三甲综合医院护士离职意愿与抑郁和焦虑情绪的关系

The relationship between depressive and anxious emotion and turnover intention among nurses from tertiary general hospitals

目的:探索三甲医院护士离职意愿与其抑郁和焦虑情绪的关系。方法:随机抽取武汉市三家三甲综合医院的384名护士自填完成一般情况问卷、离职意愿问卷、中文版Zung氏抑郁自评量表(SDS)和焦虑自评量表(SAS)。结果:护士离职意愿的检出率(95%CI)为29.2%(24.6%,33.7%);有离职意愿护士的SDS和SAS评分均显著高于无离职意愿护士(SDS评分:43.7±9.1 vs.39.5±7.8;SAS评分:38.1±8.8 vs.34.7±8.2,P均<0.001);混杂因素分层分析发现各层内有离职意愿护士的SDS和SAS评分也均显著高于无离职意愿护士。结论:护士抑郁焦虑情绪与护士离职意愿产生相关,改善护士的心理健康,可能有助于减少护士的离职意愿。

Objective：To explore the relationship between both depressive and anxious emotion and turnover intention among nurses from tertiary general hospitals. Methods： Three hundred and eighty - four nurses were randomly selected from three tertiary gen- eral hospitals in Wuhan and administered with socio - demographic, turnover intention, Zung＇s self- rating depression scale （SDS） and self- rating anxiety scale （SAS）. Results： The prevalence rate （95% CI） of turnover intention among nurses was 29.2% （24.6%, 33.7% ）. Nurses with turnover intention had statistically higher SDS and SAS scores than those of nurses without turnover intention （ SDS ： 43.7 ± 9.1 vs. 39.5 ± 7.8 ; SAS ： 38.1± 8.8 vs. 34.7 ± 8.2, P 〈 0. 001 ）. Stratification analysis by confounding factors revealed consistent results with the overall result. Conclusions： Depression and anxiety emotion are associated with turnover intention for nurses. It might be helpful to reduce turnover intention through improvement the mental health of nurses.