中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
23期
2771-2773
,共3页
产科护士%心理健康%应对方式%相关性
產科護士%心理健康%應對方式%相關性
산과호사%심리건강%응대방식%상관성
Obstetrics nurse%Psychological health%Coping style%Relevance
目的 探讨产科护士应对方式与心理健康的关系,为护理管理提供依据.方法 采用症状自评量表(SCL-90)和应对方式问卷(CSQ)对290名临床产科护士进行调查.筛查出存在心理问题者和心理健康者,比较两者CSQ差异,并分析两者SCL-90与CSQ评分的相关性.结果 共发放调查问卷300份,回收296份,有效问卷为290份,有效回收率为96.7％.产科护士心理问题检出率为32.4％,存在心理问题的护士以消极应对方式为主,心理健康护士以积极应对方式为主.存在心理问题的护士CSQ评分中解决问题、自责、求助、幻想、退缩各维度得分与心理正常者比较[(6.26±2.12)/(8.19±2.37),(5.89±2.64)/(4.33±1.61),(4.25±1.81)/(5.64±2.06),(5.32±2.63)/(3.69±2.05),(5.97±2.86)/(4.23±1.96)],差异均有统计学意义(t值分别为3.84,3.10,3.21,3.02,3.09;P＜0.01).Pearson相关分析结果表明,SCL-90各因子评分与CSQ因子中解决问题、求助因子呈负相关(P＜0.01),与自责、幻想、退避等因子呈正相关,差异具有统计学意义(P＜0.01).结论 产科护士存有不同程度的心理问题,以消极应对方式为主要表现,护理管理者应有针对性根据其状况进行干预,以利于临床护理工作的开展.
目的 探討產科護士應對方式與心理健康的關繫,為護理管理提供依據.方法 採用癥狀自評量錶(SCL-90)和應對方式問捲(CSQ)對290名臨床產科護士進行調查.篩查齣存在心理問題者和心理健康者,比較兩者CSQ差異,併分析兩者SCL-90與CSQ評分的相關性.結果 共髮放調查問捲300份,迴收296份,有效問捲為290份,有效迴收率為96.7％.產科護士心理問題檢齣率為32.4％,存在心理問題的護士以消極應對方式為主,心理健康護士以積極應對方式為主.存在心理問題的護士CSQ評分中解決問題、自責、求助、幻想、退縮各維度得分與心理正常者比較[(6.26±2.12)/(8.19±2.37),(5.89±2.64)/(4.33±1.61),(4.25±1.81)/(5.64±2.06),(5.32±2.63)/(3.69±2.05),(5.97±2.86)/(4.23±1.96)],差異均有統計學意義(t值分彆為3.84,3.10,3.21,3.02,3.09;P＜0.01).Pearson相關分析結果錶明,SCL-90各因子評分與CSQ因子中解決問題、求助因子呈負相關(P＜0.01),與自責、幻想、退避等因子呈正相關,差異具有統計學意義(P＜0.01).結論 產科護士存有不同程度的心理問題,以消極應對方式為主要錶現,護理管理者應有針對性根據其狀況進行榦預,以利于臨床護理工作的開展.
목적 탐토산과호사응대방식여심리건강적관계,위호리관리제공의거.방법 채용증상자평량표(SCL-90)화응대방식문권(CSQ)대290명림상산과호사진행조사.사사출존재심리문제자화심리건강자,비교량자CSQ차이,병분석량자SCL-90여CSQ평분적상관성.결과 공발방조사문권300빈,회수296빈,유효문권위290빈,유효회수솔위96.7％.산과호사심리문제검출솔위32.4％,존재심리문제적호사이소겁응대방식위주,심리건강호사이적겁응대방식위주.존재심리문제적호사CSQ평분중해결문제、자책、구조、환상、퇴축각유도득분여심리정상자비교[(6.26±2.12)/(8.19±2.37),(5.89±2.64)/(4.33±1.61),(4.25±1.81)/(5.64±2.06),(5.32±2.63)/(3.69±2.05),(5.97±2.86)/(4.23±1.96)],차이균유통계학의의(t치분별위3.84,3.10,3.21,3.02,3.09;P＜0.01).Pearson상관분석결과표명,SCL-90각인자평분여CSQ인자중해결문제、구조인자정부상관(P＜0.01),여자책、환상、퇴피등인자정정상관,차이구유통계학의의(P＜0.01).결론 산과호사존유불동정도적심리문제,이소겁응대방식위주요표현,호리관리자응유침대성근거기상황진행간예,이리우림상호리공작적개전.
Objective To explore the relationship between the coping style and psychological health of obstetrics nurse in order to provide the basis for nursing management.Methods Two hundred and ninety obstetrics nurses were surveyed by SCL-90(Symptom Checklist-90) and Coping Style Questionniare (CSQ),the psychological disorder nurses and psychological health nurses were examined,the difference of CSQ between psychological disorder nurses and psychological health nurses was compared,and the relevance about SCL-90 and CSQ was analyzed.Results Three hunderd questionniare were issued and 290 questionniare were responsive with a effective response rate of 96.7％.The detection rate of psychological problems in the obstetrics nurse was 32.4％.The nurses with psychological problems behaved mainly negative coping style,the nurses with psychological health behaved mainly active coping style,the score of CSQ about dealing with the problem,self-blame,help,fantasy and withdrawal were (6.26 ± 2.12),(5.89 ± 2.64),(4.25 ± 1.81),(5.32 ±2.63),(5.97 ± 2.86) in the nurses with psychological problems and (8.19 ± 2.37),(4.33 ± 1.61),(5.64 ± 2.06),(3.69 ± 2.05),(4.23 ± 1.96) in the nurses with psychological health,the difference was statistically significant (t =3.84,3.10,3.21,3.02,3.09; P ＜ 0.01).Pearson correlation analysis revealed SCL scores are significantly positively correlated with problem solving and factor for help and negatively correlated with self-reproach,fantasize,and avoid (P ＜ 0.01).Condusions The obstetrics nurses have different degrees of psychological problems,mainly as negative coping style,the nurse management workers should give them active intervention based on their condition in order that clinical nursing work is better carried out.
