某医院护士职业紧张和职业心理相关回归分析

RELATION BETWEEN OCCUPATIONAL STRESS AND PSYCHOLOGY IN NURSES

目的:探讨影响护士心理健康的职业紧张和职业心理因素,为提高护士的心理健康水平提供科学依据。方法:采取职业紧张与职业心理测量问卷和症状自评量表(SCL—90)对某医院545名护士进行调查,对获得的数据进行相关与逐步回归分析。结果:与护士SCL—90呈负相关的因子是心理满足、信心充足、心情平静和工作满意感(P<0.01);呈正相关的因子是工作冲突、心理需求、物理环境、工作危险、工作负荷、工作前景、缺乏提升机会、缺乏参与机会、缺乏社会支持(P<0.05)。引入逐步回归方程的6个因素为心理满足、信心充足、工作危险、心情平静、缺乏社会支持和工作满意感。结论:影响护士心理健康的职业因素是多方面的,主要因素为心理满足、信心充足、工作危险、心情平静、缺乏社会支持和工作满意感。

Objective： To investigate into factors of occupational stress and psychology effecting symptoms of SCL - 90 in nurses for offering basis to protect their mental health. Methods： 545 nurses were investigated with occupational stress and psychology instruments of symptom check list- 90 （SCL- 90）. The data were analyzed statistically. Results： The factors with an obviously negative correlation of SCL - 90 were contentment, resilience, peace of mind and job satisfaction. The factors with an obviously positive correlation of SCL-90 were conflict in work, mental load, physical environment, job hazards, work load, job future ambiguity, advancement, participation and social support. The data of multiple linear regression showed that contentment, resilience, job hazards, peace of mind, social support and job satisfaction affected SCL-90 of nurses. Conclusion： There were many factors of occupational stress and psychology which affecting symptoms of SCL-90 in nurses. Gontemtment, resilience, job hazards, peace of mind, social support and job satisfaction were main factors which affected symptoms of SCL- 90 in nurses.