血液透析室医护人员新型冠状病毒肺炎流行期间的心理压力影响  

Effect of psychological stress in hemodialysis room staff during COVID-19

作　　者：史应进[1] 董玉红[2] 韩晓文[3] 刘永玲[1] 赵娜[1] 张玲玲 孙桂霞[4] SHI Yingjin;DONG Yuhong;HAN Xiaowen;LIU Yongling;ZHAO Na;ZHANG Lingling;SUN Guixia(Department of Nephrology,the First Affiliated Hospital of Baotou Medical College,Baotou 014010,China;Department of psychology,the First Affiliated Hospital of Baotou Medical College;Baotou Central Hospital;Inner Mongolia Baogang Hospital)

机构地区：[1]包头医学院第一附属医院肾内科,内蒙古包头014010 [2]包头医学院第一附属医院心理科 [3]包头市中心医院 [4]内蒙古包钢医院

出　　处：《包头医学院学报》2022年第6期22-25,共4页Journal of Baotou Medical College

摘　　要：目的:调查比较血液透析室医护人员新型冠状病毒肺炎流行期间的心理压力影响。方法:采用问卷的形式调查包头市三个市区3家三级甲等综合医院血液透析室医护人员的心理压力状况,调查表包括基本情况和心理压力相关量表。结果:对感染的焦虑因子得分比较:护士的焦虑评分高于医生(t=5.961,P<0.001);女性焦虑评分高于男性(t=4.368,P<0.001);文化程度越高,焦虑评分越低(t=4.7.196,P=0.002)。疲乏因子得分比较:护士高于医生(t=4.825,P<0.001);女性高于男性(t=3.369,P=0.004);文化程度越高,疲乏的评分越低(t=18.544,P<0.001)。工作负担因子得分比较:护士的工作负担感觉评分高于医生(t=6.625,P<0.001);女性的工作负担感觉高于男性(t=2.864,P=0.012);文化程度越高,这种感觉工作负担重评分越低(t=15.471,P<0.001)。支持系统因子得分比较:医生高于护士(t=-3.198,P=0.004);采用不同种数途径获取新型冠状病毒肺炎相关知识的医护人员支持系统因子得分比较,差异有统计学意义(F=7.168,P=0.002);按级别进行防护的医护人员心理压力总得分低于未按级别进行防护(t=-2.293,P=0.048)。医生及男性医护人员心理压力总得分低于护士及女性医护人员(t=6.197,P<0.001,t=4.631,P<0.001);文化程度越高,心理压力总得分越低。结论:血液透析室医护人员在新冠肺炎流行期间心理压力较大,女性、护士尤为严重,应及时加强对这部分人员的关心,并逐步提高知识层次。Objective:to investigate the effect of psychological stress in hemodialysis room staff during COVID-19.Methods:A questionnaire was used to investigate the psychological pressure of medical staff in hemodialysis room of three tertiary general hospitals in three urban areas of Baotou City.The questionnaire included basic information and psychological pressure related scales.Results:Comparison of anxiety factor scores for infection:the anxiety score of nurses was higher than that of doctors(t=5.961,P<0.001);the anxiety score of women was higher than that of men(t=4.368,P<0.001);the higher education level,the lower anxiety score(t=4.7.196,P=0.002).Comparison of fatigue factor scores:nurses were higher than doctors(t=4.825,P<0.001);female was higher than male(t=3.369,P=0.004);the higher the education level,the lower the fatigue score(t=18.544,P<0.001).Comparison of job burden factor scores:the job burden feeling score of nurses was higher than that of doctors(t=6.625,P<0.001);the working burden of women was higher than that of men(t=2.864,P=0.012);the higher the education level was,the lower the score of this feeling workload was(t=15.471,P<0.001).Comparison of support system factor scores:doctors were higher than nurses(t=3.198,P=0.004);there was statistically significant difference in the scores of support system factors of medical staff who obtained the knowledge of new coronavirus pneumonia through different ways(F=7.168,P=0.002).The total score of psychological pressure of medical staff with grade protection was lower than that without grade protection(t=-2.293,P=0.048).The total score of psychological stress of doctors and male medical staff was lower than that of nurses and female medical staff(t=6.197,P<0.001,t=4.631,P<0.001);the higher the education level was,the lower the total score of psychological pressure was.Conclusion:Medical staff in hemodialysis room have great psychological pressure during COVID-19,especially women and nurses.Attention should be paid to this part of the staff in a timely manner and

关 键 词：血液透析室 医护人员 心理压力 新型冠状病毒肺炎 

分 类 号：R473.5[医药卫生—护理学]