基于多中心的门诊护士心理韧性现状调查及影响因素分析

Investigation and Analysis of Influencing Factors of Psychological Resilience of Outpatients Based on Multicenter

【目的】分析门诊护士心理初性现状并分析其影响因素。【方法】采用整群抽样的方法,采用一般资料问卷、简易应对方式量表(SCSQ)、社会支持评定量表(SSRS)和中文修订版心理韧性量表(CD-RISC),对湖南省长株潭地区9家三级曱等综合性医院247名门诊护士进行调查。采用单因素方差分析以及多元逐步回归分析法分析门诊护士心理初性现状及影响因素。【结果】不同年龄、文化程度和工龄的护士其心理軔性水平差异具有统计学意义(P<0.05)。Pearson相关分析显示,门诊护士心理韧性总分与社会支持总分及各因子主观支持、客观支持、支持利用度均呈显著正相关(均P<0.05),与积极应对呈正相关(P<0.05),与消极应对无相关性(P>0.05)。积极应对、社会会支持和文化程度为影响门诊护士心理初性的相关因素(P<0.05)。【结论】门诊护士的心理初性处于较低水平,积极应对方式、社会支持和文化程度为影响门诊护士心理韧性水平的重要因素。

【Objective】To analyze the psychological resilience of outpatients and its influencing factors.【Methods】With the method of cluster sampling,247 outpatient nurses from 9 Grade-A general hospitals in Changsha,Zhuzhou and Xiangtan of Hunan Province were investigated by using general data questionnaire,simple coping style scale(SCSQ),social support rating scale(SSRs)and Chinese Revised Psychological Resilience Scale(CD-RISC).Single factor analysis of variance and multiple stepwise regression analysis were used to analyze the psychological resilience status and influencing factors of outpatients.【Results】Therhe was significant difference in psychological resilience among nurses of different age,education level and working age(P<0.05).Pearson correlation analysis showed that the total score of psychological resilience of outpatient nurses was positively correlated with the total score of social support,subjective support,objective support and utilization of support(P<0.05),positively correlated with positive response(P<0.05),and not positively correlated with negative response(P>0.05).Positive coping,social support and education level were the related factors(P<0.05).【Conclusion】The psychological resilience of out-patient nurses is at a low level.Positive coping style,social support and educational level are the important factors affecting the psychological resilience of out-patient nurses.