摘要
目的 :分析新冠肺炎疫情下产科护士的心理应激状况及其与应对方式的关系,为护理管理者建立护士心理预警系统提供参考。方法 :2020年2月,采用方便抽样方法选择北京市某5所综合三级甲等医院产科的131名护士为研究对象,用一般资料问卷、新冠肺炎疫情下护士心理应激调查问卷、特质应对方式问卷进行调查。结果:新冠肺炎疫情下产科护士心理应激状况条目均分为(1.52±0.35)分,各维度均分从高到低依次为恐惧、疑病、抑郁、神经衰弱、强迫-焦虑。护士积极应对方式得分为(36.83±6.29)分,消极应对方式得分为(25.33±7.64)分。不同产科工作年限、家庭经济状况、婚姻状况、生育情况、家人是否支持在疫情下工作、坚持工作动机的产科护士其心理应激状况得分不同,差异具有统计学意义(均P<0.05)。产科护士的心理应激状况总均分与积极应对方式呈负相关(r=0.418,P<0.001),与消极应对方式呈正相关(r=-0.483,P<0.001)。结论 :新冠肺炎疫情下产科护士存在恐惧、疑病等心理应激问题,但是应对方式较好,且护士的应对方式越积极其心理应激状况越好。提示护理管理者可通过改善产科护士的应对方式缓解其心理应激水平,尤其是在疫情防疫常态化下。
Objective:To analyze the relationship between psychological stress and coping styles of obstetrics nurses under COVID-19,and to provide a reference for nursing managers to establish a psychological early warning system for nurses in the COVID-19.Methods:In February 2020,131 obstetrics nurses from 5 tertiary general hospitals were selected by convenient sampling in Beijing.Psychological stress and coping styles were investigted.Results:The item score of psychological stress of obstetric nurses were 1.52±0.35,and the item score of each dimension from high to low was:fear,hypochondria,depression,neurasthenia,obsessive-anxiety.The score of positive coping style was 36.83±6.29,while that of negative coping style was 25.33±7.64.The scores of psychological stress of obstetrics nurses with different working years,family economic status,marital status,fertility status,family support,and work motivation were different(all P<0.05).The overall score of psychological stress showed a significant negative correlation with positive coping style(r=-0.418,P<0.001),and a significant positive correlation with negative coping style(r=0.483,P<0.001).Conclusion:Under the COVID-19 epidemic,obstetric nurses have psychological stress problems,such as fear and hypochondria,but they have a better coping style,and the more positive the coping style is,the better their psychological stress status is.Nursing managers can improve the coping style of nurses to alleviate the psychological stress problems.
作者
邬燕平
韩斌如
徐凤霞
郭玲玲
刘小玮
郑爽
WU Yanping;HAN Binru;XU Fengxia;GUO Lingling;LIU Xiaowei;ZHENG Shuang(Department of Obstetrics and Gynecology,Xuanwu Hospital,Capital Medical University,Beijing,100053,China;不详)
出处
《中国护理管理》
CSCD
2021年第2期219-223,共5页
Chinese Nursing Management
基金
首都医科大学宣武医院抗击新冠病毒肺炎专项课题(XWZX-2020002)。
关键词
新冠肺炎
产科护士
心理应激
应对方式
卫生人力
COVID-19
obstetrics nurses
psychological stress
coping style
health workforce
