精神科护士创伤后成长现状及潜在剖面分析  

Posttraumatic growth status and latent profile analysis of nurses at psychiatric department

作　　者：曾丽 王佳琳[2] 袁中清 曹冰 杨凤雪 刘桂玲 李兰 ZENG Li;WANG Jialin;YUAN Zhongqing;CAO Bing;YANG Fengxue;LIU Guiling;LI Lan(不详;Sichuan Nursing Vocational College,Chengdu,Sichuan 610100,China)

机构地区：[1]四川护理职业学院,四川成都610100 [2]成都中医药大学护理学院,四川成都610075 [3]达州职业技术学院现代护理学院,四川达州635001

出　　处：《中国职业医学》2024年第4期399-404,共6页China Occupational Medicine

基　　金：成都医学院四川应用心理学研究中心资助项目(CSXL-24301);教育部人文社会科学研究规划基金(22YJA630087);2024年四川护理职业学院自然科学课题(2024ZRY01)。

摘　　要：目的探讨精神科护士创伤后成长(PTG)现状,并分析其潜在剖面及其人群特征。方法采用便利抽样方法,选择5所三级甲等医院的357名精神科护士作为研究对象,采用《创伤后成长量表》《中文版同情疲劳量表》调查其PTG和专业生活品质情况。结果精神科护士PTG得分为(56.6±23.2)分;专业生活品质的同情满意、职业倦怠、继发性创伤应激分量表得分分别为(32.6±7.2)、(26.9±5.9)和(26.0±5.4)分。潜在剖面分析结果显示,精神科护士PTG水平可分为低PTG组(占34.4%)、中PTG组(占44.0%)和高PTG组(占21.6%)3个潜在剖面。无序多分类logistic回归分析结果显示,精神科护士睡眠时间为7~8 h/d者归为高PTG组的风险大于睡眠时间为>8 h/d者(P<0.05);有规律锻炼者归为高PTG组的风险大于无规律者(P<0.05);工作满意度得分越高者归为高PTG组的风险高于低工作满意度者(P<0.01);同情满意得分越高者归为高PTG组的风险高于低同情满意者(P<0.01);职业倦怠得分越高者归为低PTG组的风险高于低职业倦怠者(P<0.01)。结论精神科护士PTG特征存在异质性,可分为3类;睡眠时间、规律锻炼、工作满意度、同情满意和职业倦怠均是精神科护士PTG潜在剖面的影响因素。Objective To explore the current status of posttraumatic growth(PTG)among nurses at psychiatric department and analyze its latent profiles and population characteristics.Methods A total of 357 nurses from psychiatric departments of five tertiary Grade A hospitals were selected as the research subjects using the convenience sampling method.The PTG and professional quality of life were studied using the Posttraumatic Growth Inventory and the Chinese version of the Compassion Fatigue Scale.Results The PTG score of the nurses was(56.6±23.2).The scores of compassion satisfaction,burnout,and secondary traumatic stress among nurses were(32.6±7.2),(26.9±5.9),and(26.0±5.4),respectively.The result of potential profile analysis showed that the nurses could be divided into three latent profiles based on PTG levels:low PTG group(34.4%),moderate PTG group(44.0%),and high PTG group(21.6%).The results of multinomial logistic regression analysis showed that the nurses who slept 7-8 hours per day were at higher risk of being in the high PTG group compared with those who slept more than eight hours per day(P<0.05).Psychiatric nurses who took regular exercise were at higher risk of being in the high PTG group compared with those who took irregular exercise(P<0.05).The nurses who had high job satisfaction scores were at higher risk of being in the high PTG group compared with those who had low job satisfaction scores(P<0.01).The nurses with higher compassion satisfaction scores increased the risk of being in the high PTG group compared with those with lower compassion satisfaction scores(P<0.01).The nurses with higher burnout scores increased the risk of being in the low PTG group compared with those with lower burnout scores(P<0.01).Conclusion The PTG characteristics of the nurses exhibit heterogeneity and can be categorized into three distinct profiles.Sleep duration,regular exercise,job satisfaction,compassion satisfaction,and burnout are influencing factors for the PTG latent profiles of nurses working at psychiatric departme

关 键 词：精神科 护士 创伤后成长 专业生活品质 潜在剖面分析 

分 类 号：R135[医药卫生—劳动卫生]