我国临床护士述情障碍发生现状及相关心理因素的meta分析  

Status and related psychological factors of alexithymia in clinical nurses in China:A meta-analysis

作　　者：郑旭彤 张曼 叶欣欣 祝星辰 陈小凤 詹陈菊[5] ZHENG Xu-tong;ZHANG Man;YE Xin-xin;ZHU Xing-chen;CHEN Xiao-feng;ZHAN Chen-ju(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou Fujian,350000,China;School of nursing,Medical College,Yan'an University,Yan'an Shaanxi,710000,China;School of Public Health,School of Medicine,Zhejiang University,Hangzhou Zhejiang,310000,China;Psychological Consultation Clinic,Beijing Zhaode Hospital,Beijing,100000,China;Department of Nursing,Ningde Mindong Hospital Affiliated to Fujian Medical University,Ningde Fujian,355000,China)

机构地区：[1]福建中医药大学护理学院,福建福州350000 [2]延安大学医学院护理学院,陕西延安710000 [3]浙江大学医学院公共卫生学院,浙江杭州310000 [4]北京昭德医院心理咨询门诊,北京100000 [5]福建医科大学附属宁德市闽东医院护理部,福建宁德355000

出　　处：《职业与健康》2023年第7期977-983,共7页Occupation and Health

摘　　要：目的分析我国临床护士述情障碍水平和相关心理因素。方法检索中国科技期刊全文数据库、万方数据库、维普中文生物医学期刊数据库、Pubmed、Cochrane Library、EMBASE、APA PsycINFO、JBI循证数据库、Proquest数据库和CINAHL数据库。检索时限限定为建库至2022年3月11日,查找我国护士述情障碍现况或相关心理因素的相关文献,依据事先确定的纳入排除标准筛选文献,将提取的资料导入Stata 16.0进行分析。结果最终纳入19篇文献,包括18篇中文文献和1篇英文文献,共调查了8330位护士。我国护士的述情障碍量表得分均数为54.78(95%CI:52.86~56.70),亚组分析显示,我国护士述情障碍的水平受年龄、有无子女、科室、教育程度、地区、收入、婚姻状况、职称及工作时长因素影响,与雇佣形式和研究时间关系不大。护士的述情障碍与抑郁、压力、职业倦怠均呈正相关(summary r=0.67、0.40、0.54,95%CI:0.56~0.81、0.31~0.51、0.48~0.63),与社会支持水平呈负相关(summary r=-0.33,95%CI:-0.50~-0.18)。结论我国护士述情障碍水平较高,多数护士处于述情障碍临界状态,低年资、无子女、离异、低教育水平、低收入及重症监护病房工作可能是护士述情障碍的危险因素,社会支持可以降低述情障碍水平,职业倦怠、压力及抑郁则加重述情障碍水平,可以针对上述因素展开针对性干预。Objective To analyze the level and related psychological factors of alexithymia in clinical nurses in China.Methods The CNKI,Wanfang Database,VIP Chinese Biomedical Journal Database,Pubmed,Cochrane Library,EMBASE,APA PsycINFO,JBI evidence-based database,Proquest database,and CINAHL database were retrieved.The retrieval time was limited from the inception to March 11,2022.The relevant literature on the status of alexithymia and related psychological factors of nurses in China were searched.The studies were screened according to the pre-determined inclusion and exclusion criteria,and the extracted data were imported into Stata 16.0 for analysis.Results 19 studies were included finally,including 18 Chinese studies and 1 English study,and a total of 8330 nurses in China were investigated.The score on the alexithymia scale of nurses in China was 54.78(95%CI:52.86-56.70).The subgroup analysis showed the level of alexithymia of nurses in China was affected by age,children,department,education level,region,income,marital status,professional title and working hours,and has little relationship with employment form and research time.The alexithymia of nurses was positively correlated with depression,stress,and job burnout(summary r=0.67,0.40,0.54,95%CI:0.56-0.81,0.31-0.51,0.48-0.63),negatively correlated with social support level(summary r=-0.33,95%CI:-0.50--0.18).Conclusion The nurses are at a high alexithymia level in China,the majority of nurses are in a critical state of alexithymia,and low seniority,having no offspring,divorce,low education level,low income and working in intensive care unit may be risk factors for nurses'alexithymia,the social support can reduce alexithymia level,while job burnout,stress and depression accentuate the level of alexithymia,so targeted intervention can be carried out according to the above factors.

关 键 词：护士 述情障碍 循证护理 系统评价 

分 类 号：R181.3[医药卫生—流行病学]