CAJ | 학술논문

目的：探讨对护士进行工作压力管理的效果。方法2011年6月—2013年6月按照分层随机法将100名护士随机分为对照组和观察组各50名。对照组护士采用传统的方法在护士长简单指导下对工作压力实行自我调控，观察组护士实施工作压力管理，包括进行有针对性的心理卫生常识培训和压力适宜度的训练、对护士长进行压力管理的知识培训、建立减压工作室、运用各种形式开展减压教育等。比较两组护理质量情况。结果观察组的护理风险与缺陷纠纷的发生率低于对照组（2．0％比16．0％）；患者对护理服务满意度、护士对工作的自我满意度、领导和合作伙伴对护理工作的满意度均高于对照组（96．0％比76．0％，72．0％比40．0％，100．0％比80．0％）；护士离职率（2．0％比16．0％），身心疾病的发生率低于对照组（34．0％比78．0％），差异均有统计学意义（χ2值分别为4．39，6．73，9．13，9．00，4．40，17．89；P＜0．05）。结论对护士工作压力进行管理降低了护理风险、缺陷与纠纷的发生，减少了护士离职率和身心疾病的发生，提高了患者对护理服务的满意度、护士对工作的自我满意度和领导、合作伙伴对护理工作的满意度。
목적：탐토대호사진행공작압력관리적효과。방법2011년6월—2013년6월안조분층수궤법장100명호사수궤분위대조조화관찰조각50명。대조조호사채용전통적방법재호사장간단지도하대공작압력실행자아조공，관찰조호사실시공작압력관리，포괄진행유침대성적심리위생상식배훈화압력괄의도적훈련、대호사장진행압력관리적지식배훈、건립감압공작실、운용각충형식개전감압교육등。비교량조호리질량정황。결과관찰조적호리풍험여결함규분적발생솔저우대조조（2．0％비16．0％）；환자대호리복무만의도、호사대공작적자아만의도、령도화합작화반대호리공작적만의도균고우대조조（96．0％비76．0％，72．0％비40．0％，100．0％비80．0％）；호사리직솔（2．0％비16．0％），신심질병적발생솔저우대조조（34．0％비78．0％），차이균유통계학의의（χ2치분별위4．39，6．73，9．13，9．00，4．40，17．89；P＜0．05）。결론대호사공작압력진행관리강저료호리풍험、결함여규분적발생，감소료호사리직솔화신심질병적발생，제고료환자대호리복무적만의도、호사대공작적자아만의도화령도、합작화반대호리공작적만의도。
Objective To discuss the application effect of nurser ’ stress management in clinical nursing.Methods We selected 100 nurses and they were randomly divided into observation group (n=50) and control group (n=50).In control group, nurses were asked to deal with the job stress by the traditional way of self-regulation, while in observation group , stress management was used to improve the situation by the method of the specific psychological health training , which would assist the nurses to build up the mental response mechanism and the strategic thinking of seeking for help .Meanwhile , stress management training for the head nurses was arranged and stress management center was built , the education for the nurses was operated . Compared the nursing quality of two groups .Results The incidence of nursing risk and defects , physical and mental illness of observation group was lower the control group , the differences were statistically significant (2.0%vs 16.0%,34.0% vs 78.0%;P<0.05).At the same time, the self-satisfaction of the nurses, the satisfaction from nursing service recipients , leaders of the hospital and cooperation partners in observation group was higher than that in control group , the differences were statistically significant (96.0%vs 76.0%,72.0%vs 40.0%,100.0%vs 80.0%;P<0.05).Conclusions Stress management of nurses is observationly verified to be useful for decreasing the incidence of nursing risk, defects, disputes and physical and mental illness of the nurses, and increasing the self-satisfaction of the nurses , as well as the satisfaction from nursing service recipients, leaders of the hospital and cooperation partners .