产房助产人员心理压力因素分析与缓解对策

Analysis of psychological stress factors of midwifery staff in delivery room and its alleviative countermeasures

目的分析产房助产人员心理压力现状,探讨相关影响因素,总结因素缓解对策。方法选择2017年4月至2019年4月在我院产房工作的19名助产人员为研究对象,采取问卷调查量表方式调查其心理状况、影响因素、应对策略。结果产房助产人员心理压力各维度得分:时间分配及工作量引起的压力维度(2.87±0.89)分、产妇/家属纠纷带来的压力(2.46±0.85)分、护理专业及工作(2.79±0.56)分、管理和人际关系(2.56±0.75)分、不良工作环境及仪器设备问题(2.91±0.83)分。多元线性回归分析显示,应对方式是产房助产人员心理压力的独立影响因素(P<0.05)。结论助产士心理健康水平低于普通人群,其心理压力受多因素影响,医院应当通过多种途径降低压力源,如定期对助产士职业素养、专业技能进行培训,提高助产士的工作环境及待遇;采取正念减压干预,以缓解其心理压力,增强心理弹性与应对能力,有效维护其身心健康。

Objective To analyze the current psychological stress of midwifery staff in the delivery room,explore related influencing factors,and summarize the factors for alleviating countermeasures.Methods The 19 midwifery staff who worked in the delivery room of our hospital from April 2017 to April 2019 were selected as the study objects,and their psychological status,influencing factors,and coping strategies were investigated by questionnaire survey.Results The scores of the various dimensions of the psychological stress of the midwifery staff in the delivery room were as follows such as the point of stress dimensions caused by time allocation and workload were(2.87±0.89)points,(2.46±0.85)points were brought by maternal/family disputes,nursing profession and work held(2.79±0.56)points,management and interpersonal relations held(2.56±0.75)points,poor working environment and equipment problems were also(2.91±0.83)points.Multiple linear regression analysis showed that the coping style was the independent influencing factor effecting psychological stress of midwifery staff in delivery room(P<0.05).Conclusion The level of mental health of midwives was lower than that of the general population,and their psychological stress was affected by many factors.The senior executive of hospital should reduce the source of stress through a variety of ways,such as regular training of midwives'professional quality and professional skills,and improve the working environment and remuneration of midwives.Mindfulness decompression intervention should be adopted to relieve their psychological pressure,enhance their psychological resilience and coping ability,and effectively maintain their physical and mental health.