院外急救医护人员心理压力与自我概念的相关性研究

Correlation of psychological stress with self-concept in pre-hospital emergency medical personnel

目的探讨院外急救医护人员心理压力与自我概念的关系，为医院管理提供依据。方法采用中文版知觉心理压力量表（CPSS）和田纳西自我概念量表（TSCS）对285名院外急救人员进行调查，并将结果进行统计分析。结果院外急救人员有健康风险压力者CPSS总分评分为（31．81±7．35）分，显著高于无健康风险压力者[（20．25±6．54）分，t=13．766，P〈0．01].有健康风险压力者的自我总分评分为（229．38±21．48）分，显著低于无健康风险压力者[（266．49±26．29）分，t=12．301，P〈0．01]。相关分析显示，TSCS量表总分得分值与CPSS量表总分得分值呈负相关（r=-0．475，P〈0．01）。结论心理压力是影响自我概念的重要因素，减轻心理压力可有助于维护院外急救医护人员的心理健康。

Objective To explore the correlation of psychological stress with self-concept in pre-hospital emergency medical personnel. Methods A questionnaire survey using the Chinese Perceived Stress Scale （CPSS） and Tennessee Self-Concept Scale （TSCS） was conducted among 285 pre-hospital emergency medical workers from 20 emergency centers in Jining and Heze cities, Shandong Prrovince, 86 physicians and 199 nurses, 195 males and 90 females, aged （29.56±6.38） （21-52）, 247 married and 38 unmarried, with the diplomas of technical secondary school （n=37）, junior college＇（n=83）, or university （165）, and with the primary professional title （n=93）, middle title （150）, or high title （42） Results （1） The total score of CPSS of the preospital emergency medical workers with health risk pressure was 3 （1.81± 7.35）, significantly higher than that of the the pre-hospital emergency medical workers without health risk pressure [20.25±6.54, t=13.766 , P〈0.01]. The total score of self evaluation of the pre-hospital emergency medical workers with health risk pressure was （229.38 ± 21.48）, significantly lower than that of the pre-hospital emergency medical workers without health risk pressure [（266.49±26.29）, t=12.301, P 〈0.01]. Correlation analysis showed that the total TSCS score was negatively correlated with the total CPSS score （r=-0.475, P 〈0.01）. Conclusion Psychological stress is an important factor influencing self-concept, and relieving the psychological stress helps maintain the psychological health of pre-hospital emergency medical workers.