175)분고우병방호사(0.631±0.212)분；재응용“자책”저일불성숙형응부방식중ICU호사득분(0.262±0.237)분저우병방호사(0.349±0.262)분,차이유통계학의의(t분별위2.043,-2.220；P＜0.05).량조초필발생솔비교무통계학의의(P＞0.05),단ICU호사초필득분(39.37±8.905)분저우병방호사(42.53±8.573)분,차이구유통계학의의(t=-2.292,P＜0.05).ICU호사적응대방식여년령、직칭무상관관계(r분별위-0.060,-0.054；P＞0.05),단병방호사적응대방식여년령화직칭정부상관(r분별위-0.237,-0.251；P＜0.05).“해결문제”여“구조”성숙형응부방식여초필정부상관(r분별위-0.267,-0.177；P＜0.05혹P＜0.01)；“퇴피”、“자책”、“환상”불성숙형응대방식급“합이화”혼합형응부방식여초필정정상관(r분별위0.329,0.304,0.330,0.287；P ＜0.01).결론 제고호사적응부방식유조우감경기심리압력화초필수평.
Objective To explore the stress coping style and anxiety status of intensive care unit (ICU) and general ward( referred to as ward) nurses and the relation between stress coping style and anxiety status.Methods Totals of 84 ICU nurses and 77 ward nurses were investigated with general information questionnaire,coping style questionnaire(CSQ) and self rating anxiety scale ( SAS),and compared coping factors score,influencing factors,anxiety incidence and degree between ICU group and ward group,and analysed the relation between stress coping style and anxiety status.Results The “seeking help” (mature coping style)score of ICU nurses group was ( 0.694 ± 0.175 ) higher than ( 0.631 ± 0.212 ) in ward group,and the score of immature style “self-accusation” in ICU group was ( 0.262 ± 0.237 ) lower than ( 0.349 ± 0.262 ) in ward group,difference was statistically significant ( t =2.043,- 2.220,respectively; P ＜ 0.05 ).There was no significant difference in anxiety incidence was found,but anxiety score of ICU group was(39.37 ± 8.905 ) lower than ward group(42.53 ± 8.573 ),and the difference was statistically significant ( t =- 2.292,P ＜ 0.05 ).Coping style was no relation with age,professional title in ICU group( r =-0.060,-0.054,respectively;P ＞ 0.05),while coping style was negatively correlated with age,professional title in ward group( r =-0.237,-0.251,respectively; P ＜ 0.05 ).“solving problem”,“seeking help” were negatively correlated with anxiety (r=-0.267,-0.177,respectively; P ＜ 0.05 or P ＜ 0.01 ).“Shirk”,“self-accusation” and “illusion”( immature coping styles) and “rationalization” ( combined coping style) were positively correlated with anxiety (r =0.329,0.304,0.330,0.287,respectively;P ＜ 0.01 ).Conclusions Improving coping style of nurses can help to reduce nurses' psychological stress and anxiety.
