创伤后应激障碍与护士心理资本的相关性研究

Study on relationship between posttraumatic stress disorder and nurses＇ psychological capital

目的探讨创伤后应激障碍（PTSD）与护士心理资本的关系。方法采用创伤后应激障碍自评量表平民版（PCL-C）和护士心理资本问卷中文修订版，对浙江省5所三级甲等综合医院的550名护理人员进行便利抽样调查，并对调查数据进行统计分析。结果18.35%的受调查护士出现一定程度的PTSD症状，13.71%出现明显的PTSD症状，PTSD阳性率为32.06%。护士心理资本得分为（78.81 ± 16.54）分，处于中上水平，4个维度按得分率由高到低排序为自我效能（23.80 ± 5.35）分、希望（23.36 ± 5.24）分、韧性（19.66 ± 4.29）分和乐观（11.99 ± 3.21）分。护士心理资本与创伤后应激障碍及各维度均呈负相关（P〈0.01）。结论护士心理资本为创伤后应激障碍症状的负向预测因子，建议管理者应重视护士心理资本的开发，以减少和预防护理人员创伤后应激障碍的发生，从而改善护理服务质量。

ObjectiveTo explore the relationship between posttraumatic stress disorder and nurses′ psychological capital.MethodsBy convenient sampling, totally 550 nurses in 5 first-class upper level general hospitals in Zhejiang province were investigated by the posttraumatic stress disorder （PTSD）Cheeklist-Civilan Version （PCL-C） and Nurses Psychological Capital Questionnaire Revision （NPCQR）, and the results were analyzed.Results18.35% investigated nurses showed a certain degree of PTSD symptoms and 13.71% showed obvious PTSD symptoms. The positive rate was 32.06%.The overall score of nurses′ psychological capital was 78.81 ± 16.54, which was in the middle level, and the dimension scores from high to low were self-efficacy （23.80±5.35）, hope （23.36±5.24）, resilience （19.66 ±4.29）, and optimism （11.99 ± 3.21）. The nurses′ psychological capital had a negative effect on posttraumatic stress disorder （P〈0.01）.ConclusionsPsychological capital of nurses is a negative predictor of PTSD symptoms, which suggested that managers should pay more attention to the development of nurses′psychological capital to reduce and prevent the occurrence of posttraumatic stress disorder,then to improve nursing service quality.