高风险科室护士的心理健康水平与应对方式的相关分析  

Study on nurses’ mental health level in high risk departments and the relationship with coping style

作　　者：殷岳[1] 呼滨[2] 

机构地区：[1]北京市第六医院外科,北京100007 [2]北京市第六医院护理部,北京100007

出　　处：《护理管理杂志》2006年第1期4-5,14,共3页Journal of Nursing Administration

摘　　要：目的揭示高风险科室护士与心理健康水平常模的差异及其原因,并研究心理健康水平与应对方式之间的相关性。方法采用症状自评量表(SCL-90)和应对方式问卷对50名高风险科室护士进行调查,并与常模对比研究。结果护士SCL-90总均分及各因子分高于常模,差异具有统计学意义(P<0.05或P<0.01)。高风险科室护士与常模的应对方式一致,成熟型应对因子与SCL-90总均分呈负相关,不成熟型、混合型应对因子与SCL-90总均分呈正相关。结论高风险科室护士的心理健康水平低于一般人群,主要原因是工作中长期的超负荷应激。而应激反应的大小受应对方式的影响:不成熟型和混合型应对方式会加重应激反应;成熟型应对方式有利于提高心理适应能力,降低应激反应强度。Objectives To explore the difference and its reasons of mental health level between nurses in high risk departments and the normal group, and to determine the relationship between nurses＇ mental health level and coping style. Method The Symptom Checklist 90 （SCL -90） and the Coping Style Questionnaire were used to investigate 50 nurses in high risk departments,and then compared the results with that of normal group. Results The total mean score of SCL -90 and each factor score in nurses from high risk departments were significantly higher than that of normal group（ P 〈 0.05 or P 〈 0, 01 ）. There was no significant difference in their coping styles between the two gronps. The total mean score of SCL -90 was negatively correlated with mature type of coping, and positively correlated with immature type and the mixed type of coping. Conclusion The mental health level of the nurses who worked in high risk departments was lower than that of the normal group mainly due to long period of overload working stress. Coping style could influence their stress response, which manifested that immature and mixed coping style could aggravate the stress response, while mature coping style could alleviate stress response and was beneficial to improve nurses＇ mental adaptability.

关 键 词：护士 心理健康水平 应对方式 

分 类 号：R47[医药卫生—护理学]