部队医院护士应对方式与心理健康水平的关系  

Relationship of nurse coping style and level of mental health in the three level of first-class in military hospital

作　　者：何萍萍[1] 蒋萍萍[1] 

机构地区：[1]解放军空军总医院,北京100142

出　　处：《中国医药导报》2015年第9期168-172,共5页China Medical Herald

摘　　要：目的探讨部队医院护士应对方式与心理健康水平的关系。方法采用自制的基本情况问卷、应对方式量表、抑郁自评量表、焦虑自评量表对北京市部队医院1266名在职护士进行调查。结果 1部队医院护士积极应对方式均分为(2.05±0.45)分、消极应对方式均分为(1.20±0.51)分,积极应对方式均分高于常模(P<0.01),消极应对方式均分低于常模(P<0.01)。2方差分析结果表明:不同的年龄、生育状况、文化程度、职称、工作性质、工作年限、健康水平护士积极应对方式评分比较,差异均有统计学意义(F=7.10、3.95、4.79、6.45、6.81、4.95、16.74,P<0.05或P<0.01);不同生育情况、健康水平对护士消极应对方式分值水平影响差异有统计学意义(F=5.87、7.54,P<0.01)。3部队医院护士的积极应对方式与焦虑、抑郁呈显著负相关(P<0.01),消极应对方式与焦虑、抑郁呈显著正相关(P<0.01)。4多元线性逐步回归分析结果显示,护士焦虑的主要影响因素为消极应对方式、积极应对方式、毕业院校、健康状况、科室、职称(t=9.079、6.527、1.831、4.197、2.620、2.009,P<0.05),决定系数R2为0.121,可解释总变异量的12.1%;护士抑郁的主要影响因素为消极应对方式、积极应对方式、婚姻状况和健康状况(t=12.096、11.402、5.497、3.447,P<0.05),决定系数R2为0.193,可解释总变异量的19.3%。结论部队医院护士的心理健康水平受应对方式的影响,需加强心理健康教育,改善应对方式。Objective To explore the relationship of nurse coping style and level of mental health. Methods 1266 nurses of military hospital in Beijing were tested with a basic information table of nurses, simplified coping style questionnaire（SCSQ）, self-rating depression scale and self-rating anxiety scale. Results 1In all of the 1266 subjects, The average scores of the positive coping style of simplified coping style questionnaire was（2.05±0.45） scores; the average scores of the negative coping style of SCSQ was（1.20±0.51） scores; the average scores of the positive coping style of simplified coping style questionnaire was higher than the norm（P〈0.01）; the average scores of the negative coping style of simplified coping style questionnaire was lower than the norm（P〈0.01）. 2 The One-Way ANOVA showed that, positive coping style score, age, the childbearing condition, cultural level, professional title, job specification, job experience and health condition were statistically significant（F = 7.10, 3.95, 4.79, 6.45, 6.81, 4.95, 16.74, P〈0.05 or P〈0.01）; passive coping style score the childbearing condition and health condition were statistically significant（F =5.87, 7.54; P〈0.05）. 3The positive coping style was passive linear correlation with anxiety and depression（P〈0.01）,the negative coping style was positive linear correlation with anxiety and depression（P〈0.01）. 4The linear multivariate regression analysis showed that, the main influence factors of the nurse anxiety were negative coping style, positive coping style, graduate school, health condition, department, and the professional title（t = 9.079, 6.527, 1.831, 4.197,2.620, 2.009; P〈0.05）, decision coefficient was 0.121, could explain 12.1% of the total variance; the main influence factors of the nurse depression were negative coping style, positive coping style, marital status, health condition（t =12.096, 11.402, 5.497, 3.447, P〈0.05）, decision coefficient was 0.193, could explain 19.3% of the total varianc

关 键 词：部队医院 护士 应对方式 焦虑 抑郁 

分 类 号：R471[医药卫生—护理学]