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

1	诸葛美萍.金华市2019年社区护士260人心理健康知识认知情况调查［J］.中国乡村医药，2020，27（24）：88-89.
2	苏静静，张大庆.世界卫生组织健康定义的历史源流探究［J］.中国科技史杂志，2016，37（4）：485-496.
3	刘银阁，孙洪霞.护士心理健康的影响因素及对策［J］.实用临床护理学电子杂志，2018，3（33）：80-81.
4	杨喜平，叶春.不同婚姻状态护理人员心理健康状况调查分析［J］.成都医学院学报，2020，15（6）：781-783.
5	姚兰，卢晓玲，耿桂红.组织支持感对医院护理人员幸福感及离职意向的影响［J］.齐鲁护理杂志，2021，27（7）：41-43.
6	张波.某三甲医院护理人员心理健康调查与干预研究［J］.中西医结合心血管病电子杂志，2020，8（22）：184，197.
7	林武，邓科穗，谢秀英，等.南昌市三甲医院医护人员心理健康状况调查研究［J］.江西医药，2013，48（2）：151-154.
8	张春宇，邹香妮，刘亚，等.新冠肺炎疫情不同时期护理人员的心理状况调查及影响因素分析［J］.宁夏医科大学学报，2020，42（9）：901-905.
9	李蒙，刘倩，李洁琼，等.新冠肺炎疫情期间一线护理人员心理压力研究［J］.中国医学伦理学，2021，34（2）：183-187.
10	孙冬悦，王晓燕，王辰，等. 医务人员的工作状况描述及问题分析［J］. 中国医院，2011，15（8）：25-27.
11	敖薪. 国内护士压力研究现状与进展［J］. 实用护理杂志，2000，16（7）：1-3.
12	ANDREWS G， SLADE T. Interpreting scores on the Kessler psychological distress scale （K10）［J］. Aust N Z J Public Health，2001， 25（6）： 494- 497.
13	徐凌忠，王建新，孙辉，等.Kessler 10在我国的首次应用研究及其重要意义［J］.卫生软科学，2005，19（6）：410-412，421.
14	陈建萍. 临床医生工作压力源量表的编制与应用［D］.上海：上海师范大学，2009.
15	文超，蒋春雷，谭莉娜，等.工作压力源量表在精神科医护人员中的应用［J］.中国健康心理学杂志，2015，23（1）：38-41.
16	黄慧，郝晓玲，刘晓娟.山西某医院临床护理人员心理状况调查研究［J］.中国药物与临床，2021，21（6）：921-922.
17	常玲，任娜娜，李明霞，等.新型冠状病毒肺炎疫情期间临床护士心理健康与心理弹性的相关性分析［J］.现代医药卫生，2020，36（23）：3731-3734.
18	崔荣宝.新冠肺炎疫情下居民社会支持、心理资本对心理健康的影响［J］.延安大学学报（自然科学版），2021，40（1）：83-88.
19	张彩林.护士群体心理健康问题研究进展［J］.职业卫生与病伤，2020，35（4）：258-261.
20	QIN Z Y， ZHONG X， MA J H， et al. Stressors affecting nurses in China［J］.Contemp Nurse，2016，52（4）：447-453.
21	周江瑾，徐玲，郭岸英.三甲医院医务人员长期超负荷工作问题分析［J］.医院管理论坛， 2013，30（5）：51-53.
22	于宏杰，钱海明，徐海燕，等.上海市嘉定区医务人员职业压力与执业环境调查分析［J］.中国农村卫生事业管理，2015，35（7）：847-850.
23	文超，蒋春雷，谭莉娜，等.工作压力源量表在精神科医护人员中的应用［J］.中国健康心理学杂志，2015，23（1）：38-41.
24	夏颖，冀永娟，贺莉娜，等.医生工作压力与人际信任及应对方式的相关研究［J］.职业与健康，2016，32（5）：584-587， 591.
25	杨燕青，郑宏，王慧燕，等.医护人员压力源与应对策略现状分析［J］.中华全科医学， 2018，16（6）：983-988.

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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