二胎护士的家庭亲密度与适应性和产后返岗适应性的相关性研究  

Correlation between family cohesion and adaptation and work adaptation in postpartum nurses with second child

作　　者：王巧 方丹[1] 刘轶 罗秀萍[1] 李辰瑶 Wang Qiao;Fang Dan;Liu Yi;Luo Xiuping;Li Chenyao(Department of Neurosurgery,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院神经外科,成都610041 [2]成都大学附属医院胃肠科

出　　处：《中国实用护理杂志》2018年第28期2161-2165,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨二胎护士的家庭亲密度与适应性和产后返岗适应性的相关性。方法使用方便抽样，于2017年10-12月选取四川省成都市4所医院155名已生育二胎的护士作为研究对象。使用家庭亲密度与适应性量表和护士产后返岗适应性问卷进行调查。结果本研究二胎返岗护士的家庭实际亲密度、理想亲密度和亲密度不满意程度分别为（66．95±8．37）、（71．68±6．45）、（7．87±5．13）分，均高于国内常模的（63．90±8．00）、（68．80±5．30）、（6．40±5．00）分，差异有统计学意义（t=-3．086、-4．079、-2．403，均P〈0．05）。实际适应性得分为（48．86±7．33）分，低于国内常模的（50．90±6．20）分，差异有统计学意义（t=2．514，P〈0．05），理想适应性与国内常模比较差异无统计学意义（P〉0．05），适应性不满意程度（9．36±5．22）分，高于国内常模的（7．40±5．30）分，差异有统计学意义（t=-3．076，P〈0．05）。极端型、中间型和平衡型家庭分别为24例（15．5％）、54例（34．8％）和77例（49．7％）。二胎护士返岗适应性总均分为（2．41±0．76）分。极端型家庭护士返岗适应性得分最低。工作年限、家庭适应性不满意程度、家庭亲密度不满意程度和医院等级可影响二胎护士的返岗适应性。结论护理管理者应正视二胎护土产后返岗适应不良的现状，对于返岗护士给予人性化的管理，关注二胎护士的思想情绪状态，及时疏导其不良负性情绪，采取措施做好护士家属的思想工作，帮助二胎护士顺利度过返岗适应期。Objective To explore the correlation between family cohesion and adaptation and work adaptation in postpartum nurses with second child. Methods There were 155 postpartum nurses with second child collected from 4 hospitals in Chengdu of Sichuan Province between October and December 2017, by convenience sampling. Family Adaptation and Cohesion Evaluation Scale Ⅱ and Questionnaire of Return Adaptation for Postpartum Nurse were used in the investigation. Results The family real cohesion, ideal cohesion and dissatisfaction of coherence were （66.95 ± 8.37）, （71.68 ± 6.45）, （7.87 ± 5.13） points in this study, which were higher than norms： （63.90 ± 8.00）, （68.80 ± 5.30）, （6.40 ± 5.00） points, and there were significant differences （t=-3.086,-4.079,-2.403, all P〈0.05） . The family real adaptation was （48.86 ± 7.33） points, which was less than norms： （50.90 ± 6.20） points, and there was significant difference （t=2.514, P〈0.05）. The ideal adaptation had no significant difference with norms （P〉 0.05）. The dissatisfaction of adaptation was （9.36 ± 5.22） points, which was higher than norms： （7.40 ± 5.30） points, and there was significant difference （t=-3.076, P〈0.05）. There were 24 （15.5%） nurses in extreme type family, 54 （34.8%） in intermediate type and 77 （49.7%） in balance type. The average score of work adaptation was （2.41 ± 0.76） points. The scores of work adaptation in nurses of extreme type family were lowest. Time since working, dissatisfaction of adaptation, dissatisfaction of coherence and hospital level were the influencing factors of work adaptation. Conclusions Nursing managers should face up to the situation of work adaptation in postpartum nurses, humanize their management, pay attention to the emotional state, promptly dispel their bad negative emotions, take measurements to improve the understanding of nurses＇ families and help them pass the adaptation period of returning to work.

关 键 词：二胎护士 家庭亲密度 家庭适应性 产后返岗 

分 类 号：R47[医药卫生—护理学]