手术室护士职业精神压力源、心理健康问题调查及两者的相关性研究  

Occupational Stress Source Investigation and Mental Health Problems in Operating Room Nurses

作　　者：林玉彩 周娜 王嘉宇 刘芳[1] 马晓智 李晶[1] LIN Yu-cai;ZHOU Na;WANG Jia-yu;LIU Fang;MA Xiao-zhi;LI Jing(Department of Operation Room,Fourth Affiliated Hospital of Harbin Medical University,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第四医院手术室,黑龙江省哈尔滨市150000

出　　处：《中国全科医学》2017年第B12期483-485,共3页Chinese General Practice

基　　金：国家自然科学基金面上项目(H1914)

摘　　要：目的研究手术室护士职业精神压力源、心理健康问题调查及两者的相关性。方法 2017年6月选取哈尔滨医科大学附属第四医院120例手术室护士为研究对象,分别采用护士职业精神压力源量表以及症状自评量表对护士进行问卷调查。并分析手术室护士职业精神压力与心理健康问题的相关性。结果 20~护士在护理专业与工作方面、工作量与时间分配、工作环境与仪器设备、患者护理方面以及管理与人际关系方面评分低于30~岁手术室护士(P均<0.05);1~5年护龄的护士各压力源评分低于6~年护龄的护士(P均<0.05);护士职称各压力源评分低于护师和主管护师及以上职称(P均<0.05)。手术室护士职业精神压力源前5位分别为工资与其他福利待遇低、晋升机会较少、工作量较大、护士工作未被患者及家属承认、担心工作中发生差错事故。手术室护士SCL-90各因子评分根据从高到低的顺序,分别为躯体化(9.22±1.68)分、强迫症状(8.83±1.65)分、抑郁(8.62±1.56)分、焦虑(6.52±1.37)分、精神病性(6.30±1.40)分、人际关系敏感(6.02±1.48)分、敌对(4.41±1.13)分、偏执(3.52±1.02)分、恐怖(2.35±0.88)分。Preason相关性分析显示,手术护士护理专业与工作方面、工作量与时间分配、工作环境与仪器设备、患者护理方面以及管理与人际关系方面的压力与SCL-90评分均呈正相关(r值分别为0.439、0.478、0.523、0.508、0.511,P均<0.05)。结论手术室护士的职业精神压力处于中等水平,其中感受到职业精神压力较大的护士SCL-90评分较高,心理健康状况较差,应予以关注。Objective To study the occupational mental stress source investigation and mental health problems in operating room nurses and analyze them.Methods 120 nurses in the operating room were selected as the study subjects,and the nurses'occupational stress source scale and self-rating scale were used to survey all nurses.The relationship between occupational stress and mental health problems in operating room nurses was analyzed.Results The scores of nursing profession and work,workload and time distribution,working environment and equipment,patient care,management and interpersonal aspects of stress in operating room nurses aged under 30 were significantly lower than nurses aged 30 or above(all P<0.05);The scores of each stressors in the operating room nurses worked below 6 years were significantly lower than nurses worked 6 years and above(allP<0.05).The score of nurses from each stressor in nurses were lower than those in primary nurse and nurse-incharge(all P<0.05).Operating room nurses occupational stress source of top 5 respectively for low wages and other benefits,fewer opportunities for advancement,larger workload,nurses work has been recognized by patients and their families,worry about error accident at work.Operating room nurses SCL-90 every factor score according to the order from high to low,respectively somatization symptoms(9.22±1.68)points,force(8.83±1.65)points and depression(8.62±1.56)points,anxiety(6.52±1.37)points,psychosis(6.30±1.40)points,interpersonal sensitivity(6.02±1.48)points,hostility(4.41±1.13)points,paranoid(3.52±1.02)points,horror(2.35±0.88)points.Preason correlation analysis available:surgery nurses nursing profession and work,workload and time distribution,working environment and equipment,patient care and management and interpersonal relationship pressure and SCL-90 scores were positively correlated relationship(allP<0.05).Conclusion The occupational mental stress of operating room nurses is at medium level,and the nurses who feel the high stress of professional spirit have h

关 键 词：护士 手术室 精神卫生 

分 类 号：R192.6[医药卫生—卫生事业管理]