基于SCL-90量表的妇幼医院护士心理健康状况调查  

Investigation on mental health based on SCL-90 of nurses at a maternity and children hospital

作　　者：张禹 张佳蕾 Zhang Yu;Zhang Jialei(Nursing Department,Tongzhou Maternal and Child Health Hospital of Beijing,Beijing 101100,China;Department of Gynaecology,Tongzhou Maternal and Child Health Hospital of Beijing,Beijing 101100,China)

机构地区：[1]北京市通州区妇幼保健院护理部,北京101100 [2]北京市通州区妇幼保健院妇科,北京101100

出　　处：《中华现代护理杂志》2019年第15期1951-1954,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查某妇幼医院护士的心理健康水平,分析不良心理发生原因,提出应对措施,以期为促进妇幼医院护士的身心健康提供科学依据.方法2017年11月3—10日,采取整群抽样方法选取北京市某区级妇幼医院符合纳入标准的北京某妇幼医院各科护士共220人为调查对象,采用SCL-90症状自评量表评估各科护士的各因子得分情况,并采用t检验及方差分析等统计学方法处理分析数据.结果本研究护士与护士常模组的SCL-90各因子的比较,躯体化、强迫、敌对、恐怖、精神病性5个因子均数高于常模组(P<0.05),人际敏感、抑郁、焦虑、偏执症状4个因子均数差异无统计学意义(P>0.05).不同科室护士SCL-90评分比较,儿科护士躯体化、强迫、人际关系敏感、抑郁、焦虑5个因子均分高于妇科、产科护士(P<0.05).结论妇幼医院护士心理健康水平低于护士整体水平,其中儿科护士心理问题高于妇科、产科护士,可能与其责任大、任务重、压力高等职业因素有关.Objective To investigate the mental health of nurses at the maternity and children hospital,analyze the causes of unhealthy psychology and put forward measures,so as to provide a scientific basis for promoting their physical and mental health.Methods From 3rd November 2017 to 10th November 2017,we selected 220 nurses of departments met the inclusion criteria at a district level maternity and children hospital in Beijing by cluster sampling.The Symptom Checklist 90(SCL-90)was used to evaluate the scores each factor,and t test as well as analysis of variance were used to data statistics.Results Comparing the scores each factor of SCL-90 between group of nurses and normal group of nurses,the scores of five factors including somatization,obsessive-compulsive disease,hostility,phobic and psychotic of nurses were higher than those of normal group with statistical differences(P<0.05);there were no statistical differences in the scores of interpersonal sensibility,depression,anxiety and paranoid thoughts(P>0.05).Comparing the scores of SCL-90 of nurses in different departments,the scores of somatization,obsessive-compulsive disease,interpersonal sensibility,depression and anxiety of pediatric nurses were higher than those of gynaecology and obstetrics nurses(P<0.05).Conclusions The level mental health of nurses at the maternity and children hospital is lower than that of nurse group.Besides,the level of psychological problem of pediatric nurses is higher than that of gynaecology and obstetrics nurses which may be related to the major responsibility,heavy task and high pressure.

关 键 词：问卷调查 护士 心理健康 妇幼医院 症状自评量表 

分 类 号：R192.6[医药卫生—卫生事业管理]