SARS病房内护士心理应激状况调查分析  

Psychological Stress of Nurses in SARS wards

作　　者：柳学华[1] 马莉[1] 孟凡强[1] 王秀娟[1] 刘建成[1] 陈征[2] 贾双平[2] 田建华[2] 杨秀芹[2] Uriel Halbreich 

机构地区：[1]北京大学精神卫生研究所,100083 [2]北京市地坛医院 [3]美国布法罗大学精神病学系

出　　处：《中国心理卫生杂志》2003年第8期526-527,共2页Chinese Mental Health Journal

摘　　要：目的 :了解在SARS病房直接抢救、治疗SARS患者的护士们的心理应激状况。方法 :采用Beck抑郁问卷 (BDI)、状态 -特质焦虑问卷 (STAI)和SCL -90于 2 0 0 3年 5月 5日——— 12日对工作在SARS病房内的护士和社区 /大学健康志愿者进行了调查。结果 :出现抑郁情绪的护士占所有受试者的 5 2 % ( 5 3 /10 1) ;其中 17% ( 17/ 10 1)达到中度至严重抑郁 ,显著高于志愿者 (P <0 0 1)。护士组SCL -90总分和各因子分显著或极显著高于志愿者 (P <0 0 1)。两组的状态焦虑和特质焦虑无显著性差异 (P >0 0 5 )。结论 :SARS一线护理人员在SARS应激事件下其焦虑体验与处于外部环境中的正常人群在SARS应激下的焦虑体验不存在差别 ,该样本中护理人员的人格特质性焦虑倾向与一般人群间亦没有差别。SARS一线护理人员出现的抑郁的比例显著增高 ,出现精神病性症状的风险显著增高。Objective:In order to understand the psychological impact brought by the outbreak of SARS Method:We did a survey with BDI (Beck depression scale), STAI (state and trait anxiety inventory) and SCL-90 in 101 nurses who were working in SARS hospitals, and 50 volunteers in community (normal control) Result:According to results of BDI, 53 of the 101 nurses had depressive symptoms, 17 of them were in moderate and severe depression, which was much higher than that of volunteers who had no depression at all Nurses had also significant higher score of SCL-90 than volunteers But the two groups had no difference in STAI results Conclusion:Nurses working in SARS wards are more depressed than community volunteers

关 键 词：严重急性呼吸综合征 SARS 护士 心理应激 焦虑 抑郁 

分 类 号：R563.1[医药卫生—呼吸系统] R192.6[医药卫生—内科学]