心脏重症监护室护士知觉压力与应对方式现状及其相关性分析  

Current status and correlation analysis between perceived stress and coping strategies among Cardiac intensive care unit nurses

作　　者：秦玲玲[1] 蔡娟 马秀丽 贺春岳 黄叶莉 Qin Lingling;Cai Juan;Ma Xiuli;He Chunyue;Huang Yeli(Department of Cardiology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Nursing,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Cardiac Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Nursing,Sixth Medical Center of the PLA General Hospital,Beijing 100048,China)

机构地区：[1]首都医科大学附属北京朝阳医院心内科,北京100020 [2]首都医科大学附属北京朝阳医院护理部,北京100020 [3]首都医科大学附属北京朝阳医院心外科,北京100020 [4]解放军总医院第六医学中心护理部,北京100048

出　　处：《中华现代护理杂志》2025年第10期1375-1379,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨心脏重症监护室护士知觉压力与应对方式现状及其相关性。方法采用目的抽样法,选取2023年3—10月北京市10所三级甲等医院348名心脏重症监护室护士作为研究对象。采用一般资料调查表、中文版知觉压力量表、简易应对方式量表对护士进行调查。结果348名护士中文版知觉压力量表得分为(28.86±5.06)分;简易应对方式量表中积极应对方式得分为(22.71±7.57)分,消极应对方式得分为(8.57±4.82)分。相关性分析结果显示,护士中文版知觉压力量表总分与积极应对呈负相关(P<0.01),与消极应对方式呈正相关(P<0.01)。多重线性回归分析结果显示,监护室工作年限、聘用关系、家庭是否支持工作、应对方式是心脏重症监护室护士知觉压力的影响因素(P<0.05),可解释总变异的50.2%。结论心脏重症监护室护士普遍处于高知觉压力状态,越倾向于采取消极应对方式的护士其知觉压力水平越高。护理管理者应根据护士特征制订针对性的措施,改善护士应对方式,缓解其知觉压力。Objective To investigate the current status and correlation between perceived stress and coping strategies among nurses in the Cardiac Intensive Care Unit(CICU).Methods A purposive sampling method was used to select 348 CICU nurses from ten tertiary hospitals in Beijing between March and October 2023.Data were collected using a general information questionnaire,the Chinese version of the Perceived Stress Scale(PSS),and the Simplified Coping Style Questionnaire(SCSQ).Results The score of the Chinese PSS among 348 nurses was(28.86±5.06).In the SCSQ,the score for positive coping was(22.71±7.57),while the score for negative coping was(8.57±4.82).Correlation analysis indicated that perceived stress was negatively correlated with positive coping strategies(P<0.01)and positively correlated with negative coping strategies(P<0.01).Multiple linear regression analysis showed that years of experience in the CICU,employment status,family support for work,and coping strategies were influencing factors of perceived stress(P<0.05),explaining 50.2%of the total variance.Conclusions CICU nurses generally experience high levels of perceived stress,and those who tend to adopt negative coping strategies report even higher stress levels.Nursing administrators should develop targeted interventions based on nurse characteristics to promote effective coping strategies and alleviate perceived stress.

关 键 词：护士 重症监护室 知觉压力 应对方式 

分 类 号：R47[医药卫生—护理学]