新医改背景下医共体内护士心理状况调查  

Investigation on the Psychological Status of Nurses in the Medical Community Under the Background of the New Medical Reform

作　　者：华盈[1] 方瑾琼 袁夏至[1] HUA Ying;FANG Jinqiong;YUAN Xiazhi(Department of Inpatient,the First People's Hospital of Xiaoshan District,Hangzhou City,Hangzhou Zhejiang 311201,China)

机构地区：[1]杭州市萧山区第一人民医院住院部,浙江杭州311201

出　　处：《中国卫生标准管理》2024年第10期24-27,共4页China Health Standard Management

基　　金：萧山区重大科技计划项目(2019204)。

摘　　要：目的 研究新医改背景下医共体内护士的心理状况。方法 选取2019年10月—2022年10月杭州市萧山区医共体单位内295名护士为调查对象,对其一般资料、工作情况行调查统计,使用症状自评量表(self-reporting inventory-90,SCL-90)、一般自我效能感量表(general self-efficacy scale,GSES)对其心理健康和自我效能进行评估。结果 工作日平均工作时间>10h护士的SCL-90评分为(164.50±67.35)分,高于> 8~10h、≤8 h护士的(147.61±53.70)、(134.45±40.19)分,差异有统计学意义(P<0.05)。年龄> 40岁护士的GESE评分高于> 30~40岁、21~30岁护士,差异有统计学意义(P<0.05)。三级医院护士的GESE评分高于二级医院、一级医院,差异有统计学意义(P<0.05)。工作时间> 30年、> 20~30年、> 10~20年护士的GESE评分高于> 5~10年、≤5年护士,差异有统计学意义(P<0.05)。工作日平均工作时间≤8 h护士的GESE评分高于> 8~10 h、>10h护士,差异有统计学意义(P<0.05)。结论 医共体内部分护士心理健康问题较为严重,自我效能感处于中等水平,应合理调整护士工作日平均工作时间以提高护士自我效能感、改善护士心理健康。Objective To study the psychological status of nurses in the medical community under the background of the new medical reform.Methods A total of 295 nurses in Hangzhou Xiaoshan district medical community unit from October 2019 to October 2022 were selected as the survey subjects.Their general information and work situation were surveyed and statistically analyzed.Self-reporting inventory-90(SCL-90)and general self-efficacy scale(GSES)were used to evaluate their mental health and self-efficacy.Results The SCL-90 score of nurses with average working hours>10 h was(164.50±67.35)points,which was higher than that of nurses with average working hours>8-10 h and≤8 h(147.61±53.70)points and(134.45±40.19)points,and the difference was statistically significant(P<0.05).The GESE score of nurses aged>40 was higher than that of nurses aged>30-40 and 21-30,and the difference was statistically significant(P<0.05).The GESE scores of nurses in tertiary hospitals were higher than those in secondary and primary hospitals,the difference was statistically significant(P<0.05).The GESE scores of nurses with working time>30 years,>20-30 years and>10-20 years were higher than those of nurses with working time>5-10 years and≤5 years,and the difference was statistically significant(P<0.05).The GESE scores of nurses with average working hours≤8 h were higher than those of nurses with average working hours>8-10 h and nurses with average working hours>10 h,and the difference was statistically significant(P<0.05).Conclusion Some nurses in the medical community have serious mental health problems,and their self-efficacy is at a moderate level.It is necessary to adjust the average working hours of nurses reasonably to improve their self-efficacy and mental health.

关 键 词：新医改 医共体 护士 心理状况 症状自评量表 一般自我效能感量表 

分 类 号：R192[医药卫生—卫生事业管理]