急诊护士面对医闹后应激障碍特征及其与社会心理因素的相关性分析

Characteristics of PTSD after medical disturbance and its correlation with psychosocial factors among emergency nurses

目的:探讨某市急诊护士面对医闹后产生创伤后应激障碍(PTSD)特征,并分析其社会心理相关因素。方法:采用抽样调查法,选取蚌埠市8家医院经历过医闹的急诊护士92名作为研究对象。采用一般情况调查问卷、创伤后应激障碍自评量表民用版(PCL-C)、社会支持评定量表、心理弹性量表进行调查和分析。采用logistic回归分析经历过医闹的急诊护士PTSD发生的影响因素。结果:急诊护士PCL-C得分17~64分,平均得分(35.68±13.26)分。PTSD阳性护士17名(18.48%),其中最常见的PTSD症状特征为高警觉,以入睡困难或浅眠较为多见。工作年限、职称、经历医闹种类、医闹频率、社会支持、心理弹性不同的急诊护士PTSD阳性差异均有统计学意义(P<0.05)。多因素logistic回归分析显示,医闹种类、医闹频率、社会支持、心理弹性均为急诊护士PTSD发生的独立影响因素(P<0.05)。结论:急诊护士面对医闹后,最常见的PTSD症状特征为高警觉,且PTSD的发生与社会支持、心理弹性具有相关性。

Objective:To investigate the characteristics of post traumatic stress disorder(PTSD)among emergency nurses in a city after medical disturbance,and analyze its social and psychological related factors.Methods:Using a sample survey method,92 emergency nurses suffered from medical disturbance from 8 hospitals in Bengbu city were selected.The nurses were investigated using the general situation questionnaire,civilian version of the post-traumatic stress disorder self-assessment scale(PCL-C),social support assessment scale and psychological resilience scale.The influencing factors of PTSD in the emergency nurses after suffering from medical disturbance were analyzed using logistic regression analysis.Results:The PCL-C score of emergency nurses was 17-64 points,and the average score of which was(35.68±13.26)points.The positive PTSD in 17 nurses(18.48%)was identified,the most common symptom of PTSD was hypervigilance,and the difficulty falling asleep or shallow sleep was more common.The differences of the working years,professional title,type of medical disturbance,frequency of medical disturbance,social support and psychological resilience among different emergency nurses with positive PTSD were statistically significant(P<0.05).The results of multiple logistic regression analysis showed that the types of medical disturbance,frequency of medical disturbance,social support and psychological resilience were the independent influencing factors of PTSD in emergency nurses(P<0.05).Conclusions:After the emergency nurses suffering from medical disturbance,the most common symptom of PTSD is high alertness,and the occurrence of PTSD is related to the social support and psychological resilience.