精神科患者安全事件中护士作为第二受害者经历与支持的影响因素分析  

Influencing factors of nurses'experience and support as the second victim in psychiatric patient safety incidents

作　　者：陈琳霞 姚国利 楼珊珊 黄林玲 CHEN Linxia;YAO Guoli;LOU Shanshan;HUANG Linling(Emergency Department,The 7th People's Hospital of Shaoxing,Zhejiang province,312000,China)

机构地区：[1]绍兴市第七人民医院门急诊,浙江省绍兴市312000 [2]嵊州第五人民医院护理部

出　　处：《中国护理管理》2021年第6期908-911,共4页Chinese Nursing Management

基　　金：2018绍兴市科技计划项目(2018C30036)。

摘　　要：目的:了解精神科患者安全事件中护士作为第二受害者的经历与支持现状,分析其相关影响因素。方法:于2020年7月采用便利抽样法选取绍兴市某两家精神专科医院有患者安全事件第二受害者经历的220名护士作为研究对象,采用第二受害者经历与支持测评量表、简易应对方式量表进行调查,并对第二受害者经历与支持现状进行多元线性回归分析。结果:精神科护士第二受害者经历与支持测评量表得分为(73.50±10.71)分,其中心理困扰维度均分最高,为(4.02±0.74)分,亲友支持均分最低,为(2.30±0.79)分。多元线性回归分析显示,工作年限、婚姻状况、领导支持工作的程度和应对方式是第二受害者经历与支持水平的影响因素,解释总变异量的42.5%。结论:精神科患者安全事件中护士作为第二受害者面临心理困扰最大,主要依靠亲友支持,医院管理者应重视患者安全事件中作为第二受害者的护士,并针对不同影响因素为其提供相应的支持。Objective:To understand the nurses'experience and support status as the second victim in psychiatric patient safety incidents,and analyze the related influencing factors.Methods:In July 2020,220 nurses with second victim experience in two psychiatric hospitals were selected by convenience sampling method.The Second Victim Experience and Support Tool(SVEST)and Simplified Coping Style Scale were used to investigate.The multiple linear regression analysis were conducted.Results:The score of the SVEST of psychiatric nurses was(73.50±10.71).The average score of psychological distress dimension was the highest(4.02±0.74),and the average score of support from relatives and friends was the lowest(2.30±0.79).Multiple linear regression analysis showed that working years,marriage status,leadership support and coping style were the factors influencing the experience and support level of the second victim,explaining 42.5%of the total variance.Conclusion:In psychiatric patient safety incidents,nurses face the greatest psychological distress as the second victims,mainly relying on the support of relatives and friends.Hospital managers should pay attention to nurses who are the second victims in patient safety incidents and provide them with corresponding support for different influencing factors.

关 键 词：精神科 安全事件 护士 第二受害者 影响因素 

分 类 号：R47[医药卫生—护理学]