ICU护士工作压力体验与应对质性研究的系统评价

The experience and coping behaviors of work stress among ICU nurses:a meta-synthesis of qualitative studies

目的系统评价有关ICU护士工作压力体验和应对方式的质性研究,为了解ICU护士的压力体验、帮助ICU护士更好地进行压力应对提供依据。方法计算机检索PubMed、PsycINFO、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、维普、万方等中英文数据库,收集与ICU护士工作压力相关的质性研究,检索时限均为建库至2018年9月。采用澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心质性研究质量评价标准(2016)对纳入研究进行质量评价,并采用汇集性整合方法整合结果。结果共纳入7项研究,提炼48个主要结果,归纳成9个新的类别,综合成3个整合结果:ICU护士工作压力的来源、ICU护士工作压力的身心体验和ICU护士工作压力的应对方式。结论护士自身和护理管理者要重视ICU护士压力源和压力状态下的身心不适体验,运用多种干预方式积极应对工作压力,从而减轻压力,提高护理质量。

Objective To systematically review the experience and coping behaviors of work stress among ICU nurses,provide evidence for understanding the experience of work-related stress in ICU nurses and helping them dealing with it better.Methods Chinese and English databases including PubMed,PsycINFO,Cochrane Library,Web of Science,CNKI,Chinese biomedical literature database(CBM),VIP,and WanFang Data were searched for qualitative studies on ICU nurses'work stress from inception to September 2018.The JBI Critical Appraisal Tool for qualitative studies in Australia(2016 edition)was used to evaluate the quality of studies.The results were synthesized by using Integration Methods.Results A total of 48 findings were extracted from 7 qualified studies.The 48 findings were integrated into 9 new categories and finally 3 synthesized results were summarized:the sources of work stress,the physical and mental experience of work stress,and the coping behaviors of work stress in ICU nurses.Conclusion Nurses themselves and nursing managers should pay attention to the sources of stress,physical discomfort and negative emotions caused by stress,and adopt a variety of interventions to cope with stress actively,so as to reduce the stress and improve the quality of nursing.