防暴技能培训对精神科护士职业压力和心理状态的影响

THE EFFECT OF RIOT SKILLS TRAINING ON OCCUPATIONAL STRESS AND PSYCHOLOGICAL STATE IN PSYCHIATRIC NURSES

目的探讨防暴技能培训对精神科护士职业压力和心理状态的影响。方法选取60名在我院未曾受过系统防暴力技能培训的精神科护士为研究对象,所有研究对象将实施防暴技能培训,在培训前、培训后第90天、第180天分别进行SCL-90量表、Zung焦虑量表、Zung抑郁量表及国内护士工作压力源量表评定。比较培训前和培训后第90天、第180天的各量表相关指标情况。结果 SCL-90量表各因子中躯体化、人际关系、抑郁、焦虑、恐惧、强迫症状、敌对、偏执、精神性及其他10个因子评分均明显高于培训后(p<0.05);培训后焦虑、抑郁评分均显著低于培训前(p<0.05);培训前后护士均承受不同程度的工作压力,培训前护士在患者护理方面所受到的压力显著高于培训后(p<0.05);培训后第90天与第180天各量表评分比较均无显著性差异(p>0.05)。结论防暴技能培训能显著改善精神科护士的焦虑、抑郁情绪,降低职业压力,值得临床推广。

Objective To explore the effect of riot skills training on occupational stress and psychological state in psychiatric nurses. Methods 60 psychiatric nurses in our hospital had no riot skills training as the research object. All the research object will be implemented riot skills training,and SCL- 90 scale,Zung anxiety scale,the Zung depression scale and domestic nurse job stressors scale assessment were carried out before training,after 90 days and 180 days,respectively. Results SCL- 90 scale of each factor in somatization,interpersonal relationship,depression,anxiety,fear,force,hostility,paranoid symptoms,spirituality and other 10 factor scores were significantly higher than after training（ P〈0. 05）; The anxiety and depression scores were significantly lower than before after training（ P〈0. 05）; Nurses had different degree of work pressure before and after the training,and the stress training before were significantly higher than that after training（ P〈0. 05）; All the rating scale had no significant difference between 90 days and 180 days after training（ P〉0. 05）. Conclusion Riot skills training can significantly improve the psychiatric nurses anxiety and depression,and reduce the occupational stress,worthy of clinical promotion.