某市临床护士健康相关生命质量及其与应激源关系的探讨

Study on relationships between health-related quality of life and its stress source for clinical nurses in Lu'an city

目的调查某市临床护士健康相关生命质量及其与应激源的关系。方法对某市500名临床护士应用一般情况调查表、护士工作压力源量表、家庭功能量表、社会支持量表及生命质量评价量表进行问卷调查,并对结果进行分析。结果护士生命质量的各个维度得分均低于常模分值,8个维度均与应激源有明显的相关性。通过回归分析可见人际沟通应激源中护士与护士关系压力,社会心理应激源中学习与晋升压力对护士生命质量的影响具有统计学意义。日常生活和工作中的应激源、家庭功能及社会支持均可影响护士生命质量得分。结论通过改善劳动条件、家庭支持功能及增加社会支持行动,可以改善其临床护士的健康相关生命质量。

Objective To investigate the relationships between health-related quality of life and its stress sources for clinical nurses.Methods All 500 clinical nurses from two hospitals in Lu’an city were recruited in this study.Questionnaire of sociodemographic characteristics,stressor scale of nurse work,scales of family functioning（APGAR） and social support,health-related quality of life（SF-36） were selected for quantitative measurement.Statistics was showed with mean±SD.Regression and multivariate logistic regression statistical analysis was applied to explore the health risks.Results Health-related quality of life scores were lower in nurses than the national popunlatin norm,and all of the eight dimensions had obvious correlation with the source of stress.With the regression analysis,stressors of interpersonal communication in the relationship between the pressure of the nurses’ psychosocial stressors,learning and promotion pressure had a significant impact on the health-related quality of life in clinical nurses.Source of stress in daily life and work,family functioning,social support could significantly affect the health-related quality of life.Conclusion It is suggested that intervention in family functioning,working conditions,and increasing social support actions should improve the health-related quality of life for clinical nurses.