急诊科护士创伤后应激反应与正念及应对方式的关系研究

Relationships among posttraumatic stress symptoms,mindfulness and ways of coping in emergency department nurses

目的调查急诊科护士创伤后应激反应现状及其影响因素,为临床制订有效的预防和干预对策,以促进护士心理健康提供参考。方法采用事件影响量表、正念注意觉知量表和简易应对方式量表对重庆市22所医院的571名急诊科护士进行调查。结果急诊科护士事件影响量表总分0~88分,中位数28;达到创伤后应激障碍亚临床以上水平的护士占65.3%。事件影响量表总分与正念和积极应对呈负相关,与消极应对呈正相关(P<0.05,P<0.01)。Logistic回归分析显示,正念是急诊科护士创伤后应激反应的保护因素,消极应对是危险因素(均P<0.01)。结论急诊科护士创伤后应激反应水平较高;可通过提高正念水平、完善应对方式等,降低急诊科护士创伤后应激反应水平。

Objective To investigate the status quo of posttraumatic stress symptoms in emergency department nurses and to examine any associated factors,thus to provide reference for formulating targeted prophylaxis and intervention measures to enhance nurses′mental health.Methods A total of 571 emergency department nurses were selected from 22 hospitals in Chongqing and were surveyed using the Impact of Event Scale-Revised(IES-R),Mindful Attention Awareness Scale and Simplified Coping Style Questionnaire.Results The total IES-R score ranged from 0 to 88,with the median of 28.The prevalence of subthreshold posttraumatic stress disorder among the sample was 65.3%.The total IER-S score was negatively correlated with mindfulness and positive coping style,whereas positively correlated with negative coping style(P<0.05,P<0.01).Logistic regression analysis showed that mindfulness was a protective factor whereas negative coping style was a risk factor of subthreshold posttraumatic stress disorder in emergency department nurses(P<0.01 for both).Conclusion The level and prevalence of posttraumatic stress symptoms were relatively high in emergency department nurses.intrusion reaction was the most prominent symptom.Interventions on improving mindfulness and perfecting ways of coping can be taken to relieve posttraumatic stress symptoms in emergency department nurses.