中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
22期
2609-2613
,共5页
高桃%马爱国%邵丽萍%汪求真%王爱敏%高玉芳
高桃%馬愛國%邵麗萍%汪求真%王愛敏%高玉芳
고도%마애국%소려평%왕구진%왕애민%고옥방
护理人员%工作压力%心理健康%综合医院
護理人員%工作壓力%心理健康%綜閤醫院
호리인원%공작압력%심리건강%종합의원
Nursing staff%Work stress%Psychological health%General hospital
目的 了解护理人员工作压力与心理状况及其相互关系,为有效地减轻和改善工作压力对心理健康水平的影响提供科学依据.方法 采用目标抽样的方法抽取某综合医院护理人员532名,采用自制一般资料调查表和护理人员工作压力源量表、心理健康症状自评量表(SCL-90)调查护理人员基本情况、工作压力状况及心理状况.结果 工作压力分析发现,护理人员工作压力5个维度中,患者护理方面得分(2.73±0.62)分、护理专业及工作方面(2.61±0.61)分,居于前2位.SCL-90中护理人员躯体化、强迫、人际关系3个因子得分分别为(1.80±0.50),(2.07±0.55),(1.82±0.52)分,均高于常模[(1.37±0.48),(1.62±0.58),(1.65±0.51)分],差异均有统计学意义(t值分别为17.37,15.43,6.49;P <0.01);SCL-90其他各因子护理人员得分也均高于常模,差异有统计学意义(P<0.01);护理人员不同性别之间心理健康各因子得分差异无统计学意义(P>0.05),不同年龄、编制、职称护理人员之间心理健康得分比较,40岁及以上护理人员、正式在编人员、主管护师及以上人员的躯体化因子得分较高(P<0.05),40岁以下人员、非正式在编人员及主管护师职称以下人员的人际关系、焦虑、敌对、恐怖因子得分较高(P<0.05);通过Logistic回归分析发现,职称、患者护理、管理及人际关系、护理专业及工作四个方面是影响护理人员心理健康水平的主要因素,重要性顺序为职称>护理专业及工作>患者护理>管理及人际关系.结论 护理人员工作压力大,心理状况欠佳,医院护理管理者应采取科学合理的措施,减轻护理人员的工作压力,提高其心理健康水平.
目的 瞭解護理人員工作壓力與心理狀況及其相互關繫,為有效地減輕和改善工作壓力對心理健康水平的影響提供科學依據.方法 採用目標抽樣的方法抽取某綜閤醫院護理人員532名,採用自製一般資料調查錶和護理人員工作壓力源量錶、心理健康癥狀自評量錶(SCL-90)調查護理人員基本情況、工作壓力狀況及心理狀況.結果 工作壓力分析髮現,護理人員工作壓力5箇維度中,患者護理方麵得分(2.73±0.62)分、護理專業及工作方麵(2.61±0.61)分,居于前2位.SCL-90中護理人員軀體化、彊迫、人際關繫3箇因子得分分彆為(1.80±0.50),(2.07±0.55),(1.82±0.52)分,均高于常模[(1.37±0.48),(1.62±0.58),(1.65±0.51)分],差異均有統計學意義(t值分彆為17.37,15.43,6.49;P <0.01);SCL-90其他各因子護理人員得分也均高于常模,差異有統計學意義(P<0.01);護理人員不同性彆之間心理健康各因子得分差異無統計學意義(P>0.05),不同年齡、編製、職稱護理人員之間心理健康得分比較,40歲及以上護理人員、正式在編人員、主管護師及以上人員的軀體化因子得分較高(P<0.05),40歲以下人員、非正式在編人員及主管護師職稱以下人員的人際關繫、焦慮、敵對、恐怖因子得分較高(P<0.05);通過Logistic迴歸分析髮現,職稱、患者護理、管理及人際關繫、護理專業及工作四箇方麵是影響護理人員心理健康水平的主要因素,重要性順序為職稱>護理專業及工作>患者護理>管理及人際關繫.結論 護理人員工作壓力大,心理狀況欠佳,醫院護理管理者應採取科學閤理的措施,減輕護理人員的工作壓力,提高其心理健康水平.
