儿童期不良经历对护士自杀意念的独立效应和累积效应  

Unique and cumulative effects of adverse childhood experiences on suicidal ideation among nurses

作　　者：林萍珍 陈兰兰[1] 林永森 吴碧瑜[1] LIN Pingzhen;CHEN Lanan;LIN Yongsen;WU Biyu(Nursing Department,Quanzhou First Hospital,Quanzhou 362000,China;Department of Neurology,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第一医院护理部,福建泉州362000 [2]泉州市第一医院神经内科,福建泉州362000

出　　处：《山东第一医科大学（山东省医学科学院）学报》2024年第11期647-652,共6页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

基　　金：泉州市科技计划项目(2023NS056);福建医科大学启航基金(2021QH1238)。

摘　　要：目的探讨儿童期不良经历对护士自杀意念的独立效应和累积效应。方法选取2020年5月-2020年6月在福建省泉州市某三级甲等综合性医院的744名护士为研究对象,采用儿童期不良经历问卷修订版(revised adverse childhood experiences questionnaire,ACEQ⁃R)、患者健康问卷9(patient health questionnaire⁃9,PHQ⁃9)和一般资料问卷评估护士的儿童期不良经历和自杀意念等。结果本研究中,护士自杀意念的发生率为14.1%,22.2%的护士经历过至少1种儿童期不良经历(adverse childhood experiences,ACEs)。Logistic回归分析结果显示,暴露于儿童期情感虐待与护士报告自杀意念的可能性显著相关(OR=2.71,95%CI:1.21~6.05);与没有经历过ACEs的护士相比,曾经历1种ACEs(OR=2.51,95%CI:1.39~4.53)和多种ACEs(OR=4.04,95%CI:2.37~6.84)的护士报告自杀意念可能性更高。结论护士经历ACEs与报告自杀意念相关。在临床实践中,尽早对护士ACEs进行常规筛查,并对自杀开展健康科普和干预,可减少ACEs对自杀的负面效应。Objective:To investigate the unique and cumulative effects of adverse childhood experiences on suicidal ideation in nurses.Methods:744 nurses of a tertiary general hospital in Quanzhou City,Fujian Province from May 2020 to June 2020 were selected as the study subjects,and their adverse childhood experiences and suicidal ideation were assessed with the Revised Adverse Childhood Experiences Questionnaire(ACEQ-R),Patient Health Questionnaire-9(PHQ-9),and General Information Questionnaires.Results:The prevalence of suicidal ideation in the nurses being studied was 14.1%,and 22.2%had experienced at least one ACE.Logistic regression analysis showed that childhood emotional abuse was significantly associated with suicidal ideation(OR=2.71,95%CI:1.21-6.05).Nurses who had experienced one ACE(OR=2.51,95%CI:1.39-4.53)and multiple ACEs(OR=4.04,95%CI:2.37-6.84)were more likely to report suicidal ideation than those who had not experienced any ACEs.Conclusion:Nurses'experience of ACEs was associated with reporting suicidal ideation.In clinical practice,the negative impact of ACEs on suicide may be reduced by early routine screening for ACEs in nurses and by public health education and intervention on suicide.

关 键 词：护士 儿童期不良经历 自杀意念 单独效应 累积效应 

分 类 号：R192.6[医药卫生—卫生事业管理] R749[医药卫生—公共卫生与预防医学]