培训干预对妇产科护士的心理影响

The mental impact of training intervention on obstetric and gyneco- logic nurses

目的探讨专业技术和职业心理综合培训对妇产科护士身心健康状况的影响。方法对53名妇产科护士进行专业技术与职业心理综合培训，根据压力源问卷调查的结果设计内容，于综合培训前及半年后均采用症状自评量表（SCL-90）及心理卫生量表对护士进行评分。结果妇产科护士工作压力主要来源于工作风险、护患关系、工作繁重及业务能力不足。经过综合培训，SCL-90总均分、阳性项目数与强迫症状、人际关系敏感、抑郁、焦虑、精神病性因子7项评分比培训前显著降低（P〈0．01或P〈0．05）。心理卫生量表总分及心理满足、信心充足3项评分比培训前显著升高（P〈0．01）。结论有针对性的专业技术与职业心理综合培训有助于舒缓妇产科护士的身心压力，提高身心健康水平。

Objective To explore the effect of professional ＆ psychological training to obstetric and gynecologic nurses on their mental and physical health. Methods Fifty - three gynecologic and obstetric nurses were received vocational and psychological training. According to stress questionnaire, they were evaluated by symptom check list - 90 （ SCL - 90） and psychological heath scale before and 6 - month after comprehensive training. Results The main occupational stresses were work risk, relation between nurse and sufferer, workload and working ability shortage. After comprehensive training, the scores of SCL - 90, positive items, obsessive compulsive, sensitive relationship, depression and anxiety and factors of mental disease of SCL - 90 were decreased significantly （P 〈 0. 01 or P 〈 0. 05） . Total scores of mental health scale, satisfaction and confidence were increased significantly than before training （P 〈 0. 0 l ） . Conclusions Specific vocational and psychological training are helpful to alleviate physical and mental stress of gynecologic and obstetric nurses and improve their health level