医患关系态度对军队医院护士焦虑抑郁的影响

Influence of doctor-patient relationship attitude on anxiety and depression of military hospital nurses

目的了解军队医院护士焦虑抑郁现状及医患关系态度对焦虑抑郁的影响。方法选取新疆6所军队医院护理人员318例作为调查对象,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和医患关系态度问卷进行调查,采取线性回归分析医患关系态度对焦虑抑郁的影响。结果护士焦虑抑郁症状发生率为59.12%和28.30%。职业期望强烈护士焦虑抑郁得分(48.62±5.21,46.13±5.97)显著低于一般护士(52.58±5.56,51.86±5.52)(t=6.518、8.733,均P<0.01)。工作强度较高护士焦虑抑郁得分(52.92±5.49,50.10±6.75)显著高于一般护士(48.61±5.19,47.58±6.02)(t=7.082、3.469,均P<0.01)。年龄≥30岁护士焦虑抑郁得分(52.21±4.85,50.51±6.41)显著高于<25岁护士(46.33±6.54,45.55±5.68)(均P<0.01)。主观收入较好护士焦虑抑郁得分(46.27±4.06,44.15±5.05)低于一般护士(50.66±5.31,48.80±5.82)和较差护士(55.80±3.28,54.91±3.31)(均P<0.01)。家庭关系融洽护士焦虑抑郁得分(45.98±4.81,44.39±4.87)低于家庭关系一般护士(51.27±4.19,49.44±5.93)和隔阂多护士(54.81±5.59,53.08±5.90)(均P<0.01)。对患行为、医患认知和对医信念进入焦虑得分的回归方程(β=0.340、0.105、0.137,均P<0.05);对患行为、对患情感、医患认知和对医信念进入抑郁得分的回归方程(β=0.268、0.240、0.281、0.274,均P<0.01)。结论军队医院护士焦虑抑郁受多种因素影响,其焦虑抑郁与医患关系态度具有密切的关系。

[Objective]To investigate the status quo of anxiety and depression of military hospital nurses,explore the effect of doctor-patient relationship on anxiety and depression.[Methods] 318 nurses from six military hospitals were selected as the subjects,who were investigated by self-rating anxiety scale(SAS),self-rating depression scale(SDS) and attitude to doctor-patient relationship questionnaire. The effects of doctor-patient relationship on anxiety and depression were analyzed by multiple linear regression analysis.[Results]The incidence rate of anxiety and depression among nurses was 59.12% and 28.30% respectively.The score of anxiety and depression of nurses with strong career expectations(48.62±5.21,46.13±5.97) were significantly lower than that of nurses with general career expectations( 52. 58 ± 5. 56, 51. 86 ± 5. 52)( t = 6. 518, 8. 733, both P<0.01). The score of anxiety and depression of nurses with higher working intensity(52.92±5.49,50.10±6.75) were significantly higher than that of nurses with general working intensity(48.61±5.19,47.58±6.02)(t=7.082,3.469,both P<0.01). The score of anxiety and depression of nurses≥30 years old(52.21±4.85,50.51±6.41) were significantly higher than that of nurses <25 years old(46.33±6.54,45.55±5.68)(both P<0.01). The score of anxiety and depression of nurses with good subjective income(46. 27 ±4. 06,44. 15 ±5. 05)was significantly lower than that of nurses with general subjective income( 50.66±5.31,48.80±5.82) and poor subjective income(55.80 ±3.28,54.91 ±3.31)(both P <0.01). The score of anxiety and depression of nurses with harmonious family relationship(45.98±4.81,44.39±4.87) was significantly lower than that of nurses with general family relationship(51.27 ±4.19,49.44 ±5.93)and disharmony family relationship(54.81±5.59,53.08±5.90)(both P < 0.01). The behavior toward patients,doctor-patient cognition and medical belief entered the regression equation of anxiety score(β=0.340,0.105,0.137,all P<0.05). The behavior toward patients,emotion toward patients,doctor-patient cognition and medical belief entered the regression equation of depression score(β=0.268,0.240,0.281,0.274,all P<0.01).[Conclusion]The anxiety and depression of military hospital nurses are affected by various factors,which are closely related to doctor-patient relationship attitude.