医护人员在长期处理慢性伤口过程中的心理弹性健康状况及影响因素  

Psychological resilience health status and influencing factors of medical staff during long-term treatment of chronic wounds

作　　者：谢红梅[1] 田虹 柯利[1] 赵寿华[1] XIE Hong-mei;TIAN Hong;KE Li;ZHAO Shou-hua(Department of General Surgery,North China Petroleum Administration General Hospital,Renqiu Hebei,062550,China)

机构地区：[1]华北石油管理局总医院普外科,河北任丘062550

出　　处：《职业与健康》2021年第4期522-525,529,共5页Occupation and Health

基　　金：河北省2019年度医学科学研究课题(20191166)。

摘　　要：目的了解长期处理慢性伤口医护人员的心理弹性健康状况及影响因素,为对其进行心理干预提供依据。方法 2019年6—12月应用Connor-Davidson心理弹性量表对河北省10所医院339名长期处理慢性伤口的医护人员进行心理弹性健康状况调查,并对数据进行分析。结果长期处理慢性伤口的医护人员心理弹性平均得分为57.61±14.16,明显低于国内常模(65.4±13.9),差异有统计学意义(P<0.01);心理弹性及其3个维度评分与长期处理慢性伤口的医护人员的学历、工作年限和夜班状况均呈正相关(均P<0.05);不同性别、学历、职称、工作年限、夜班状况、用工性质、职场暴力经历及职场紧张感的医护人员心理弹性得分比较,差异均有统计学意义(均P<0.05);学历、工作年限及夜班状况是影响医护人员心理弹性的主要因素[OR(95%CI)=3.928(1.214~3.013)、2.627(1.085~2.683)、4.064(1.542~3.117)]。结论长期处理慢性伤口的医护人员心理弹性水平较低,影响其心理弹性的主要因素包括学历、工作年限和夜班状况,医院管理者应根据相应的影响因素进行干预,以改善长期处理慢性伤口医护人员的心理状况。Objective To explore the psychological resilience health status and influencing factors of the medical staff who have been dealing with chronic wounds for a long time,provide basis for their psychological intervention. Methods From June to December 2019,339 doctors and nurses who had long-term treatment of chronic wounds in 10 hospitals of Hebei Province were investigated with the Connor Davidson psychoelastic scale to understand their psychological resilience health status. And the data were analyzed. Results The average score of psychological resilience in medical staff who had long-term treatment of chronic wounds was 57.61 ±14.16,which was significantly lower than that of the domestic norm(65.4 ±13.9),and the difference was statistically significant(P<0.01). The scores of psychological resilience and its three dimensions were positively correlated with the educational background,working years and night shift status of medical staff who had been dealing with chronic wounds for a long time(all P<0.05). There were statistically significant differences in the scores of psychological resilience among medical staff with different sex,education,professional title,working years,night shift status,employment nature,workplace violence experience and workplace tension(all P<0.05). Education,working years and night shift were the main influencing factors of psychological resilience among medical staff [OR(95%CI)=3.928(1.214-3.013),2.627(1.085-2.683),4.064(1.542-3.117)]. Conclusion The level of mental resilience of the medical staff who have been dealing with chronic wounds for a long time is low. The main factors that affect their psychological resilience include educational background,working years and night shift status. The hospital managers should carry out the intervention according to the corresponding influencing factors to improve the psychological status of the medical staff who have been dealing with chronic wounds for a long time.

关 键 词：长期处理慢性伤口 医护人员 心理弹性 现状调查 

分 类 号：R181.3+1[医药卫生—流行病学]