CAJ | 학술논문

目的通过对新护士采取人格特征和应付方式评估进行分科干预,了解新护士在适应环境期间的心理健康状况及人格特征、应付方式与工作环境之问相互关系,找出有利于新护士心理健康的人科分配方法,为促进新护士的管理和心理素质的培养提供依据,有效提高护理质量.方法将2010年分配至某三甲医院的61名护士作为实验组,2009年的65名护士作为对照组.实验组采取人格特征、应付方式评估与护士长领导风格结合进行分科干预,对照组随机分科.分别于分科前、分科0.5年、1.5年评价两组护士的人格特征、心理健康状况和应付方式.结果对照组护士流失6人,流失率为9％,实验组无一人辞职.实验组护士0.5年时SCL-90敌对因子分较对照组低,差异有统计学意义(t=3.12,P＜0.01),应付方式中退避、合理化因子分较对照组低,差异有统计学意义(t值分别为3.75,3.35；P＜0.01)；1.5年时SCL-90强迫因子分较对照组低,差异有统计学意义(=2.02,P＜0.05),EPQL因子分较对照组高,差异有统计学意义(t=2.20,P＜0.05),应付方式自责因子分较对照组低,差异有统计学意义(=2.68,P＜0.01).结论根据护士的个性心理特征、应付方式结合护士长领导风格分科有利于增强新护士的心理素质,提高心理健康水平,使新护士面对压力时能采用成熟、积极的应对方式,促进其健康成长.提高新护士对护理工作的忠诚度,稳定护理队伍.
목적 통과대신호사채취인격특정화응부방식평고진행분과간예,료해신호사재괄응배경기간적심리건강상황급인격특정、응부방식여공작배경지문상호관계,조출유리우신호사심리건강적인과분배방법,위촉진신호사적관리화심리소질적배양제공의거,유효제고호리질량.방법 장2010년분배지모삼갑의원적61명호사작위실험조,2009년적65명호사작위대조조.실험조채취인격특정、응부방식평고여호사장령도풍격결합진행분과간예,대조조수궤분과.분별우분과전、분과0.5년、1.5년평개량조호사적인격특정、심리건강상황화응부방식.결과 대조조호사류실6인,류실솔위9％,실험조무일인사직.실험조호사0.5년시SCL-90활대인자분교대조조저,차이유통계학의의(t=3.12,P＜0.01),응부방식중퇴피、합이화인자분교대조조저,차이유통계학의의(t치분별위3.75,3.35；P＜0.01)；1.5년시SCL-90강박인자분교대조조저,차이유통계학의의(=2.02,P＜0.05),EPQL인자분교대조조고,차이유통계학의의(t=2.20,P＜0.05),응부방식자책인자분교대조조저,차이유통계학의의(=2.68,P＜0.01).결론 근거호사적개성심리특정、응부방식결합호사장령도풍격분과유리우증강신호사적심리소질,제고심리건강수평,사신호사면대압력시능채용성숙、적겁적응대방식,촉진기건강성장.제고신호사대호리공작적충성도,은정호리대오.
Objective To analyze the relation between personality characteristics,coping styles and division management,so as to understand the relationship between mental health status,personality characteristics,and workplace of new nurses during the adapting period of department environment,and improve the quality of care.Methods Totals of 61 nurses who were assigned to a comprehensive hospital in 2010 as the experimental group,and other 65 nurses who were assigned to the hospital in 2009 as the control group.The experimental group adopted the management of department division by analyzing the personality traits,coping style assessment and nurse leadership style,while the control group was randomly division.Intervention effects were evaluated respectively in before division,6 months and 18 months after division.Results There were six nurses left in control group,the left rate was 9％,while no one left in experimental group.Hostility factor score of SCL-90 of experimental group was lower than that in control group after 6 months of division (t =3.12,P ＜0.01),as well as the scores of retreat of coping style and rationalization factor (t =3.75,3.35,respectively;P ＜ 0.01).Forcing factor score of SCL-90,and self-reproach factor score of coping in experimental group were lower than that in control group (t =2.02,2.68,respectively ; P ＜ 0.05),while EPQL factor score was significantly higher than that in control group(t =2.20,P ＜ 0.01) after 18 months of division.Conclusions According to the psychological characteristics and coping style of new nurses,and leadership style of head nurses to divide the department for new nurses can improve mental health of the new nurses,promote them to adopt mature and positive coping styles to the stress,and promote their loyalty for the nursing and the stability of nurses team.