목적 료해호리인원공작압력여심리상황급기상호관계,위유효지감경화개선공작압력대심리건강수평적영향제공과학의거.방법 채용목표추양적방법추취모종합의원호리인원532명,채용자제일반자료조사표화호리인원공작압력원량표、심리건강증상자평량표(SCL-90)조사호리인원기본정황、공작압력상황급심리상황.결과 공작압력분석발현,호리인원공작압력5개유도중,환자호리방면득분(2.73±0.62)분、호리전업급공작방면(2.61±0.61)분,거우전2위.SCL-90중호리인원구체화、강박、인제관계3개인자득분분별위(1.80±0.50),(2.07±0.55),(1.82±0.52)분,균고우상모[(1.37±0.48),(1.62±0.58),(1.65±0.51)분],차이균유통계학의의(t치분별위17.37,15.43,6.49;P <0.01);SCL-90기타각인자호리인원득분야균고우상모,차이유통계학의의(P<0.01);호리인원불동성별지간심리건강각인자득분차이무통계학의의(P>0.05),불동년령、편제、직칭호리인원지간심리건강득분비교,40세급이상호리인원、정식재편인원、주관호사급이상인원적구체화인자득분교고(P<0.05),40세이하인원、비정식재편인원급주관호사직칭이하인원적인제관계、초필、활대、공포인자득분교고(P<0.05);통과Logistic회귀분석발현,직칭、환자호리、관리급인제관계、호리전업급공작사개방면시영향호리인원심리건강수평적주요인소,중요성순서위직칭>호리전업급공작>환자호리>관리급인제관계.결론 호리인원공작압력대,심리상황흠가,의원호리관리자응채취과학합리적조시,감경호리인원적공작압력,제고기심리건강수평.
Objective To study the work stress and psychological status of nursing staff as well as their relationship,so as to provide scientific references for alleviating work stress and improving mental health.Methods 532 nurses insome general hospital were chosen by target sampling,and self-designed questionnaire,work stress scale and SCL-90 were used to investigate their basic information,work stress and psychological status.Results Work stress analysis showed that,among 5 dimensions of nursing staff' s work stress,the score of nursing,nursing profession and work was the highest,respectively (2.73 ± 0.62),(2.61 ± 0.61).The score of somatization,obsessive-compulsivesymptoms and interpersonal sensitivity in SCL-90 was respectively (1.80 ± 0.50),(2.07 ± 0.55),(1.82 ± 0.52),higher than the norm which is (1.37 ± 0.48),(1.62 ±0.58),(1.65 ± 0.51),and the differences were statistically significant (t =17.37,15.43,6.49,respectively;P < 0.01) ; the score of depression,paranoid,psychosis,anxiety,hostility,terror in SCL-90 was respectively higher than the norm (P < 0.01).There was no statistically significantdifference of mental health scores between nurses of different genders (P > 0.05).Score of somatization was relatively higher in nursing staff who were over 40 years old,officially employed or nurses-in-charge and above (P < 0.05).Score of interpersonal relationship,anxiety,hostile and horror was relatively higher in nursing staff who were under 40,non-officially employed or below nurses-in-charge (P < 0.05).Logistic regression analysis showed that,professional title,nursing for patients,management and interpersonal relationship,nursing profession and work were the four main influencing factors for nursing staff' s mental health,and the order of importance was professional > nursing profession and work > nursing for patients > management and interpersonal relationship.Conclusions Nursing staff' s work stress is high and their psychological status is not good enough in general hospital.Scientific measures should be taken by hospital manager to alleviate nursing staff' s work stress and improve their mental health.