护士人格及心理状态与护理工作满意度的相关性研究

Relationship between satisfaction degree of nursing service and nurses' personality and mental state

目的调查护士人格特质及心理状态与患者及家属对护理工作满意程度的关系。方法采用明尼苏达多相人格测验附加量表(minnesota multiphasic personality inventory,MMPI)、症状自评量表(symptom check list-90,SCL-90)、抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-Rating anxiety scale,SAS)测评368名护士人格特质和心理状态;采用自行设计的满意度调查表对288例患者及234名患者家属进行调查。结果患者及其家属对护士业务的评价得分为(8.29±0.98)分,对护士服务态度的评价得分为(8.19±1.21)分。患者及家属对护士业务的满意度与护士人格特质中的外显性焦虑和依赖性因子呈负相关,与支配性因子呈正相关(均P<0.05)。患者及家属对护士服务态度的满意度与护士SAS总分、人格特质中的依赖性因子及SCL-90中的强迫症状、焦虑、敌对、偏执因子呈负相关,与人格特质中的社会责任因子呈正相关(均P<0.05)。结论护士的人格特质和心理状态可影响患者及其家属对护理工作的满意程度。完善护士的人格素质,缓解护士的心理压力对建立良好的护患关系及临床护理工作有积极作用。

Objective To investigate the relationship between satisfaction of nursing service and nurses＇ personality and mental state. Methods 368 nurses , 288 patients and 234 dependents involved the investigation. Minnesota Muhiphasic Personality Inventory （MMPI）was used to analyze nurses＇ personality. Symptom Checklist-90 （SCL-90）, Self-rating Depression Scale （SDS） and Self-rating Anxiety Scale （SAS） were used to analyze nurses＇ mental states. A self-made questionnaire on satisfaction was used to investigate the satisfaction degree of patients and dependents with nursing service. The data were analyzed by descriptive statistics and multiple regression analysis. Results The average score on satisfaction with the nurses＇ service was （8.29 ± 0.98） and the average score on satisfaction with nurses＇ attitude was （8.19±1.21）. The satisfaction with nurses＇ service was negatively correlated with the MMPI factors of manifest anxiety and dependency and positively with dominance of MMPI （both P 〈 0.05）. Satisfaction with nurses＇ attitude was negatively correlated with total score of SAS, dependency of MMPI, compulsion, anxiety, hostility and paranoid ideation of SCL-90 （ all P 〈 0.05）. Satisfaction with the service attitude was positively correlated with social responsibility of MMPI （P 〈 0.05）. Conclusion Satisfaction degree of patients and their dependents is related to nurses＇ personality and mental states. It＇s helpful to establish good relationship between nurses and patients and improve the clinical nursing service to perfect nurse＇s personality and relieve psychological stress on nurses.