护患纠纷中护士心理健康状况及其影响因素的调查分析

The surveys of nurse mental health status and influencing factors in nurse-patient disputes

目的探讨护患纠纷中护士心理健康状况及其影响因素，以寻找有针对性的干预对策。方法在护患纠纷事件发生l周内，分别对36名当事护士进行症状自评量表（SCL-90）、简易应对问卷（SCSQ）、社会支持量表（PSSS）等问卷调查，将其心理健康状况与国内成人常模及普通护士进行对比分析，并对影响因素进行相关性分析。结果纠纷组护士SCL-90各因子分及总均分均显著高于国内成人常模及普通组护士，其心理健康状况与其应对方式及社会支持显著相关。结论护患纠纷中护士心理健康水平较一般人群和普通护士低，并明显受应对方式及社会支持的影响。管理者应高度重视当事护士的心理健康状况及其影响因素的正向作用，从多层面人手进行有针对性的干预，以应对压力性事件带来的不良情绪影响。

Objective To study the mental health status of nurses after nurse-patient dispute and its relevant factors. Methods After the nurse-patient dispute one week later, a case control study on 36 nurses in dispute group and some in normal control group was performed. The following three questionnaires are administered by each subject： the symptom sheck list 90 （SCL-90）, the simplified coping style questionnaire （SCSQ） , the social support rating scale （SSRS）. Results The total scores, the average value of the total scores in dispute group were significantly higher than those for the Chinese adult norm and the control group （ P 〈0. 05 and P 〈0. 01 ）. Coping style and social support were significantly associated with the status of the mental health （ P 〈 0. 05 and P 〈 0. 01 ）. Conclusions The mental health levels of nurse in dispute group were obviously lower than common group, and obviously effected by coping style and social support.