基于SWOT分析的二胎妊娠期手术室护士知觉压力及应对方式调查  

Investigation of perceived stress and coping style based on SWOT analysis among nurses of Operating Room in the duration of second pregnancy

作　　者：蒋敏 李育红[2] 尹红梅[1] 樊孝文 刘宁[1] 单单单 Jiang Min;Li Yuhong;Yin Hongmei;Fan Xiaowen;Liu Ning;Shan Dandan(Operating Room,Henan Provincial People's Hospital,Zhengzhou 450003,China;Department of Teaching and Training,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院手术部,郑州450003 [2]河南省人民医院教学培训科,郑州450003

出　　处：《中华现代护理杂志》2020年第12期1574-1580,共7页Chinese Journal of Modern Nursing

基　　金：河南省自然科学基金(182300410380)。

摘　　要：目的基于SWOT分析调查二胎妊娠期手术室护士知觉压力及个人应对方式现状并分析其影响因素,以期为降低二胎妊娠期手术室护士的压力提供建议。方法2019年1-8月采用知觉压力量表和简易应对方式量表对郑州市所有三级甲等综合医院的162名二胎妊娠期手术室护士进行调查,利用SWOT分析法评估其内部优、劣势和外部环境的机会、威胁,同时进行系统的总结分析,制订有效的应对策略。结果二胎妊娠期手术室护士知觉压力总得分为(27.43±7.74)分,其中压力紧张感得分为(13.01±5.10)分,压力失控感得分为(14.42±4.53)分;应对方式总得分为(32.30±6.98)分,其中积极应对得分为(21.91±5.55)分,消极应对得分为(10.40±3.90)分;知觉压力总分与应对方式总分呈负相关(r=-0.295,P<0.01);分层回归分析显示,应对方式能独立解释知觉压力总变异的31.6%(F=4.130,P<0.01)。结论二胎妊娠期手术室护士处于健康危险性的压力状态,面对压力时趋向于采取积极地应对方式。管理者应采取人性化管理,开展健康教育,关注心理健康,寻求家庭支持,积极引导等措施,降低二胎妊娠期手术室护士压力。Objective To explore the current situation of perceived stress and coping style based on SWOT analysis among nurses of Operating Room in the duration of second pregnancy and their influencing factors so as to give advice on reducing the stress of nurses of Operating Room in the duration of second pregnancy.Methods From January to August 2019,a total of 162 nurses of Operating Room in the duration of second pregnancy at all ClassⅢGrade A hospitals in Zhengzhou were investigated with the Perceived Stress Scale(PSS)and the Simplified Coping Style Questionnaire(SCSQ).SWOT analysis was used to assess the advantages,disadvantages,opportunity and threat of external environment,as well as the systematic summary analysis to formulate the effective coping strategy.Results Among those nurses of Operating Room in the duration of second pregnancy,the total score of perceived stress was(27.43±7.74);the scores of perceived stress tension and stress out of control were(13.01±5.10)and(14.42±4.53)respectively.The total score of coping style was(32.30±6.98);the scores of positive and negative coping were(21.91±5.55)and(10.40±3.90)respectively.Perceived stress total score had a negative correlation with the coping style total score(r=-0.295,P<0.01).Hierarchical regression analysis showed that coping style could independently explain 31.6%of the total variation of perceived stress with a statistical difference(F=4.130,P<0.01).Conclusions Nurses of Operating Room in the duration of second pregnancy have the stress of health risk and take positive coping style when facing stress.Managers should carry human-based management and health education,pay attention to mental health,seek family support and actively guide to reduce the stress of nurses of Operating Room in the duration of second pregnancy.

关 键 词：手术室 护士 SWOT分析 二胎妊娠 知觉压力 应对方式 

分 类 号：R47[医药卫生—护理学]