摘要
目的了解我国内地护士群体心理健康水平的真实情况,为医院心理健康工作、护理管理工作和相关研究工作提供依据。方法利用相关数据库资源检索了自上世纪90年代至今有关用SCL-90对护士心理健康状况评估的实证研究,共收集了文章147篇,有效样本195个,被试31249人,样本除了医院各科室综合样本外,还包括精神科等11个科室的专科护士样本,样本分布于华北、华南、西北、西南、华东、华中等20余个省区市。利用SCL-90成人常模做比较,分别利用Review Manager 4软件和Microsoft Excel进行Meta分析和分数合成。结果中国护士SCL-90得分状况的合并效应显示,护士的整体心理健康水平略低于成人常模(d=0.06,P<0.01),根据31249名被试的得分进行合并,得到被试总体的SCL-90各因子均分与标准差,与成人常模比较敌对、偏执、恐怖和精神病性4个因子与常模比较无统计学意义(P>0.05),其余因子具有统计学意义(P<0.01,P<0.05)。结论目前的研究结果用于解释护士心理症状的适合性有待商榷,本研究大样本护士群体SCL-90合成分数可作为护士群体参考常模。
Objective To understand the level of mental health of nurses in the Mainland of China,and provide a basis for mental health work,nursing management and related study.Methods The studies on the mental health of nurses in China's Mainland since 1990s were searched through the relational database,a total of 147 articles and 195 valid samples were collected,31249 people were tested.The samples derived from comprehensive departments and 11 special departments,and spreaded over the north,south,northwest,northeast,southwest,east and central of China,and they were more than 20 provinces,autonomous regions and citys.The adult norm of SCL-90 was regarded as the control,Meta analysis and data synthesis were made by using Review Manager 5 software and Microsoft Excel.Results The combined effect of SCL-90 scores of nurses showed that the overall mental health of nurses was lower than the adults norm（d=0.06,P〈0.01）.According to the scores of 31249 people,the average score of the SCL-90 factors was got and it was significantly different from every factor of adults norms（P〈0.05,P〈0.01） except hostility,paranoid,phobia and schizophrenia（P〉0.05）.Conclusion It is urgent to establish norm of SCL-90 for norm groups of nurse in Mainland of China,it is questionable to explain the psychological symptoms according to the result of current research.
出处
《中国健康心理学杂志》
2011年第3期297-300,共4页
China Journal of Health Psychology
