摘要
目的:了解吉林省长春市某三甲医院护理人员的心理压力状况并分析其原因,为改善护理人员心理压力状况和提升医疗服务质量提供科学依据。方法:以吉林省长春市某三甲医院在岗护理人员为研究对象,利用问卷星网络问卷收集数据,采用Kessler 10(K10)量表评价其心理压力水平,利用压力源量表分析其主要压力源,护理人员心理压力水平影响因素采用多因素Logistics回归分析。结果:共收集691份有效问卷,护理人员平均K10得分为(23.31±8.16)分,高心理压力(K10得分≥22分)护理人员占56.87%;不同年龄护理人员高心理压力检出率比较差异有统计学意义(P<0.05);多因素Logistics回归分析,护理人员心理压力水平升高的主要危险因素是值夜班(OR=1.930,95%CI:1.299~2.869,P=0.001)和曾遭受患者及其家属攻击或辱骂(OR=3.945,95%CI:2.829~5.502,P<0.001);高心理压力护理人员压力源量表总分及各维度得分均高于低或一般心理压力水平者(P<0.05)。结论:本院护理人员心理压力水平高,压力源广泛,应着重针对工作负荷和医患矛盾提出相应的措施以降低护理人员的心理压力,提高护理人员的心理健康水平。
Objective:To understand the psychological stress situation of the nursing staffs in a Class A Tertiary Hospital in Changchun City in Jilin Province and analyze its causes,and to provide the scientific basis for improving the psychological stress situation of the nursing staffs and promoting the quality of medical services.Methods:The nursing staffs who worked in a Class-A Tertiary Hospital in Changchun City in Jilin province were regarded as the subjects,and the data were collected by Wenjuanxing Network Questionnaire,the Kessler(K10)Scale was used to evaluate the psychological stress levels of the nursing staffs,the Stressor Scale was used to analyze the main stressors,and multivariate Logistic regression analysis was used to analyze the influencing factors of psychological stress levels of the nursing staffs.Results:A total of 691 valid questionnaires were collected;the mean K10 score of the nursing staffs was(23.31±8.16)points,and 56.87%of the nursing staffs were under high psychological stress level(K10 score≥22 points);there was significant difference in the detection rate of high psychological stress level among the nursing staffs with different ages(P<0.05).The multivariate Logistic regression analysis results showed that the main risk factors of psychological stress level inccreasing of the nursing staffs were night shift(OR=1.930,95%CI:1.299-2.869,P=0.001)and being attacked or verbally abused by the patients and their family members(OR=3.945,95%CI:2.829-5.502,P<0.001);the total score and the scores on various dimensions of Stressor Scale of the nursing staffs with the high levels of psychological stress were higher than those with the low or average levels of psychological stress(P<0.05).Conclusion:The levels of psychological stress of the nursing staffs in our hospital and the wide range of stressors is wild;the corresponding measures should be put forward according to the workload and doctor-patient contradictions to reduce the psychological stress of the nursing staffs and increase their psychological health levels.
作者
杨依玲
肖蒙
吴昊
李彪
寇长贵
YANG Yiling;XIAO Meng;WU Hao;LI Biao;KOU Changgui(Department of Obstetrics and Gynecology,China-Japan Union Hospital,Jilin University,Changchun 130033,China;Department of Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China)
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2023年第2期514-519,共6页
Journal of Jilin University：Medicine Edition
基金
吉林省科技厅科研基金资助项目(20191102007YY)。
关键词
护理人员
心理压力
现况调查
精神卫生
影响因素
Nursing staff
Mental stress
Prevalence survey
Mental health
Influencing factor
