应用Neuman保健系统模式对非精神科住院患者心理压力状况的调查

Using Neuman Systems Model to investigate the mental pressures for hospitalized patients

目的了解住院患者所承受的压力源以及突出的心理压力问题。方法采用非精神科住院患者心理压力评估量表对150例非精神科住院患者进行调查，分析住院患者承受的压力源和突出的心理压力问题。结果住院患者存在一定程度的心理压力，其中盼望早日康复是平均得分最高的压力源（7．21±3．17）分；而担心患病后自己在家中的地位降低的得分最低（2．56±2．15）分。患者的心理压力状况与年龄、性别、文化程度、家庭收入、婚姻状况等呈现显著相关性。结论住院患者存在一定心理压力，不同心理压力源的心理压力反应不同，应针对不同类别的压力源开展有针对性的心理护理，提高住院患者的生活质量和护理质量。

Objective To explore the pressure of hospitalized patients and protrudent problem of mental stress. Methods Choosing 150 non-psychiatric patients in random for investigation using mental status scale in non-psychiatric patients. At last, data were analyzed to find out the stressors they were bearing in hospital. Results There existed mental pressures in hospitalized patients in some degree. ＂to expect to recover health early＂ was the highest score （7.21±3.17）, and ＂to worry about their position decreased after disease＂ got the lowest score, （2.56±2.15）. The mental stress of hospitalized patients was correlated with age, sex, education degree, income and marital status. Conclusions There existed mental pressures in hospitalized patients in some degree. Different mental stressor shows different psychological reaction, we should take different measures to improve the life and nursing quality of hospitalized patients.