院前急救护士不良心理状况调查分析与干预对策

First aid nurse tested negative psychological analysis and intervention countermeasures

目的:调查院前急救护士的不良心理状态,分析产生不良心理状态相关因素,为该特定人群的心理卫生干预提供理论依据并提出相应对策。方法:采用SCL-90和应对方式问题表,对我市中心人民医院急诊科及该院二分院急诊科55名院前急救护士进行心理健康状态调查,并与常模进行比较,同时对不良心理状况的应对方式及效果进行统计与分析。结果:院前急救护士SCL-90各因子分与中国常模比较在躯体化、强迫症状、抑郁、焦虑方面与常模比较均有统计学意义(P<0.01)。在对不良心理应对方式上,常采用消极应对的护士心理健康状况相对较差,特别是抑郁、焦虑、偏执症状分和总均分差异有统计学意义(P<0.05)。结论:院前急救护士的工作压力大,精神压力高,职业成就感低,是导致其不良心理状况的原因。由于这些不良心理状态都会给护士身心带来一定影响,从而直接影响到急救工作质量。因此,必须采取相应的干预对策,尤其对采取消极应对方式的护士更要给予足够重视。

Objective： To investigate pre -hospital emergency nurses bad psychological state, mental state analysis of adverse factors, for specific groups of mental health intervention to provide the theoretical basis and corresponding countermeasures. Methods：The mental health 55 pre - hospital emergency nurses emergency department and the Second Branch of the hospital emergency department Were investigaled by 90 and coping style questionnaire, status survey, and compared with the norm, while the adverse psychological the way to deal with feeling and effect statistics and analysis： Results： First aid nurse SCL -90 hours each factor with the Chinese norm in the comparison-drive, obsessive-compulsive symptoms, depression, anxiety compared with the norm were sigrificant （P 〈0.01 ）. On the negative psychological coping styles on the regulat use of cope with the negative mental health nurses, relatively poor, especially depression, anxiety, paranoia symptoms and the total points divided equally between the difference was statistically significant （ P 〈 0.05 ） . Conclusion ： The adverse psychological state of pre - hospital emergency nurses include work pressure, mental stress, occupational low sense of achievement. As a result of these adverse psychological state will give nurses a certain physical and psychological effects and thus have a direct impact on the quality of emergency care, it was necessary to take the appropriate countermeasures to interfere negatively in particular to take on the way to deal with the nurses should be given adequate attention.