护理工作应激与护士心理健康状况的研究  

Study on Work Stress and Mental Health Status of Nurses

作　　者：逄冰洁[1,2] 张曼玲[1,2] 江志君 李秋杰 隋淑杰 王秀菊 

机构地区：[1]哈尔滨医科大学附属第一医院 [2]哈尔滨医科大学附属第二医院

出　　处：《中华护理杂志》1998年第8期435-438,共4页Chinese Journal of Nursing

摘　　要：采用一般健康问卷（ＧＨＱ１２）和麦氏应激问卷（ＭＷＳＱ）对７４７名护士进行了调查。统计分析结果表明，护士人群的心境抑郁、心理紧张和焦虑失眠者发生率较高；心理状况不佳的检出率为１２３％。单因素统计可见，急诊科、儿科护士心理状况不佳检出率最高，分别为３０％和２５％（Ｐ＜０．００１）；三种工作应激因素（应付能力、工作满意感和职业应激源）确对心理健康状况有显著影响（Ｐ＜０．００１）。多因素Ｌｏｇｉｓｔｉｃ回归分析也进一步证明，上述工作应激和急诊科环境对心理状态不佳发生概率影响较大，复相关系数为０６７，并具有统计学意义。从而证明，护理工作应激因素与护士心理健康状况关系密切，进一步加强护士心理卫生工作。Mental health status and work stress factors were studied among 747 nurses by using Goldberg's 12 item general health questionnaire (GHQ-12) and McLean's self-assessment scheme of work stress in a self-administered questionnaire (MWSQ).The results showed that the percentage of depression;mental tension and anxiety or sleeplessness were comparatively high.The prevalence of cases of mental ill health was 12.3%.The highest proportion was in the emergency and pediatric department.The results of general statistical analysis showed that the proportions of reported problems were 30% and 25% respectively ( P<0.001) .Three kinds of work stress factors (coping ability job satisfaction and work stressors) have significant effect on mental health status ( P<0.001 ).The analysis of Logistic regression showed that the stress factors such as working in emergency department had comparatively important effect on the mental health (R= 0.67 ,P <0.01).These showed that work stress factors of nursing have a close relationship to nurse's mental health status.So it is necessary to improve the mental health of nurses. Author's address \ 1st Hospital of Harbin Medical University,Harbin 150001

关 键 词：护士 工作应激 心理健康 

分 类 号：R395.6[哲学宗教—心理学]