安徽省急诊科护士替代性创伤现状及其影响因素  

Status quo and influencing factors of vicarious traumatization among emergency department nurses in Anhui province

作　　者：朱宏梅[1] 许敏[1] 荚娟华 韩江英[1] 胡安妮 ZHU Hongmei;XU Min;JIA Juanhua;HAN Jiangying;HU Anni(The First Affiliated Hospital of Anhui Medical University(High-Tech Branch),Anhui 230088 China)

机构地区：[1]安徽医科大学第一附属医院高新院区,安徽230088

出　　处：《护理研究》2023年第6期980-987,共8页Chinese Nursing Research

摘　　要：目的:调查安徽省急诊科护士替代性创伤现状并分析其影响因素。方法:于2022年3月—2022年4月选取安徽省15所公立医院379名急诊科护士为研究对象,采用一般资料调查表、灾难救助者替代性创伤问卷、中文版人际反应指针量表、心理弹性量表进行调查。结果:安徽省379名急诊科护士灾难救助者替代性创伤问卷总分为(84.65±21.83)分,超过理论中值者38人,替代性创伤发生率为10.03%。安徽省急诊科护士的中文版人际反应指针量表总分与灾难救助者替代性创伤问卷总分呈正相关(r=0.181,P<0.05),心理弹性量表总分与灾难救助者替代性创伤问卷总分呈负相关(r=-0.374,P<0.05)。逐步线性回归分析结果显示,自评健康状况、工作满意度、医护关系、共情能力及心理弹性是急诊科护士替代性创伤的主要影响因素,可解释总变异的34.4%。结论:安徽省急诊科护士替代性创伤处于较高水平,管理者需针对其影响因素制定干预措施,以减轻或预防急诊科护士替代性创伤的发生。Objective:To investigate status quo of vicarious traumatization among emergency department nurses in Anhui province and analyze its influencing factors.Methods:379 emergency department nurses in 15 public hospitals in Anhui province were selected as study subjects from March 2022 to April 2022.The survey was carried out with general information questionnaire,Vicarious Traumatization Questionnaire for Trauma Helpers,Chinese version of the Interpersonal Reactivity Index⁃C,and Connor⁃Davidson Resilience Scale.Results:The total score of Vicarious Traumatization Questionnaire for Trauma Helpers of 379 emergency department nurses in Anhui province was 84.65±21.83,38 of which exceeded theoretical median,and the incidence of vicarious traumatization was 10.03%.The total score of Chinese version of the Interpersonal Reactivity Index⁃C of emergency department nurses in Anhui province was positively correlated with the total score of Vicarious Traumatization Questionnaire for Trauma Helpers(r=0.181,P<0.05),while the total score of Connor⁃Davidson Resilience Scale was negatively correlated with the total score of Vicarious Traumatization Questionnaire for Trauma Helpers(r=-0.374,P<0.05).The results of stepwise linear regression analysis showed that self⁃evaluation of health status,job satisfaction,relationship between doctors and nurses,empathy and psychological resilience were main influencing factors of vicarious traumatization among emergency department nurses,which could explain 34.4%of the total variance.Conclusions:The vicarious traumatization among emergency department nurses in Anhui province is at high level,and managers need to formulate intervention measures according to its influencing factors to reduce or prevent the occurrence of vicarious traumatization among emergency department nurses.

关 键 词：护士 急诊科 替代性创伤 共情 心理弹性 影响因素 护理管理 调查研究 

分 类 号：R47[医药卫生—护理学]