院前急救科护理人员创伤后应激障碍反应的影响因素分析  

Analysis of factors influencing post-traumatic stress disorder response of nurses in pre-hospital emergency department

作　　者：严敏怡 YAN Minyi(Shenzhen Center for Prehospital Care,Shenzhen,518035,China)

机构地区：[1]广东省深圳市急救中心,518035

出　　处：《护理实践与研究》2021年第14期2076-2081,共6页Nursing Practice and Research

摘　　要：目的探讨影响院前急救科护理人员创伤后应激障碍反应的主要因素及相关性分析。方法选取2020年3—4月我中心急救科护理人员30名为研究对象,使用创伤后应激障碍量表、职业倦怠感量表、应对方式量表及社会支持量表分析院前急救科护理人员创伤后应激反应相关影响因素。结果30名院前急救护理人员创伤性事件调查表各维度得分比较中,除积极应对、家庭内外支持、个人成就感外,其余维度均高于国内常模,差异有统计学意义(P<0.05),其中,急救应激性事件各维度、情感耗竭、去人格化、消极应对方式以及创伤性应激障碍各维度得分均高于国内常模(P<0.05)。救治场所暴力应激、应对方式及家庭内支持均为院前急救科护理人员创伤后应激反应的独立影响因素(P<0.05)。结论应激性事件、应对方式及社会支持均为影响急救科护理人员创伤后应激发生的主要因素。应结合实际情况采取针对性措施,如认知行为干预法、完善排班制度、组织抗压训练、家庭访谈及森田疗法等,降低其创伤后应激反应,提高护理服务质量和工作效率。Objective To explore the main factors affecting the post-traumatic stress disorder response of nurses in the pre-hospital emergency department and their correlation analysis.Methods A total of 30 nurses in the emergency department of our center from March to April 2020 were selected as study subjects.The post-traumatic stress disorder scale,job burnout scale,coping style scale and social support scale were used to analyze the factors related to the post-traumatic stress response of nurses in the pre-hospital emergency department.Results In the comparison of the scores of 30 pre-hospital emergency nurses in the traumatic event questionnaire,the other dimensions were higher than the domestic norm except for active response,support within and outside the family,and personal accomplishment,and the differences were statistically significant(P<0.05).Among them,the scores of all dimensions of emergency stress events,emotional exhaustion,depersonalization,negative coping styles,and traumatic stress disorder were all higher than the domestic norm(P<0.05).The violent stress,coping styles and family support in treatment settings were all independent factors influencing the post-traumatic stress response of nurses in the pre-hospital emergency department(P<0.05).Conclusion The stressful events,coping styles and social support were the main factors affecting the occurrence of post-traumatic stress among nursing staff in the emergency department.Targeted measures should be taken based on the actual situation,such as cognitive behavioral intervention,perfecting the scheduling system,organizing anti-stress training,family interviews and Morita therapy,etc.,to reduce their post-traumatic stress response and improve the quality of nursing service and work efficiency.

关 键 词：院前急救科护理人员 创伤后应激反应 主要因素 相关性分析 

分 类 号：R47[医药卫生—护理学]