肿瘤科护士的自杀意念及其相关因素分析  

Suicidal ideation and its related factors among nurses of oncology departments of four cities in China

作　　者：刘西和 吕淑艳[2] 董波[3] 房海英[4] Xi-he Liu;Shu-yan Lü;Bo Dong;Hai-ying Fang(Department of Psychiatry, Beijing Daxing Psychiatric Hospital, Daxing, Beijing 102600, China;Department of Psychiatry, Tianjin Anning Hospital, Tianjin 300300, China;Department of Psychiatry, the 118th Hospital of Chinese People’s Liberation Army, Wenzhou, Zhejiang 325099, China;Department of Psychiatry, Shengli Hospital of Shengli Oil Field, Dongyin, Shandong 257055, China)

机构地区：[1]北京大兴区精神病医院精神科,北京102600 [2]天津市安宁医院精神科,天津300300 [3]中国人民解放军第一一八医院精神科,浙江温州325099 [4]山东省胜利油田胜利医院精神科,山东东营257055

出　　处：《中国现代医学杂志》2018年第8期76-81,共6页China Journal of Modern Medicine

基　　金：山东省胜利油田胜利医院专学科建设基金资助课题(No:SL2010N91)

摘　　要：目的调查肿瘤科护士的自杀意念率及相关因素分析。方法选取国内4个城市的4所肿瘤专科医院和8所综合医院的1 473例肿瘤科护士自评完成一般情况问卷、Zung氏抑郁自评量表、中国护士工作应激源量表(CNSS)和近1年自杀意念评定。结果肿瘤科护士近1年的自杀意念率为6.7%;护士自杀意念的危险因素为婚姻状况为再婚、同居、分居/离婚或丧偶、护师职称、抑郁、家庭经济条件差、经常倒夜班、CNSS家庭领域>62分、患者病情领域>123分、人际关系领域>85分及工作负荷领域>104分;仅有11.1%的伴有自杀意念的护士曾求助过精神卫生专业人员。结论肿瘤科护士潜在自杀风险高;不良的职业特征和工作应激因素可能增加了护士自杀意念的发生风险。Objective To investigate the prevalence of suicidal ideation among nurses working in oncology departments and the correlated factors.Methods A total of1,473oncology nurses were selected from four oncology specialty hospitals and eight general hospitals of four cities in China,and administered with a socio-demographic questionnaire,Zung’s Self-rating Depression Scale,Chinese Nurse Stressor Scale(CNSS)and a standardized question regarding one-year suicidal ideation.Results The prevalence rate of one-year suicidal ideation among the oncology nurses was6.7%.Risk factors(ORs)for suicidal ideation were marital status of remarriage,cohabitation,separation/divorce,or widowhood,a technical title of attending nurse,depression,CNSS family domain score>62,patient domain score>123,and workload domain score>104.Only11.1%of the nurses with suicidal ideation had sought help from mental health professionals.Conclusions Oncology nurses have a high risk of potential suicide.Adverse occupational factors and job stress might increase the risk for suicidal ideation.

关 键 词：自杀意念 抑郁 工作应激 肿瘤科护士 

分 类 号：R395.4[哲学宗教—心理学]