吉林省长春市某三甲医院护理人员心理压力状况调查分析

doi:10.13481/j.1671-587X.20230229

Abstract

Abstract:

Objective To understand the psychological stress situation of the nursing staffs in a Class A Tertiary Hospital in Changchun City in Jilin Province and analyze its causes， and to provide the scientific basis for improving the psychological stress situation of the nursing staffs and promoting the quality of medical services. Methods The nursing staffs who worked in a Class-A Tertiary Hospital in Changchun City in Jilin province were regarded as the subjects， and the data were collected by Wenjuanxing Network Questionnaire，the Kessler（K10） Scale was used to evaluate the psychological stress levels of the nursing staffs，the Stressor Scale was used to analyze the main stressors， and multivariate Logistic regression analysis was used to analyze the influencing factors of psychological stress levels of the nursing staffs. Results A total of 691 valid questionnaires were collected； the mean K10 score of the nursing staffs was （23.31±8.16） points，and 56.87% of the nursing staffs were under high psychological stress level （K10 score ≥22 points）； there was significant difference in the detection rate of high psychological stress level among the nursing staffs with different ages（P<0.05）. The multivariate Logistic regression analysis results showed that the main risk factors of psychological stress level inccreasing of the nursing staffs were night shift （ OR=1.930， 95% CI： 1.299－2.869，P=0.001） and being attacked or verbally abused by the patients and their family members （OR=3.945， 95% CI： 2.829－5.502，P<0.001）； the total score and the scores on various dimensions of Stressor Scale of the nursing staffs with the high levels of psychological stress were higher than those with the low or average levels of psychological stress（P<0.05）. Conclusion The levels of psychological stress of the nursing staffs in our hospital and the wide range of stressors is wild； the corresponding measures should be put forward according to the workload and doctor-patient contradictions to reduce the psychological stress of the nursing staffs and increase their psychological health levels.

Key words: Nursing staff, Mental stress, Prevalence survey, Mental health, Influencing factor

CLC Number:

R471

Yiling YANG,Meng XIAO,Hao WU,Biao LI,Changgui KOU. Investigation and analysis on psychological stress situation of nursing staffs in a Class-A Tertiary Hospital in Changchun City in Jilin Province[J].Journal of Jilin University(Medicine Edition), 2023, 49(2): 514-519.

Figures/Tables 4

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References 25

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Demographic characteristic	n	Constituent ratio（η/%）
Gender
Male	8	1.2
Female	683	98.8
Age（year）
25 and below	24	3.5
26－30	166	24.0
31－40	418	60.5
41－50	65	9.4
51 and above	18	2.6
Marital status
Single	141	20.4
Married	536	77.6
Divorce or other	14	2.0
Level of education
Specialized degree	100	14.5
Bachelor’s degree	558	80.7
Master’s degree and above	33	4.8
Title
Unclassified	153	22.1
Primary	354	51.2
Intermediate	178	25.8
Advanced	6	0.9
Monthly income（Yuan）
3 000 and below	33	4.8
3 001－4 500	127	18.4
4 501－6 000	213	30.8
6 001 and above	318	46.0

Demographic characteristic	N	n (K10 ≥22 points)	Positive rate(η/%)	χ²	P
Gender				－	0.301
Male	8	3	37.5
Female	683	390	57.1
Age（year）				10.632	0.031
25 and below	24	9	37.5
26－30	166	98	59.0
31－40	418	248	59.3
41－50	65	32	49.2
51 and above	18	6	33.3
Marital status				0.484	0.785
Single	141	78	55.3
Married	536	308	57.5
Divorce or other	14	7	50.0
Level of education				4.638	0.098
Specialized degree	100	66	66.0
Bachelor’s degree	558	311	55.7
Master’s degree and above	33	16	48.5
Title				4.181	0.243
Unclassified	153	92	60.1
Primary	354	208	58.8
Intermediate	178	90	50.6
Advanced	6	3	50.0
Time of working(year)				4.916	0.178
5 and below	104	54	51.9
6－10	275	157	57.1
11－20	251	153	61.0
21 and above	61	29	47.5
Monthly income（yuan）				2.234	0.525
3 000 and below	33	21	63.6
3 001－4 500	127	76	59.8
4 501－6 000	213	124	58.2
6 001 and above	318	172	54.1
“－”:Fisher’s exact test.

Characteristic	β	SE	χ²	P	OR	95%CI
Age（year）	－	－	8.780	0.067	－	－
25 and below	－0.687	0.719	0.913	0.339	0.503	0.123－2.059
26－30	0.340	0.581	0.342	0.558	1.405	0.450－4.383
31－40	0.554	0.557	0.991	0.320	1.740	0.584－5.183
41－50	0.288	0.597	0.233	0.630	1.334	0.414－4.296
51 and above	－	－	－	－	1.000	－
Night shift	－	－	－	－	－	－
Yes	0.658	0.202	10.578	0.001	1.930	1.299－2.869
No	－	－	－	－	1.000	－
Assaulted or verbally	－	－	－	－	－	－
Yes	1.373	0.170	65.429	<0.001	3.945	2.829－5.502
No	－	－	－	－	1.000	－
Constant	－1.210	0.531	5.198	0.023	0.298	－
“－”： No data.

Pressure source	K10≥22 points (n=393)	K10<22 points (n=298)	t	P
Organizational management	24.33±4.93	20.03±6.06	10.271	<0.001
Career interest	16.82±4.13	13.11±4.02	11.808	<0.001
Workload	18.99±3.32	15.71±3.95	11.832	<0.001
Career development	18.73±3.59	15.09±4.24	12.204	<0.001
External environment	24.33±4.93	20.03±6.06	6.745	<0.001
Doctor-patient relationship	8.45±2.01	6.78±2.27	10.230	<0.001
Interpersonal relationship	5.87±1.94	4.47±1.86	9.536	<0.001
Total	103.21±14.96	84.22±18.27	15.008	<0.001

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Investigation and analysis on psychological stress situation of nursing staffs in a Class-A Tertiary Hospital in Changchun City in Jilin Province

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