临床一线护士应对突发公共卫生事件心理状态调查分析  

Analysis on the psychological response of clinical front-line nurses in response to public health emergencies

作　　者：葛佳宏 钱湘云[2] Ge Jiahong;Qian Xiangyun(Liver Disease Department of Nantong Third People′s Hospital,Nantong 226006,China;Infectious Diseases Department of Nantong Third People′s Hospital,Nantong 226006,China)

机构地区：[1]南通市第三人民医院肝病科,南通226006 [2]南通市第三人民医院传染科,南通226006

出　　处：《中国实用护理杂志》2022年第24期1879-1884,共6页Chinese Journal of Practical Nursing

基　　金：中国公共卫生联盟课题(GWLM202030)。

摘　　要：目的调查分析临床一线护士应对突发公共卫生事件的心理状态及影响因素。方法于2020年2—3月,采取分层整群随机抽样的方法,使用应对突发公共卫生事件心理问卷对南通市医疗机构1187名临床一线护士进行调查分析。结果临床一线护士抑郁维度为(0.52±0.02)分,神经衰弱维度为(0.37±0.01)分,恐惧维度为(0.87±0.02)分,强迫-焦虑维度为(0.24±0.01)分,疑病维度为(0.25±0.01)分。不同医院级别的临床护士疑病维度得分差异有统计学意义(F=4.30,P<0.05),所在护理单元不同的护士抑郁、神经衰弱、强迫-焦虑、疑病维度得分差异有统计学意义(F值为4.34~11.11,均P<0.05)。多元线性回归分析提示护理单元因素对抑郁、神经衰弱、强迫-焦虑、疑病维度有影响。结论突发公共卫生事件时,临床一线护士存在抑郁、神经衰弱、恐惧等负性心理。作为管理者需针对不同的医院级别、护理单元,加强预防性的心理辅导,做好应对突发公共卫生事件的相关理论、操作及防护知识的培训和人文关怀,创建良好的组织氛围,维护临床护士身心健康,保障护理质量及安全。Objective To investigate the psychological state and influencing factors of clinical front-line nurses in response to public health emergencies.Methods We used stratified cluster random sampling method to survey 1187 front-line clinical nurses from February to March,2020,using the Psychological Questionnaire for Emergent Events of Public Health.Results The questionnaire survey showed that the scores for dimensions of depression,neurasthenia,fear,obsessive-anxiety and hypochondria were(0.52±0.02),(0.37±0.01),(0.87±0.02),(0.24±0.01)and(0.25±0.01),respectively.There were statistically significant differences in scores of hypochondriac dimension for clinical nurses at different hospital levels(F=4.30,P<0.05),and there were statistically significant differences in scores of depression,neurasthenia,obsessive-anxiety and hypochondriac dimension for nurses in different nursing units(F values were 4.34-11.11,all P<0.05).Multiple linear regression analysis showed that the nursing unit factors had influence on depression,neurasthenia,obsessive-anxiety and hypochondria.Conclusions Clinical front-line nurses experienced negative psychology such as depression,neurasthenia and fear in public health emergencies.As a manager,it is necessary to strengthen preventive psychological counseling,do a good job in the theory,operation and protection knowledge training for public health emergencies,humanistic care,establish a good organizational atmosphere to maintain the physical and mental health of clinical nurses,and ensure the quality and safety of nursing.

关 键 词：突发公共卫生事件 临床一线护士 心理反应 

分 类 号：R471[医药卫生—护理学]