外科护士工作压力源的调查及对策分析

Investigation of surgical nurse work pressure source and countermeasures analysis

目的比较外科护士与普通科室护士临床工作压力,调查外科护士压力源的种类和程度,进而找出外科护士关于临床工作压力源的应对方式。方法选择沈阳市第四人民医院(以下简称"我院")外科护士共38名作为观察组。同时选择我院放射线科、超声科、检验科、体检科、消毒供应中心护士36名作为对照组,采用一般情况调查表及中国护士工作压力源调查表,调查两组护士的工作压力源,并分析应对策略。结果两组护理人员在性别、年龄、婚姻状况、职称、收入及人事关系等方面比较,差异无统计学意义(P>0.05)。观察组压力源的5个维度得分均高于对照组,差异有统计学意义(P<0.05)。调查结果显示,观察组各维度压力源评分从高到低分别为:患者护理、护士工作量及工资待遇、护理专业知识及工作技能、护理工作环境及仪器设备应用、与护理管理者及同事之间人际关系方面。39个条目中,只有9个条目两组得分比较差异无统计学意义(P>0.05),另外30个条目两组比较,差异均有统计学意义(均P<0.05)。结论外科病房护士的压力在一定程度上高于普通科室护士。

Objective To compare the clinical work pressure between surgical nurses and general department of clini- cal nurses, investigate the type and degree of surgical nurse pressure source, in order to find the coping styles of clini- cal work pressure source in surgical nurses. Methods A total of 38 surgical nurses in the Fourth People＇s Hospital of Shenyang （＂our hospital＂ for short） were chosen as the observation group. At the same time, 36 nurses from Department of Radiology, Ultrasound, Laboratory science, Medical science, CSSD of our hospital were selected as the control group. General questionnaire and Chinese nurse job stressors questionnaire were used to investigate the two groups nurses work pressure source and coping strategies. Results Comparison of the two groups of nurses in sex, age, marital status, job title, income and personnel relations, the differences were not statistically significant （P 〉 0.05）. Five dimensions of pressure source in the observation group were higher than those of the control group, the differences were statistically significant （P 〈 0.05）. Survey results showed that the scores of each dimension pressure source in the observation group from high to low were patients＇ care, nurses workload and wages, nursing knowledge and skills, the nursing work envi- ronment and application equipment, and interpersonal relationship between nurse managers and colleagues. In 39 items, only 9 items score had no statistically significant differences between the two groups （P 〉 0.05）, other 30 items had sta- tistically significant differences between the two groups （P 〈 0.05）. Conclusion The pressure degree of surgical ward nurses is higher than general department nurses.