护士自我和谐程度与职业紧张状况和生活质量的关系研究

The relationship between self consistency and congruence degree of nurses and their occupational stress and qualities of life

目的探讨护士自我和谐程度与职业紧张状况和生活质量的关系。方法采用随机整群抽样的方法，对本市2家三级综合医院的护士进行调查，共84人，均为女性；应用自我和谐量表（SCCS）、职业紧张量表（OSI—R）和生活质量综合评定问卷（GQLI）进行测评。以SCCS评分结果进行分组，高自我和谐程度组，总分≤74分；低自我和谐程度组，总分〉102分。结果84名护士SCCS评分总分为（98．36±15．24）分，自我与经验的不和谐评分为（42．31±8．01）分，自我灵活性评分为（40．35±8．23）分，自我刻板性评分为（19．675±4．12）分。高自我和谐程度者29人，占34．52％；低自我和谐程度者35人占41．67％，中间程度者20人，占23．81％。高自我和谐程度护士OSI—R职业任务、紧张反应维度及各因子评分除工作环境因子、躯体紧张因子外，均显著低于低自我和谐程度者，而应对资源维度及因子评分除娱乐休闲外显著高于低自我和谐程度者，差异有显著性（P〈0．01）。高自我和谐程度护士GQLI除物质生活维度外，其他各维度评分均显著高于低自我和谐程度者，差异有显著性。相关分析显示，SCCS评分与OSI—R总分及职业任务、紧张反应维度评分，呈显著正相关；而与OSI—R的应对资源和GQLI总分及躯体健康、心理健康、社会功能维度评分呈显著负相关，与物质生活维度无显著相关性。结论高自我和谐程度护士，其职业紧张感较低，对紧张的应变能力强；生活质量较高。

Objective To explore the relationship between self consistency and congruence degree of nurses and their occupational stress and qualities of life. Methods By randomly duster sampling, 84 nurses （ all the nurses were female） in two three class general hospitals of our city were investigated with self consistency and congruence scale （ SCCS）, occupational stress inventory revised edition （ OSI - R） and quality of life inventory （GQLI） . The nurses were divided into high degree self consistency and congruence group （total score ≤74） and lower degree group （ total score 〉 102） by the score of their SCCS. Results The average score of SCCS, self and experiential inconsistency and incongruence, score of self flexibility and self- stereotypes of score in 84 nurses were 98.36 ±15.24, 42. 31 ± 8. 01, 40. 35 ± 8.23 and 19. 675 ±4. 12 respectively. 29 nurses belonged to high degree self consistency and congruence, the factors score of occupation task （OSI- R） and tension reaction dimensionality of high degree self consistency and congruence nurses were lower; while answer to resource dimensionality and factor score besides entertainment was higher than the latter, the differences between them were obviously （ P 〈 0. 01 ） . Besides matter life dimensionality, the others score of dimensionality of high degree self consistency and congruence nurses were higher obviously than the ones of lower degree self consistency and congruence nurses, the difference were also obviously. Correlation analysis revealed that the score of SCCS correlated positively with the score of OSI - R, occupation task and tension reaction dimensionality; while it correlated negatively with answer to resource of OSI - R, total score of GQLI, and body health, psychology health and society function dimensionality, and had no correlation with matter llfe dimensionality. Conclusions High degree self consistency and congruence nurses have lower occupational tension feel and higher quality of life, and have more ability to treat stress.