“规培”低年资护士焦虑抑郁现状调查与人文关怀对策探讨

Survey on Anxiety and Depression Status in Junior Standardized Training Nurses and Exploration of the Countermeasures for Humanistic Care

目的了解规范化培训的低年资护士焦虑抑郁现状及其影响因素,寻找改善焦虑及抑郁的人文关怀对策,为改善护士心理状态及改进规范化培训内容提供依据。方法采用抑郁自评量表(SDS)、焦虑自评量表(SAS)对某三甲医院161名规范化培训护士进行横断面问卷调查。结果 161名规范化培训护士中抑郁和焦虑的阳性率分别是51.60%、34.70%,抑郁和焦虑粗分平均分分别为(39.73±8.55)、(37.21±8.64),均高于中国常模(33.46±8.55)与(29.78±6.46)(P<0.05);家庭负担、临床专业知识及技能、工作氛围对抑郁有影响;家庭负担及轮转科室的不同对焦虑有影响。结论规范化培训内容应考虑轮转科室的不同特点进行制定;为规范化培训护士创造良好的工作氛围,在注重人文关怀的基础上,提高其专业知识及技能的培训,加强心理素质的培养及心理问题辅导。

Objective： To understand the anxiety and depression status of junior standardized training nurses and its influencing factors, to explore the humanistic care strategies for anxiety and depression, and thus to provide the basis for improving the psychological state of the nurses and the content of standardized training. Methods： Across -sectional questionnaire survey were conducted among 161 ＂standardized training＂ nurses in one Three -A hospital using Self- rating Depression Scale （SDS） and Self- rating Anxiety Scale （SAS）. Results： The positive rate of depression and anxiety in 161 ＂standardized training＂ nurses were 51.60% and 34.70%, respectively. The coarse average scores of depression and anxiety were （ 39.73±8.55 ） and （ 37.21± 8.64 ）, respectively, which were higher than Chinese norm （ 33.46±8.55 ） and （29.78±6.46） （ P 〈 0.05 ）. Family burden, clinical professional knowledge and skills and work environment had influences on depression; family burden and the differences of rotation departments had influences on anxiety. Conclusion ： The formulation of content of ＂standardized training＂ should consider the different characteristics of rotation department. We should create a good working atmo- spherefor ＂standardized training＂ nurses, improve the training of professional knowledge and skills on the basis of paying attention to humanistic care, strengthen the training of psychological quality and psychological counseling.